The client has been ordered treatment with Amoxil. The client reports to the nurse that she has developed symptoms of vaginitis. The highest priority action on the part of the nurse is to recognize this as:
a. an expected side effect of the medication.
b. a life-threatening reaction to the drug.
c. evidence of development of a superinfection.
d. evidence of an anaphylactic reaction.
ANS: C
Development of vaginitis can be evidence of development of a superinfection.
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A nurse is teaching the daughter of a client who has Alzheimer's disease. The daughter asks, "Will the medication my mother is taking improve her dementia?" How should the nurse respond?
a. "It will allow your mother to live independently for several more years." b. "It is used to halt the advancement of Alzheimer's disease but will not cure it." c. "It will not improve her dementia but can help control emotional responses." d. "It is used to improve short-term memory but will not improve problem solving."
When a person was brought into the clinic in a wheelchair, the new nurse asked the patient if he felt a need for a priest. Which of the following best explains why the nurse would ask about spiritual health during the intake assessment?
a. All patients have spiritual as well as physical needs. b. Medical personnel have to collaborate with religious leaders. c. People reach out for spiritual care when they have suddenly become ill. d. Some people perceive disabilities as punishment for sin.
The nurse obtains a blood pressure reading of 160/90 from a cardiac patient. What is the first action by the nurse?
a. Obtain the blood in lying, sitting, and standing positions. b. Contact the primary care provider for medication orders. c. Recheck the blood pressure in 30 minutes. d. Check the patient's pattern of blood pressures over the past 3 days.
Which of the following is an example of terrorism?
1. An anarchist learns to make sarin gas from an Internet source and uses the knowledge to set off a device in a shopping mall, which sickens scores of people. 2. An environmental defense group lobbies a member of Congress and threatens intense campaigning unless the representative votes against a pending bill. 3. A member of an animal rights group protests outside of a supermarket carrying a sign depicting the interior of a slaughterhouse and a fight breaks out with shoppers. 4. A teen leaves a pipe bomb under the desk of his math teacher following a bad grade; the teacher was seriously injured.