The nurse is caring for a patient diagnosed with acute pancreatitis who complains of significant pain. Which nursing action holds the highest priority for this patient?
a. Instruct the patient to sit and lean forward.
b. Monitor intake and output.
c. Monitor laboratory values and note changes.
d. Check blood glucose values frequently.
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The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a six-month-old infant
To administer this injection safely, the nurse chooses which of the following needles (size and length), injection type, and injection site? 1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral thigh 2. 25-gauge, 5/8-inch needle; ID (intradermal); deltoid 3. 22-gauge, 1/2-inch needle; IM (intramuscular); dorsogluteal 4. 25-gauge, 3/4-inch needle; SQ (subcutaneous); anterolateral thigh
When a patient is receiving vasopressin (Pitressin), the nurse will monitor for which therapeutic response?
a. Improved appetite b. Increased serum albumin levels c. Increased serum potassium levels d. Decreased urinary output
The nurse is preparing an educational in-service presentation about jaundice in the newborn. What content should the nurse include in this presentation? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Physiologic jaundice occurs after 24 hours of age. 2. Pathologic jaundice occurs after 24 hours of age. 3. Phototherapy increases serum bilirubin levels. 4. The need for phototherapy depends on the bilirubin level and age of the infant. 5. Kernicterus causes irreversible neurological damage.
A child diagnosed with leukemia is receiving allopurinol (Zyloprim) as part of the treatment plan. The parents ask why their child is receiving this medication. What information about the medication should the nurse provide?
1. Helps reduce the uric acid level caused by cell destruction. 2. Helps make the chemotherapy more effective. 3. Helps reduce the nausea and vomiting associated with chemotherapy. 4. Helps decrease pain in the bone marrow.