The nurse is educating the parents of a 4-year-old boy with a Wilms tumor who is about to have chemotherapy prior to surgery. Which statement by the parents indicates that the nurse should review the instructions about preventing infection?
A) "He takes his antibiotic twice a day."
B) "We check his temperature orally."
C) "We keep him away from crowds."
D) "He must be clean and his teeth brushed."
Ans: A
The parents have heard the instructions for the antibiotic administration incorrectly. The trimethoprim–sulfamethoxazole should be administered twice daily for 3 consecutive days each week to prevent Pneumocystis pneumoniae. The parents understand to avoid rectal temperatures and crowds, and to maintain his hygiene meticulously.
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A destructive earthquake has occurred within the vicinity of the local hospital. The nursing supervisor working the night shift at the hospital receives information that the hospital disaster plan will be activated
The nurse recognizes that she will be working with several organizations in the management of this disaster. The supervisor recalls that the organization responsible for coordinating interagency relief assistance is what? A) Office of Emergency Management B) Incident Command System C) Centers for Disease Control and Prevention (CDC) D) American Red Cross
A public health agency is transitioning from a traditional management model for quality assur-ance to a TQM approach. Which of the following changes will occur within the agency?
a. Increased administrative authority b. Increased participation by all staff c. Additional focus on quality assurance d. Specialized accountability for services provided
Clients with COPD and chronic use of corticosteroids should be monitored for:
1. Calcium level and bone mineral density loss. 2. Iron level and development of anemia. 3. Vitamin A and visual loss. 4. Potassium level and lower extremity pain.
How should a nurse rank outcomes for a manic client, in order of priority, when planning care?
I. Maintains nutritional status II. Interacts appropriately with peers III. Remains free from injury and self-harm IV. Remains reality oriented A) II, I, III, IV B) IV, I, II, III C) III, I, IV, II D) I, IV, II, III