The nurse anticipates use of an extended-spectrum penicillins such as piperacillin when the patient is infected with which microbe?
1. Streptococcus
2. Herpes simplex
3. Pseudomonas
4. Staphylococcus
Correct Answer: 3
Rationale 1: Extended-spectrum penicillins are effective against strep, but this is not their advantage.
Rationale 2: Extended-spectrum penicillins are not effective against herpes, a virus.
Rationale 3: Extended-spectrum penicillins have as their advantage antimicrobial activity against Pseudomonas.
Rationale 4: Extended-spectrum penicillins are effective against staph, but this is not their advantage.
Global Rationale: Piperacillin and ticarcillin have broad spectrums of antimicrobial activity similar to those of the aminopenicillins. Their primary advantage is their additional activity against Pseudomonas aeruginosa; thus they are called extended-spectrum or antipseudomonal penicillins.
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What should the nurse do with an injection of 2 mL of Demerol that the patient has refused? (Select all that apply.)
a. Independently waste the drug in a secure place. b. Record in the narcotic log that the drug was wasted. c. Chart in the patient's record the reason the medication was refused. d. Get any staff member to sign the narcotic log as witness to the drug being wasted. e. Confirm the count is correct on the narcotic log.
The nurse educator is teaching a group of students about health promotion and disease prevention. Which nursing activities promote health and health maintenance?
Select all that apply. A) Helping a mother determine a daily feeding schedule for her infant B) Teaching a school-age child how to use dental floss C) Teaching parents how to perform pulmonary drainage and cupping on their ill child. D) Treating a child diagnosed with pneumonia E) Administering the flu vaccine for an infant who is 9 months of age
Which is the best nursing explanation for the symptom of polyuria in a client with diabetes mellitus?
A) With diabetes, drinking more results in more urine production. B) Increased ketones in the urine promote the manufacturing of more urine. C) High sugar pulls fluid into the bloodstream, which results in more urine production. D) The body's requirement for fuel drives the production of urine.
The following information is recorded in the health history: “Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea.” Which category does it belong to?
A) Chief complaint B) Present illness C) Personal and social history D) Review of systems