The nurse has just administered a new antibiotic to a patient. What sign or symptom should the nurse be alert to that would be an early indication of an anaphylactic reaction?
a. Wheezing
b. Shortness of breath
c. Difficulty swallowing
d. Angioedema
D
The appearance of hives (urticaria) or swelling beneath the skin (angioedema) may signal the onset of an anaphylactic episode. Wheezing, shortness of breath, and difficulty swallowing are later signs of anaphylaxis.
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A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?
a. Urinary calculi, probably located in the ureter b. Kidney infection, most likely pyeloneph-ritis c. Cystitis, probably from bacterial conta-mination d. Interstitial cystitis (although rare in a male patient)
Which of the following tools are appropriate to use with adolescents? Select all that apply
a. Beck Anxiety Inventory b. Sense of Coherence (SOC) Scale c. Everyday Hassles Scale (EHS) d. Early Language Milestones Scale (ELM Scale-2) e. Folstein Mini-Mental State Examination (MMSE) f. HEADSS (Home, Education, Activities, Drugs, Sex, and Suicide) Adolescent Risk Profile
An industrial nurse is conducting a class on ways to prevent back pain. What should the nurse include when teaching about lifting heavy objects?
Select all that apply. 1. Spread the feet apart to broaden the base of support. 2. Use the legs to push when lifting. 3. Stand as closely as possible to the object to be moved. 4. Roll or push the object instead of lifting. 5. Bend at the waist over the center of gravity.
The client with bulimia nervosa is experiencing anxiety. What action should the nurse take to assist the client to avoid binge eating and purging in response to anxiety?
A) Project a calm, reassuring attitude and provide a quiet non-stimulating environment. B) Maintain total control of the environment and project an attitude of authority. C) Contract for safety since the client is likely to engage in self-injurious behavior. D) Assume a matter-of-fact attitude and show positive expectations of the client.