A pediatric client is receiving IV antibiotics for the treatment of a Staphylococcus aureus infection. Which nursing interventions are appropriate when providing care to this client?
Select all that apply.
A) Encourage adequate fluid intake.
B) Monitor for allergic reaction.
C) Assess renal and liver function.
D) Obtain a baseline electrocardiogram.
E) Monitor vital signs.
Answer: A, B, C, E
Nursing interventions to support antibiotic therapy include encouraging an adequate fluid intake, monitoring for manifestations of an allergic reaction, assessing renal and hepatic function, and assessing vital signs. A baseline electrocardiogram is appropriate for antimalarial medication.
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You are admitting a client to the clinic who exhibits psychophysiologic behaviors. What nursing intervention would be appropriate to use with this patient?
A) Confront the client when he or she exhibits psychophysiologic behaviors. B) Recognize that the physical complaints are phantom to the client even though supportive medical evidence is lacking. C) Remember that the client is not consciously trying to be sick or avoid responsibilities. D) Observe behaviors unrelated to current illness.
A client who is receiving a pitocin (Oxytocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?
a. Increase the rate of pitocin infusion to help spread out the contraction pattern. b. Place oxygen on the client at 8 to 10 L/min via face mask and turn the client to her left side. c. Stop the pitocin infusion. d. Call the physician to obtain an order for the initiation of magnesium sulfate.
When did evidenced-based practice become an important component of the delivery of nursing care?
A) The early 1800s B) The early 1900s C) The late 1900s D) The early 2000s
A new nurse tells her mentor, "I worry all the time about how clients view me. I wonder if I'm performing as well as other nurses. These questions and self-doubts get in the way when I'm communicating with clients."
The most helpful remark the mentor can make is: 1. "Everyone is self-conscious at first. Just grin and bear with it." 2. "I know how you're feeling. I was so anxious that I sweated all the time." 3. "Try to maintain your focus on the client while you're with him or her." 4. "Relax. You're not expected to be a therapist after the first 2 weeks."