A patient with second-degree burns is treated with silver sulfadiazine [Silvadene]. A nursing student asks the nurse about the differences between silver sulfadiazine and mafenide [Sulfamylon], because the two are similar products, and both contain sulfonamides. What does the nurse tell the student about silver sulfadiazine?
a) It causes increased pain when the medication is applied. b) It has a broader spectrum of antimicrobial sensitivity. c) It has antibacterial effects related to release of free silver. d) It suppresses renal excretion of acid, causing acidosis.
c) It has antibacterial effects related to release of free silver.
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The LPN is caring for a full nursing assignment and delegates specific duties to the certified nursing assistant (CNA). Which nursing action is best to assess the competency of the CNA to complete the assignment?
A) Ask the client if the assignments were completed B) View the paperwork related to the assignments for completion C) Ask the CNA exactly how the assignments were completed D) Observe the CNA during completion of the assignments
A patient reports heavy menstrual periods, easy fatigability, and a general lack of energy. This patient may be suffering from:
1. acute renal failure. 2. iron-deficiency anemia. 3. hypokalemia. 4. dehydration.
A patient with acute hepatic dysfunction is prescribed Lactulose 15 cc by mouth four times a day. The nurse realizes that this medication will impact which of the following?
1. hemoglobin production 2. ammonia level 3. degree of ascites 4. reduce portal hypertension
The nurse is caring for a patient with an indwelling catheter. Which of the following would be included in routine nursing care? (Select all that apply.)
a. Encourage fluid intake. b. Use sterile technique when emptying the drainage bag. c. Secure the catheter to the patient's leg. d. Maintain a closed system. e. Clamp the catheter for 1 hour each shift. f. Remove the catheter as soon as possible.