The nurse is preparing to administer gentamicin (Garamycin) to a patient when he suddenly complains of diminished hearing. What action should the nurse take based on this statement?
A) Administer the dosage and notify the physician of the alteration in hearing
B) Hold the dosage and notify the physician of the alteration in hearing
C) Administer the dosage and report the alteration in hearing to the audiologist
D) Hold the dosage and document the finding in the nurses' notes
B
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A patient has been administered lidocaine in anticipation of a bronchoscopy and lung biopsy. What change in status would the nurse recognize as a potential hypersensitivity to lidocaine?
A) Audible wheeze B) Pleural pain C) Audible S3 D) Hemoptysis
A nurse plans evidence-based care for a client on a medical-surgical unit. Which elements should the nurse assess when developing this plan of care? (Select all that apply.)
a. Client values b. Nurse's experiences c. Organizational budget d. Staffing ratios e. Best available evidence
The staff are discussing competency. Which of the following statements about competency is inaccurate?
A) Competency is a medical determination made by the client's physician. B) Competency is affected by client compliance with treatment. C) A competent client means the client can make reasonable judgments and decisions. D) A guardian is appointed to make decisions on the person's behalf when the client is incompetent.
During lung assessment, the nurse places a stethoscope on a client's chest and instructs him/her to say "99" each time the chest is touched with the stethoscope. What should be the correct interpretation if the nurse hears the spoken words "99" very clearly through the stethoscope?
A) This is a normal auscultatory finding. B) May indicate pneumothorax. C) May indicate pneumonia. D) May indicate severe emphysema.