A patient on IV cephalosporin therapy complains of pain and irritation at the infusion site. A nurse observes signs of thrombophlebitis. The nurse should:
a. withhold the next dose because this could be a sign of allergic reaction.
b. give aspirin for the inflammation and continue the infusion through the same site.
c. select an alternate intravenous site and administer the infusion slowly.
d. continue to use the same site but infuse the drug more rapidly.
c
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What will be an ideal response?
A dopamine infusion is being administered to a patient with shock. The nurse should be alert for:
1. a sharp spike in blood pressure. 2. tremor of the hands. 3. increasing urinary output. 4. hyperirritability of the patient.
The nurse is caring for a client with a furuncle on the pinna at the opening of the ear canal. The nurse is reviewing home care instructions with the client. Which statement by the client indicates that additional teaching is needed?
a. "I will put the bacitracin ointment on the sore three times a day." b. "I will gently squeeze the sore to drain the liquid out once a day." c. "I will take Tylenol (acetaminophen) if my ear starts to hurt a lot." d. "I will put a warm compress on the sore for 15 minutes three times a day."
What would be an appropriate suggestion for an 80-year-old woman who recently placed a deadbolt lock on her door?
a. Keep the door securely locked. b. Apply similar locks on the windows. c. Leave the door unlocked, with the key in place. d. Replace the lock with a security chain.