An older adult presents to the emergency department in septic shock. A diagnosis of pneumonia is made, antibiotics are prescribed, and the patient will be admitted to the acute care unit. When should the nurse start the prescribed intravenous antibiotic?
1. Whenever the drug is received from the pharmacy
2. After the preliminary results of the sputum specimen are obtained
3. Within 30 minutes of the order being received
4. Within 1 hour of diagnosis
Answer: 4
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Which step of the nursing process involves determination of how successfully the client goals have been met?
a. assessment c. implementation b. evaluation d. planning
An intensive care unit nurse is caring for a patient taking kanamycin. What is the nurse's priority action?
A) Giving the drug for no longer than 7 days B) Assessing liver function daily C) Contacting the ordering physician D) Monitoring renal function daily
While caring for a patient in labor, the nurse notices during a vaginal exam that the baby's head has rotated internally. What would the nurse expect the next set of cardinal movements for a baby in a vertex presentation to be?
1. Flexion, extension, restitution, external rotation, and expulsion 2. Expulsion, external rotation, and restitution 3. Restitution, flexion, external rotation, and expulsion 4. Extension, restitution, external rotation, and expulsion
Which dietary guideline would be appropriate for the older adult homebound client with advanced respiratory disease who informs the nurse that she has no energy to eat?
A) Snack on high-carbohydrate foods frequently. B) Eat smaller meals that are high in protein. C) Contact the physician for nutrition shake. D) Eat one large meal at noon.