A client who has been taking antibiotics reports severe, watery diarrhea. About which test does the nurse teach the client?
a. Colonoscopy
b. Enzyme-linked immunosorbent assay (ELISA) toxin A+B
c. Ova and parasites
d. Stool culture
ANS: B
Clients taking antibiotics are at risk for Clostridium difficile infection. The most common test for this disorder is a stool sample for ELISA toxin A+B. Colonoscopy, ova and parasites, and stool culture are not warranted at this time.
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A patient is administered amiodarone (Cordarone) intravenously. Which of the following assessments is most important with this medication?
A) Assess urine output every 5 minutes B) Assess blood pressure every 5 minutes C) Assess for increased lung sounds D) Assess for muscle rigidity
A nurse is caring for a young woman in a same sex relationship. The woman frequently presents to the ER with vague injuries and the nurse is beginning to suspect that the woman is being physically abused by her partner. How should the nurse proceed?
A. Inform the physician. B. Give her a pamphlet about escaping domestic violence. C. Notify the police. D. Refer her to a social worker and engage her in discussion about creating a safety plan.
The nurse is preparing to discharge a client with a prescription for zidovudine (Retrovir). Which drugs should the client avoid while taking this medication? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Aspirin (ASA) 2. Herbal supplements 3. Penicillin (PCN) 4. Acetaminophen (Tylenol) 5. Oral multivitamin
A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response
a. "Thank you. I would enjoy having a cup of coffee with you." b. "Thank you, but I would prefer to proceed with the assessment." c. "No, but thank you. I never accept drinks from patients or families." d. "Our agency policy prohibits me from eating or drinking in patients' homes."