A client complains of itching, runny nose, and wheezing after the first dose of an antibiotic. The appropriate nursing actions include:(Select all that apply) Standard Text: Select all that apply
1. Stop the infusion immediately
2. Ensure patent airway
3. Check vital signs
4. Monitor condition changes
5. Administer an antidote
1,2
Rationale: In the event a client shows signs of an allergic reaction soon after a medication has been administered, appropriate nursing interventions include stopping the infusion immediately
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7/8 à— 2/3 = _____
a. 16/21 b. 1 5/16 c. 7/12 d. 1 3/11
A patient tells the nurse that he is sick and will do whatever he is told to do. The nurse realizes this patient is demonstrating:
1. Sick role behavior. 2. Internal locus of control. 3. Crisis response. 4. Denial.
The LPN/LVN describes herself as "working in an expanded role in a long-term care facility." What is the most correct interpretation of this statement?
a. The LPN/LVN is able to administer oral medications. b. The LPN/LVN is a first-line manager responsible to the RN. c. The LPN/LVN formulates nursing diagnoses and care plans. d. The LPN/LVN interprets and implements research findings.
A client has been prescribed an antiplatelet drug, and asks the nurse to explain why this medication has been prescribed. Which response by the nurse is the most appropriate?
1. "These medications are used to dissolve life-threatening clots." 2. "These medications are used to prevent clotting action of platelets." 3. "These medications are used to prevent the formation of clots." 4. "These medications inhibit the normal removal of fibrin, thus keeping the clot in place for a longer period of time."