A patient was ordered a cephalosporin medication as a broad-spectrum antibiotic for a severe infection. What important factor does the nurse know about this medication?
a. It is not effective after penicillin use.
b. It is more effective on gram-positive organisms.
c. It should not be used by those allergic to penicillin.
d. It is less effective in resistant organisms.
ANS: C
Patients reporting any previous allergy to penicillin may also be allergic to some cephalosporins.
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The patient is being supported with a positive-pressure mechanical ventilator set to a synchronized intermittent mandatory ventilation (SIMV) rate of 8 breaths per minute
What situation, if found by the nurse, would indicate a ventilator malfunction? A) SIMV rate 8, patient rate 30, total rate 38 breaths per minute B) SIMV rate 6, patient rate 2, total rate 8 breaths per minute C) SIMV rate 8, patient rate 0, total rate 8 breaths per minute D) SIMV rate 8, patient rate 8, total rate 16 breaths per minute
Concerning a pregnant woman's anxiety and pain experience, nurses should be aware that:
1. even a mild anxiety must be treated. 2. strong anxiety increases tension, which increases pain, which in turn increases fear and anxiety, and so on. 3. anxiety might increase perception of pain but it doesn't affect the mechanism of labor. 4. women who have had a painful labor will have learned from the experience and have less anxiety the second time because of increased familiarity.
Insulin is normally injected at a 90-degree angle
Indicate whether the statement is true or false.
A patient has been experiencing severe chronic pain for 2 months. The nurse anticipates that the prescriber will order which medication, which would have a more consistent effect for the patient's chronic pain?
a. Meperidine (Demerol) via patient-controlled analgesia pump b. Morphine (morphine sulfate) given intravenously c. Fentanyl (Duragesic) transdermal patch d. Hydromorphone hydrochloride (Dilaudid) orally