The client has been ordered treatment with nitrofurantoin. She complains to the nurse of experiencing brownish, discolored urine. The nurse recognizes that this symptom indicates a(n) _____ the medication
a. expected side effect of
b. adverse reaction to
c. life-threatening reaction to
d. anaphylactic reaction to
ANS: A
Brownish urine is a side effect of this medication.
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A nurse is assessing a 6-month-old baby with volvulus. The infant's vital signs are as follows: pulse: 118 beats/minute; blood pressure: 78/54 mm Hg; respirations: 42 breaths/minute. What action by the nurse is most appropriate?
A. Assess the infant's abdomen and skin. B. Document the findings in the baby's chart. C. Increase the rate of IV fluid administration. D. Notify the health-care provider immediately.
The nurse is caring for a client who has experienced a sports-related injury to the knee. During the morning assessment, which signs of inflammation does the nurse anticipate?
Select all that apply. A) Pitting edema B) Pallor C) Swelling D) Warmth E) Pain
In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n):
a. Hematocrit level of 58%. b. RBC count of 5 million/mL. c. WBC count of 15,000 cells/mm3. d. Blood glucose level of 25 mg/dL.
A nurse is reviewing the immune system with a group of nursing students. One student asks about the difference between cell-mediated immunity and humoral immunity. What does the nurse reply?
a. "Humoral immunity does not involve helper T cells in the immune response." b. "Humoral immunity does not have a role in hypersensitivity reactions." c. "Humoral immunity requires cytolytic T cells that attack antigens directly." d. "Humoral immunity uses cells produced by B lymphocytes in the immune response."