A client is being evaluated for SLE. The nurse would be concerned when the client lists which drug as one of his/her routine medications?
a. Aspirin
b. Digoxin (Lanoxin)
c. Gentamicin (Garamycin)
d. Procainamide (Pronestyl)
D
About 25 drugs can produce a lupus-like reaction, but only a few (hydralazine, procainamide, and isoniazid) can cause the disorder with any great frequency.
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After completing an assessment of an older patient, which finding should the nurse attribute to a pathological process rather than age-related respiratory changes?
A) Posture is slightly kyphotic B) Slight wheeze on exhalation C) Uses accessory muscles on expiration D) Mucous membranes drier than younger clients'
The normal term infant has little difficulty clearing its airway after birth. Most secretions are brought up to the oropharynx by the cough reflex
However, if the infant has excess secretions, the mouth and nasal passages can easily be cleared with a bulb syringe. When instructing parents on the correct use of this piece of equipment, it is important that the nurse teach them to a. Avoid suctioning the nares. b. Insert the compressed bulb into the center of the mouth. c. Suction the mouth first. d. Remove the bulb syringe from the crib when finished.
In which situation may the nurse legally use restraints?
a. The patient states he wants to get out of bed, but the doctor has ordered bed rest. b. The patient keeps asking for help to go to the bathroom and the nurse is very busy. c. The newly admitted patient is confused as to the location of his bathroom. d. The patient who is critically ill becomes violent and is removing IV lines and medical monitoring devices.
A client returns to his room following a cardiac catheterization. Which of the following assessments, if made by the nurse, would justify calling the health care provider?
1. Absence of pulse distal to the catheter insertion site 2. Pain at the site of the catheter insertion 3. Drainage on the dressing covering the catheter insertion site 4. Redness at the catheter insertion site