Following 2 days of increasing shortness of breath and a productive cough, a woman has been admitted to the hospital and subsequently diagnosed with community-acquired pneumonia
She has begun treatment with intravenous moxifloxacin (Avelox) The use of this drug should prompt the nurse to prioritize which of the following assessments?
A) Cardiovascular assessment
B) Integumentary assessment
C) Cognitive assessment
D) Gastrointestinal assessment
A
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A patient was involved in a motor vehicle accident and underwent a loop colostomy. The patient questions the nurse about what is draining out of each side of the colostomy. What is the nurse's best response?
a. "There is stool draining out of both sides." b. "Stool is draining out the stomach side and mucus is draining from the rectum side." c. "There is mucus and stool draining from both sides." d. "There is stool draining out of the stomach side and nothing draining out of the rectum side."
The physician signs a verbal order and reprimands the nurse for incorrectly wording the order. The physician instructs the nurse to go back and insert the missing information. Which of the following is the nurse's best response?
a. Use a black pen and insert the missing information. b. Insist that the physician write a new order. c. Write an addendum clarifying the order. d. Toss the old order and write a new one.
A confused patient frequently calls out for "help" throughout the shift. When nursing staff respond to the call, the patient is unable to explain what is needed. What action should be taken by the nurse?
1. Continue to respond and attempt to reorient the patient. 2. Restrain the patient in soft wrist restraints. 3. Move the call bell out of the patient's reach. 4. Chemically restrain the patient with a mild sedative.
A client hospitalized with facial and neck trauma from a motor vehicle accident is preparing to go home. Which of the following nutritional support systems would be best since he cannot take foods orally for a few weeks?
a. bolus feedings per gastrostomy tube b. intermittent nasogastric feeding tube c. continuous feeding per jejunostomy tube d. TPN via peripheral insertion site of central catheter