Which intervention is most important to include in the multidisciplinary plan to prevent infection in a patient during the early post-transplant period?
1. Continuing the administration of antibiotics 10 to 14 days post-op
2. Encouraging the patient to ambulate and use an incentive spirometer
3. Keeping the patient on contact precautions for at least 1 week
4. Providing vaccination against the flu virus
2
Rationale 1: Prophylactic antibiotics are only used during periods of increased risk, such as during dental procedures, or when an actual infection is present.
Rationale 2: Early ambulation and use of an incentive spirometer are important measures to prevent pneumonia.
Rationale 3: Contact precautions are not necessary. Live vaccines, such as the nasal flu vaccine, are not recommended.
Rationale 4: Live vaccines, such as the nasal flu vaccine, are not recommended.
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What outcome would best indicate the nurse's teaching was effective and that drug therapy was appropriate?
A) The patient can explain how to take the medication. B) The patient demonstrates the correct procedure for monitoring blood sugar. C) The patient follows an appropriate diet. D) Blood glucose level is stable with no diabetic complications.
A nurse manager compliments one of the staff nurses on demonstrating the skills that an effective team leader must possess. On which qualities of the staff nurse is the nurse manager most likely focusing?
a. Conflict resolution, communication, and interpersonal skills b. Leadership, communication, and control c. Control, communication, and conflict resolution d. Communication, conflict resolution, and leadership skills
A patient who has been prescribed acebutolol (Sectral) develops a heart rate of 48 beats per minute, dizziness, difficulty breathing, and bluish fingernails. What is the nurse's best action?
a. Instruct the patient to take several slow deep breaths. b. Document these findings as expected with this drug. c. Place the patient in high Fowler's position. d. Hold the drug and notify the prescriber.
During a clinic appointment, a client prescribed medication for glaucoma reports vision problems. When taking a medication history, which of the following herbal preparations should the nurse identify as being problematic for this client?
1. Ginseng 2. Echinacea 3. Valerian 4. St. John's wort