A client arrives at the emergency department with reports of a headache, hives, itching, and difficulty swallowing. The client states that he took ibuprofen (Motrin) 1 hour earlier and believes that he is experiencing an allergic reaction to this medication. After ensuring that the client has a patent airway, which intervention does the nurse prepare the client for first?
A. Administration of normal saline solution
B. Administration of an intravenous (IV) glucocorticoid
C. Administration of pain medication to relieve the client's headache
D. Administration of a subcutaneous injection of epinephrine (Adrenalin)
Ans: D. Administration of a subcutaneous injection of epinephrine (Adrenalin)
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A nurse notes crepitation when performing range-of-motion exercises on a client with a fractured left humerus. Which action should the nurse take next?
a. Immobilize the left arm. b. Assess the client's distal pulse. c. Monitor for signs of infection. d. Administer prescribed steroids.
A nursing instructor is teaching a class of nursing students about anger, aggression, and violence. Which statement by the instructor would be most appropriate to include?
A) "Anger, aggression, and violence are points along a continuum." B) "The terms used to describe anger are very precise." C) "Anger is a knee-jerk reaction to external events." D) "Women experience anger as frequently as men do."
Nurses are empowered in their organizations when they are held accountable. This allows each accountable nurse to have:
A. Similar decision-making ability as the physicians B. More power in the practice arena C. Excuses for not being able to complete patient assignments on time D. The ability to automatically negate other health-care team members' recommenda-tions
A nurse is caring for a patient who has a three-way catheter with continuous bladder irrigation after a transurethral prostatectomy. The nurse notices a decrease in output in the urinary drainage bag. The nurse should first
1. Increase the flow rate to flush out clots that may be blocking the catheter. 2. Identify when the patient last had his or her pain medication. 3. Instruct the patient to bear down to make sure that the bladder is empty. 4. Palpate the patient's abdomen.