The highest "at risk" clients for anaphylactic shock include clients with which type of medication allergy?
a. Benadryl c. Coumadin
b. Aspirin d. Penicillin
D
The highest "at-risk" clients have Penicillin allergies and insect sting reactions.
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The patient is scheduled for a painful procedure. In addition to premedicating the patient with an opioid drug, what other nursing action is most likely to alleviate the pain?
A) Give intravenous midazolam (Versed). B) Monitor vital signs during the procedure. C) Give explanations before and during the procedure. D) Ask the family to wait outside during the procedure.
Following an abruptio placentae, the patient suddenly becomes dyspneic, complains of chest pain, and begins to ooze blood from her IV insertion site. The nurse assesses these as indicators of _____________ ______________ _________________
ANS:
The patient's condition has deteriorated to the point where she can no longer make decisions about her own care. Which of the following nursing interventions would be most appropriate?
a. Obtain a verbal DNR order from the physician. b. Continue caring for the patient as originally ordered because she obviously wanted this. c. Consult the hospital attorney for recommendations on how to proceed. d. Discuss with the family what the patient's wishes would be if she could make those decisions herself.
A patient is 5 feet 4 inches tall and weighs 85 lb, a 20% loss of body weight over the past year
The patient reports amenorrhea for 9 months. Vital signs are temperature (T) 96.6°F; pulse (P) 38 beats/min; blood pressure (BP) 70/42 mm Hg; respirations (R) 20 breaths/min. Skin turgor is poor. Lanugo is present. She says, "I need to lose 10 more pounds." These assessment findings indicate which medical diagnosis? a. Bulimia nervosa b. Anorexia nervosa c. Binge-eating disorder d. Dissociative identity disorder