The nurse admits a 3-year-old child to the acute care facility for surgery to repair an umbilical hernia. During the admission exam, the nurse finds copious yellow drainage from the left eye, and the eye is very red
In addition to notifying the RN supervisor, the nurse will initiate: 1. Antibiotic therapy.
2. Contact isolation.
3. A patch for the left eye.
4. Mittens on the child's hands.
2
Rationale: The nurse should initiate contact isolation until the eye is treated for at least 24 hours with antibiotic eyedrops, because conjunctivitis is very contagious, and can be passed by contact.
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A patient has been administered a cytotoxic antineoplastic agent. The patient is a 32-year-old female. Which of the following is the most important instruction related to teratogenicity?
A) The medication will be completely eliminated 24 hours after the administration. B) The patient should protect herself from infections and take Bactrim. C) The patient should not become pregnant for several months. D) The patient will not get pregnant due to the elimination of ova.
Primary intention has a marked advantage over other phases of wound healing because:
a. healing is rapid. b. healing rarely becomes infected. c. minimal scarring results. d. healing is painless.
The nurse reviewing a client's serum electrolytes notes a phosphorus level of 1.0 mEq/L. The nurse will assess the client for a history of
a. chronic respiratory acidosis. b. malnutrition. c. morbid obesity. d. recent thyroidectomy.
The nurse is preparing to discharge a patient after having outpatient surgery. Which criteria should the nurse use to determine whether the patient is eligible to be discharged?
Select all that apply. 1. stable vital signs 2. no nausea or dizziness 3. pain controlled 4. adequate urine output 5. patient's expressed readiness to go home