A patient is receiving vancomycin. Which function is the priority for the nurses to assess?
a. Vision
b. Hearing
c. Heart tones
d. Bowel sounds
ANS: B
A side effect of vancomycin is ototoxicity—hearing. It does not affect vision, heart tones, or bowel sounds.
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The nurse is teaching a patient skin care to prevent cancer. Which of the following instructions would be appropriate regarding time of day to avoid the sun?
a. 7 to 9 a.m. b. 9 to 10 a.m. c. 10 a.m. to 4 p.m. d. 2 to 4 p.m.
Which action by the nurse is appropriate when testing for Homans' sign?
1. Pointing the client's toes down 2. Having the client point the toes up toward the calf 3. Flexing the client's toes as wide apart as possible 4. Rotating the client's foot
Aging ordinarily leads to decreases in which of the following?
a. Creatinine clearance and insulin secretion b. Blood carbon dioxide and saliva produc-tion c. Left ventricle-wall thickness and skin healing time d. Serum triiodothyronine (T3) and gastric pepsin
A nurse has just witnessed a terminally ill patient telling the physician that he does not wish to have his life prolonged as stated in his living will. The nurse expects that the physician will
1. Explain to the patient why he should be more hopeful. 2. Write a do-not-resuscitate (DNR) order. 3. Speak to the patient's family before writing a DNR order. 4. Ignore the patient's request.