The patient's surgery is nearly finished. The surgeon has decided to use tissue adhesives to close the surgical wound. As the nurse, you know that this puts the patient at increased risk for what?
A) Hypothermia
B) Anaphylaxis
C) Infection
D) Malignant hyperthermia
Ans: B
Feedback: Fibrin sealants are used in a variety of surgical procedures, and cyanoacrylate tissue adhesives are used to close wounds without the use of sutures. These sealants have been implicated in allergic reactions and anaphylaxis. Options A, C, and D are incorrect; none of these detractors are an increased risk because of the use of tissue adhesives.
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A 38-year-old man is being treated for HIV-1 with nevirapine (Viramune). Signs of severe liver dysfunction have been noted by the physician and a change in the drug therapy is necessary. The nurse explains to the patient that
A) the therapy will be discontinued. B) the drug will be administered three times daily in divided doses. C) the therapy should be reinitiated at half the previous dosage. D) the dose should be escalated over a 2-week period.
Which statement describes the limits of body mechanics regarding the safety of both the nurse and the client?
1. The nurse will not suffer a back injury as long as body mechanics are used. 2. The nurse who lifts weights can safely lift more weight. 3. The nurse who lifts a client with a mechanical assistive device reduces the risk of self-injury. 4. The nurse will not cause self-injury if the correct technique is used when lifting the dependent client.
A routine hematocrit level is drawn on a newborn immediately after delivery and is found to be 68%. What might have contributed to this abnormally high hematocrit level?
1. Congenital heart defect 2. Leukocytosis 3. Delayed cord clamping 4. Hypovolemia
The nurse caring for a client in restraints can delegate which of the following activities to an unlicensed assistive personnel? (Select all that apply.)
a. Assistance with ADLs b. Massaging reddened areas under the restraint c. Providing for food and elimination d. Range of motion, both active and passive e. Turning and repositioning