A patient has been taking cephalexin (Keflex) for an upper respiratory infection. On the seventh day of treatment, the patient develops myalgia and fever. What reaction is the patient having?
A) The patient has developed a new infection.
B) The patient has sustained a bug bite.
C) The patient has become septic.
D) The patient has serum sickness.
D
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The nurse is assessing a client's visual fields by confrontation. Which actions by the nurse indicate appropriate practice? Select all that apply
1. The nurse asks the client to cover one of her eyes with a card. 2. The nurse uses a penlight to assist with performing the test. 3. The nurse asks the client to sit 20 feet away. 4. The client tells the nurse when she first sees the object. 5. The nurse asks the client to stand 4 feet away.
The physician orders a urinary 17-ketosteroid test on a client with a suspected adrenal disorder. The nurse is responsible to:
A) send the first voided urine specimen of the day to the laboratory. B) keep a 24-hour urine collection on ice. C) obtain a catheterized sterile urine specimen. D) instruct client to avoid drinking any caffeine products.
The nurse provides client care by using an air-fluidized bed. Which does the nurse include in the plan of care to prevent complications?
1. Elevates the client's head at 30 degrees 2. Removes moisture collecting on client's skin 3. Covers the mattress with a flannel bath sheet 4. Monitors serum electrolytes and fluid balance
You are the nurse caring for a newborn infant who has a cleft lip and cleft palate and shows signs of mental retardation. Which of the following actions on your part would best support the parents?
a. Model love and acceptance of the infant, and convey how precious the infant is. b. Answer all questions, and give additional information with absolute honesty no matter how difficult it may be for the parents to accept. c. Immediately give the parents the number of the support group for parents with children who are mentally retarded. d. Call the chaplain, and ask the chaplain to talk with the parents.