A client presents to the emergency department in respiratory compromise. The client's temperature is 102.4° F, heart rate 88 beats/minute and regular, and blood pressure 138/76 mm Hg
The client is dyspneic, pale, and expectorating green-tinged sputum. The physician orders medications including antibiotics, antipyretics, nebulizer treatments, and IV fluids. A chest x-ray and sputum culture are to be completed. Which physician order would the nurse complete before beginning antibiotic therapy? A) Chest x-ray
B) Sputum culture
C) Nebulizer treatments
D) Initiating IV fluids
B
Feedback:
The nurse would obtain a sputum culture for sensitivity before beginning antibiotic therapy. Obtaining a sputum culture after beginning antibiotics can skew results. Once the sputum culture results are returned, the antibiotic can be closely aligned to kill the organism, if present. The other orders can be prioritized according to client needs.
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A client diagnosed with panic disorder states, "When an attack happens, I feel like I am going to die." Which is the most appropriate nursing response?
1. "I know it's frightening, but try to remind yourself that this will only last a short time." 2. "Death from a panic attack happens so infrequently that there is no need to worry." 3. "Most people who experience panic attacks have feelings of impending doom." 4. "Tell me why you think you are going to die every time you have a panic attack."
When communicating with parents suspected of child abuse, what should the nurse be sure to do?
a. Tell them the law requires reporting of the incident b. Be sympathetic to their needs c. Interact with them in a nonjudgmental manner d. Suggest psychiatric counseling
0.5 liter = ____ mL
a. 0.0005 b. 0.05 c. 50 d. 500
When assessing infant reflexes the nurse documents a startled response and extension of the arms and legs as being which reflex?
A) Fencing B) Moro C) Tonic neck D) Rooting