During the admission interview the client reports to the nurse that she is "a little allergic to peni-cillin."
Which of the following questions asked by the nurse is most likely to provide the most relevant information regarding the client's possible allergy to penicillin?
1. "Who told you that you are allergic to penicillin?"
2. "What makes you think you are allergic to penicillin?"
3. "Can you describe what happens when you take penicillin?"
4. "What do you take for an infection since you are allergic to penicillin?"
ANS: 3
This question best allows for the client to describe the reaction and then affords the nurse the opportunity to assess the described reaction to determine the likelihood that it is an allergic reac-tion.
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Rank the following suitable nursing interventions in order according to the ability of each intervention to prevent patient injury at home in the future. Start with the intervention that is most likely to prevent injury in the home. A. Discharge to home while attending an alcohol prevention program. B. Perform home safety inspection to identify modifiable safety hazards. C. Instruct the older woman on pelvic floor exercises and other incontinence strategies. D. Explore depression, alcohol abuse, and physiological contributors to falls.
A child has been receiving combination hydrocortisone-neomycin-polymyxin B eardrops for otitis externa for 3 days but still complains of difficulty hearing. The nurse notes redness and swelling of the canal
The nurse would be correct to suspect which of the following? a. Worsening of the otitis externa b. Allergy to the nonantibiotic component of the drops c. Neomycin toxicity d. Development of necrotizing otitis externa
A patient with asthma comes to a clinic for treatment of an asthma exacerbation. The patient uses an inhaled glucocorticoid, montelukast (Singulair), and a SABA via MDI
The nurse assesses the patient and notes a respiratory rate of 18 breaths per minute, a heart rate of 96 beats per minute, and an oxygen saturation of 95%. The nurse auscultates mild expiratory wheezes and equal breath sounds bilaterally. What will the nurse do? a. Contact the provider to request a systemic glucocorticoid. b. Contact the provider to suggest using a long-acting beta2 agonist. c. Evaluate the need for teaching about MDI use. d. Question the patient about how much albuterol has been used.
Which formula can be used to calculate infusion volume?
A. V = T × F
B. 
C. 
D. 