Immediately after the nurse administers an intradermal injection of a suspected antigen during allergy testing, the patient complains of itching at the site, weakness, and dizziness. Which action by the nurse is most appropriate initially?
a. Elevate the arm above the shoulder
b. Administer subcutaneous epinephrine
c. Apply a warm compress to area
d. Apply a local anti-inflammatory cream to the site
ANS: B
Injection of subcutaneous epinephrine should be given at the first sign of allergy.
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During evaluation, the nurse, client, and healthcare provider determine that the goals of antibiotic therapy have not been met. What actions are indicated? Select all that apply.
A. Review the dosage of the medication. B. Consider checking serum drug levels. C. Discard the idea that the infection is treatable. D. Consider prolonging therapy. E. Consider using a different antibiotic.
The nurse is providing care to a newborn. Which is a normal assessment finding that often occurs within the first 2 to 3 days of life for this patient?
1) Decreased elasticity 2) Physiologic jaundice 3) Pronounced body odor 4) Hyperpigmentation of the skin
A nurse who is teaching a patient assesses the patient's goals in life. The nurse then explains to a student nurse that this practice is important because
a. goals can be motivators for making health changes. b. it helps the nurse become familiar with the patient. c. social interactions relax the patient and increase trust. d. this shows whether the person has self-agency or not.
Most states permit a child under age 18 to consent to certain types of care without parental or guardian notification or consent. The types of care that most often do not require the consent or notification of the parents or guardian include:
a. minor surgery c. contraception b. liposuction d. psychiatric care