A 9-year-old boy has been admitted to the pediatric unit after being diagnosed with pertussis. The pediatric nurse is processing the boy's admission orders and notes that IV demeclocycline (Declomycin) has been ordered
After beginning this treatment, the nurse should confirm the results of what laboratory test? A) Mean corpuscular volume (MCV)
B) D-dimer
C) Bilirubin
D) Blood urea nitrogen (BUN)
D
Feedback:
When administering demeclocycline, it is important to monitor the patient's BUN. Increases in the BUN are secondary to antianabolic effects. D-dimer and MCV values are not relevant. Bilirubin levels would only be important in the presence of liver toxicity.
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A client has been admitted to the psychiatric hospital for assessment and evaluation. What behavior
might indicate that the client has a mental disorder? The client a. is able to see the difference between the "as if" and the "for real.". b. describes her mood as consistently sad, discouraged, down in the dumps, and hopeless. c. responds to the rules, routines, and customs of any group to which she belongs. d. can perform tasks she attempts within the limits set by her abilities.
Ambulatory care nursing is an emerging field of nursing practice in which the nurse
a. deals with clients who are ambulatory and able to walk into the clinic. b. is part of an interdisciplinary team offering primary, secondary, and tertiary care. c. offers an integrated system of care to persons within walking distance of the clin-ic. d. works only with clients who are not acutely ill.
Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the:
a. descending aorta. b. lower liver border. c. medial border of the spleen. d. upper right kidney ridge.
What is the most important action when caring for a patient with type 2 diabetes mellitus who is prescribed a beta blocker?
a. Assess the patient's feet daily. b. Monitor for infection. c. Administer oral diabetic drugs. d. Regularly check the patient's blood glucose.