The nurse is caring for a patient who was started on intravenous antibiotic therapy earlier in the shift. As the second dose is being infused, the patient reports feeling dizzy and having difficulty breathing and talking
The nurse notes that the patient's respirations are 26 breaths/min with a weak pulse of 112 beats/min. The nurse suspects that the patient is experiencing which condition?
a. Suppressed immune response
b. Hyperimmune response
c. Allergic reaction
d. Anaphylactic reaction
ANS: D
The patient is exhibiting signs and symptoms of an anaphylactic reaction to the medication. These signs and symptoms during administration of a medication do not correspond to a suppressed immune response but a type of hyperimmune response. While the patient is experiencing a hyperimmune response, the signs and symptoms allow for a more specific response. While the patient is experiencing an allergic reaction, the signs and symptoms presented in the scenario allow for a more specific response.
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A nurse is working with a family whose 5 year-old daughter has been diagnosed with impetigo. What educational intervention should the nurse include in this family's care?
A) Ensuring that the family knows that impetigo is not contagious B) Teaching about the safe and effective use of topical corticosteroids C) Teaching about the importance of maintaining high standards of hygiene D) Ensuring that the family knows how to safely burst the child's vesicles
The nurse, reviewing the similarities and differences between the nursing process and the teaching-learning process, realizes that:
a. there is little similarity between the two. b. the teaching-learning process is less complex than the nursing process. c. the two are very similar. d. they exist independently of each other.
Web searches will mainly provide:
a. additional research studies on the topic. b. interesting information about the topic. c. refereed articles on the topic of interest. d. research critiques about the literature.
A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient's health history
Which statements by the patient warrant further investigation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I take medications to control my blood pressure.". 2. "I had the mumps when I was a boy.". 3. "I had a vasectomy 4 years ago.". 4. "I have had diabetes for several years.". 5. "My wife has a history of cervical cancer.".