During admission assessment for evaluation of chest pain, the patient reports an allergy to sulfa drugs. Which nursing statements are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. "We don't give sulfa drugs for cardiac problems, so that won't be an issue.".
2. "If it just makes you sick to your stomach, it isn't really an allergy.".
3. "What happens when you take sulfa drugs?"
4. "When did you first find out about this allergy?"
5. "If we need to give you a sulfa drug, we will be sure to give you an antihistamine with it.".
3,4
Rationale 1: The nurse should not predict which medications will be needed and should not dismiss the seriousness of a drug allergy.
Rationale 2: The nurse should not assume that the patient is talking about just getting "sick to your stomach.". Additional information is needed.
Rationale 3: Part of the assessment of allergy is to determine what effects are noted when the drug is taken.
Rationale 4: Asking about the first incidence of allergic reaction may provide additional information about the drug's effects.
Rationale 5: The nurse should not worry the patient about the possibility of receiving a sulfa drug. It is very unlikely that a situation would arise in which an alternate drug could not be used.
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The nurse is caring for a client in a non-acute care setting. Which of the following is considered a non-acute care setting? (Select all that apply.)
a. hospitals d. subacute care facilities b. long-term care facilities e. emergency rooms c. skilled nursing facilities f. birthing centers
The client with diabetes who is just starting on insulin therapy wants to know why more than one injection of insulin each day will be required. What is the nurse's best response?
A. "You need to start with multiple injections until you become more proficient at self-injection." B. "A single dose of insulin each day would not match your blood insulin levels and your food intake patterns closely enough." C. "A regimen of a single dose of insulin injected each day would require that you could eat no more than one meal each day." D. "A single dose of insulin would be too large to be absorbed predictably, so you would be in danger of unexpected insulin shock."
A surgeon approaches the charge nurse in an angry manner after his patient fell out of bed, requiring further surgery. Which of the following approaches is most appropriate for the charge nurse to use?
a. "Can you step over here out of the hearing of the patients and family members?" b. ‘I'm sorry, you should have ordered restraints for the patient.". c. "We will accept all liability.". d. "My nurses are all new on the night shift. They didn't know how to handle him.".
A +.50 correlation coefficient indicates a stronger relation than does a correlation of -.75
A) True B) False