The nurse is preparing to administer a prescribed antibiotic to a client with bacterial meningitis. The nurse understands that the selection of an antibiotic to treat meningitis is based on which of the following?
1. It has a long half-life.
2. It acts within minutes to hours.
3. It is able to cross the blood-brain barrier.
4. It can be easily excreted in the urine.
3
Rationale: A primary consideration regarding medications to treat bacterial meningitis is the ability of the medication to cross the blood-brain barrier. If the medication cannot cross, it will not be effective. The duration, onset, and excretion of the medication ("it has a long half-life," "it acts within minutes to hours," and "it can be easily excreted in the urine") are also of general concern but apply to all medications and not specifically to those that are used to treat meningitis.
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The nurse working in the newborn nursery brings the infant to the mother for feeding and performs what priority action first upon entering the room?
1. Change the infant's diaper. 2. Ask the mother if she would like to hold the baby. 3. Check the infant's ID bracelet against the mother's. 4. Requests that the visitors leave the room.
The nurse is searching through several blood pressure cuffs to find a cuff that is the appropriate size for her small patient. The nurse selects a cuff that covers ______ _______ of the patient's upper arm
ANS:
A patient diagnosed with bipolar I disorder says, "I will lead the next group about medications
I have studied all the effects and problems with drugs on the Internet, so I can answer patients' questions." How should the nurse document this finding? a. Flight of ideas b. Distractibility c. Limit-testing d. Grandiosity
A young adult client says to the nurse, "All my friends are married and have children. I can't seem to meet anyone, and I know I'll never be happy until I meet someone I can care about enough to marry." Which statement by the nurse would assist the client in reframing the situation?
A. "Sounds as if you're exaggerating your situation and looking only at the half-full glass." B. "It seems that you measure your life and what you need to do against the behaviors of others." C. "Aren't you a little young to be thinking in such negative terms? You do still have plenty of time before your biological clock winds down." D. "You can't seem to meet someone that you care about? You can still find enjoyment in friendships, work, books, and other things as well."