An allergy to which of the following would contraindicate the use of Silvadene as a topical agent for burns?
a. Penicillin
b. Iodine
c. Tetanus immunizations
d. Sulfa
D
The use of Silvadene cream on burns is contraindicated if the patient has a sulfa allergy.
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A patient needs to make a health-related behavior change, and the nurse using the health beliefs model is working with the perceived severity factor. Which action by the nurse is most appropriate?
a. Assist the patient to identify the benefits associated with the wanted change. b. Help the patient determine the barriers that prevent changing this behavior. c. Illustrate some of the consequences of not changing the selected behavior. d. Inform the patient about the morbidity associated with current behavior.
The nurse is performing a vaginal examination on a client who has had a hysterectomy. Which of the following would the nurse choose to do in this situation?
1. Defer the cervical scrape. 2. Use the vaginal wall for the cervical scrape. 3. Tell the client an examination is not needed. 4. Use the surgical stump for the cervical scrape.
A nurse teaching a student nurse how to take temperatures with a nonmercury glass thermometer would be correct in stating the following:
A) If the thermometer is stored in a chemical solution, wipe the thermometer dry with a soft tissue, using a firm, twisting motion from the fingers to the bulb. B) Grasp the thermometer firmly with the thumb and the forefinger and, using strong wrist movements, shake it until the chemical line reaches at least 92ºF. C) Read the thermometer by holding it horizontally at eye level, and rotate it between your fingers until you can see the chemical line. D) Leave the thermometer in place for 3 minutes for oral, rectal, and axillary routes or according to agency protocol.
A nurse is administering intravenous dopamine (Intropin) to a patient in the intensive care unit. Which assessment finding would cause the most concern?
a. Blood pressure of 100/70 mm Hg b. Increased urine output c. Edema at the IV insertion site d. Headache