A patient who is taking immunosuppressant medications develops a urinary tract infection. The causative organism is sensitive to sulfonamides and to another, more expensive antibiotic. The prescriber orders the more expensive antibiotic
The nursing student assigned to this patient asks the nurse why the more expensive antibiotic is being used. Which response by the nurse is cor-rect? a. "Immunosuppressed patients are folate deficient."
b. "Patients who are immunosuppressed are more likely to develop resistance."
c. "Sulfonamides are bacteriostatic and de-pend on host immunity to work."
d. "Sulfonamides intensify the effects of immunosuppression."
C
Sulfonamides are usually bacteriostatic and require intact host defenses for complete elimination of infection. Immunosuppressed patients are not necessarily folate deficient. There is no in-creased likelihood of developing bacterial resistance in immunosuppressed patients. Sulfona-mides do not affect immunosuppression.
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An important consideration in positioning a newborn for breast-feeding is:
a. Placing the infant at nipple level facing the breast. b. Keeping the infant's head slightly lower than the body. c. Using the forefinger and middle finger to support the breast. d. Limiting the amount of areola the infant takes into the mouth.
Each cell has the same:
a. Basic structure b. Function c. Size d. Shape
A client has been diagnosed with stage 4 pancreatic cancer. The family asks the nurse what staging is. The nurse explains that:
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Staging determines the location of the cancer. 2. The involvement of lymph nodes is assessed during staging. 3. Staging changes as the cancer progresses. 4. The lower the stage of cancer at diagnosis, the better the prognosis. 5. Staging examines cancerous cells under a microscope and compares them to normal cells.
A nurse checks the residual volume from a client's nasogastric tube feeding before administering an intermittent tube feeding and finds 35 mL of gastric contents. What should the nurse do before administering the prescribed 100 mL of formula to the client?
A. Pour the residual volume into the nasogastric tube through a syringe with the plunger removed B. Discard the residual volume properly and record it as output on the client's fluid balance record C. Dilute the residual volume with water and inject it into the nasogastric tube, applying pressure on the plunger D. Mix the residual volume with the formula and pour it into the nasogastric tube, using a syringe without a plunger