The nurse is preparing to give trimethoprim-sulfamethoxazole (TMP-SMX) to a patient and notes a petechial rash on the patient's extremities. The nurse will perform which action?
a. Hold the dose and notify the provider.
b. Request an order for a blood glucose level.
c. Request an order for a BUN and creatinine level.
d. Request an order for diphenhydramine (Benadryl).
ANS: A
A petechial rash can indicate a severe adverse reaction and should be reported.
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The parents of a preterm newborn being cared for in the neonatal intensive care unit (NICU) are coming to visit for the first time
The newborn is receiving mechanical ventilation and intravenous fluids and medications and is being monitored electronically by various devices. Which action by the nurse would be most appropriate? A) Suggest that the parents stay for just a few minutes to reduce their anxiety. B) Reassure them that their newborn is progressing well. C) Encourage the parents to touch their preterm newborn. D) Discuss the care they will be giving the newborn upon discharge.
The nurse notes new onset confusion in an older patient who is normally alert and oriented. In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A, B, C, D].)
a. Obtain the oxygen saturation. b. Check the patient's pulse rate. c. Document the change in status. d. Notify the health care provider.
A nurse takes a telephone order from a physician. Which procedure is best for the nurse to use to avoid errors?
a. Ask another nurse to listen to the conversation on another telephone. b. Repeat the order, write the order verbatim, and read the order back to the physi-cian. c. Ask the physician to come to the unit to write the order. d. Hold implementation of the order until the order is written by the physician.
The abdomen is divided into six quadrants, the center of which is the umbilicus
Indicate whether the statement is true or false