A small child is hospitalized with severe metabolic acidosis after ingesting a whole bottle of baby aspirin approximately 8 hours earlier. In addition to providing reassurance to the patient, which nursing action is the most appropriate?
a. Providing IV treatments as ordered but without sodium bicarbonate
b. Frequently assessing the mental and neu-rologic status
c. Taking daily weights and vital signs
d. Inducing vomiting
B
The baby aspirin was ingested too long ago to have vomiting or stomach aspiration be of any use. The child requires frequent assessment of neurologic function because the child may need me-chanical ventilation.
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A new father wants to know what medication was put into his infant's eyes and why it is needed. The nurse explains to the father that the purpose of the Ilotycin ophthalmic ointment is to
a. Destroy an infectious exudate caused by Staphylococcus that could make the infant blind. b. Prevent gonorrheal and chlamydial infection of the infant's eyes potentially acquired from the birth canal. c. Prevent potentially harmful exudate from invading the tear ducts of the infant's eyes, leading to dry eyes. d. Prevent the infant's eyelids from sticking together and help the infant see.
A woman who has a history of breast cancer has been experiencing hot flashes as she enters menopause. She is seeking information about how to manage these manifestations. What information can be provided to the client?
1. Estrogen is the only reliable method of treatment for the vasomotor manifestations being reported by the client. 2. Olive oil and black cohosh are effective in the management of hot flashes. 3. The client should be advised to simply wait until the process of menopause has finished toachieve comfort and relief from the hot flashes. 4. Soy and black cohosh can be used to manage the hot flashes associated with menopause.
A 70-year-old female patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first?
a. Monitor the blood pressure. b. Send the patient for a computed tomography (CT) scan. c. Check the respiratory rate and effort. d. Assess the Glasgow Coma Scale score.
When promoting client safety on an inpatient psychiatric unit, which of the following interventions would be used as the measure of last resort?
A) Surveillance B) Seclusion C) Room restriction D) Four-point restraint