The nurse would question an order for corticosteroids for a client diagnosed with which health problem?
1. Exposure to active tuberculosis
2. Long-term asthma
3. Inflammatory bowel disease
4. Seasonal allergic rhinitis
Correct Answer: 1
Rationale 1: Active tuberculosis is a highly contagious disease. Corticosteroids can suppress the immune system and should not be administered to this client.
Rationale 2: Corticosteroids are indicated for use in asthma.
Rationale 3: Corticosteroids are indicated for use in inflammatory bowel disease.
Rationale 4: Corticosteroids are indicated for use in allergic rhinitis.
Global Rationale: Active tuberculosis is a highly contagious disease. Corticosteroids can suppress the immune system and should not be administered to this client since exposure has occurred. Corticosteroids are used in the treatment of asthma, IBD, and allergic rhinitis.
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The nurse is counseling the parents of a young teenager who is experiencing behavioral problems. The nurse would correctly choose which of the following assessment tools in this situation?
1. Family Psychosocial Screening 2. Eyeburg Child Behavior Inventory 3. Ages and Stages Questionnaire 4. Child Development Inventory
A client with dysfunctional labor patterns has a nursing diagnosis of "Acute pain maternal, related to uterine irritability and prolonged labor." Which of the following would the nurse use as evidence to support this diagnosis?
a. Non-reassuring fetal tracing inclusive of severe variable decelerations; late decelerations b. Maternal fever of 100.4°F or 38°C, maternal tachycardia, fetal tachycardia, or a combination of these c. Client questions and an inability to cooperate with requested interventions d. Frequent or persistent maternal requests for pain relief, frequent uterine contractions, poor uterine resting tone, and failure of the cervix to dilate 1 to 2 cm per hour on cervical assessment
A client had a PTCA with stent placement. Nursing care that can be delegated to the unlicensed assistive personnel (UAP) after the procedure includes (Select all that apply)
a. assessing the distal pulses every 15-30 minutes. b. calling for an ECG immediately if the client has angina. c. monitoring vital signs every 15-30 minutes. d. providing the client with plenty of fluids to drink. e. reminding the client to remain flat in bed.
A woman is 3 months pregnant. At her prenatal visit, she tells the nurse that she doesn't know what is happening; one minute she is happy that she is pregnant, and the next minute she cries for no reason
Which of the following responses by the nurse is most appropriate? 1. "Don't worry about it; you'll feel better in a month or so.". 2. "Have you talked to your husband about how you feel?" 3. "Perhaps you really don't want to be pregnant.". 4. "Hormone changes during pregnancy commonly result in mood swings.".