A six-year-old boy is admitted to the hospital with a diagnosis of osteomyelitis of the left femur. The plan of care includes a two-week round of intravenous antibiotics
The father questions why the child must be hospitalized and why the child cannot receive oral antibiotics. The nurse explains: 1. The antibiotic of choice is not available in oral form.
2. Blood flow to bones is limited, and parenteral administration is necessary to get appropriate blood levels.
3. Because the child is older now, it is harder to get the child to cooperate with oral antibiotics.
4. Because two weeks of therapy is necessary, the intravenous route will produce fewer side effects.
2
Rationale 1: Most antibiotics are available in multiple forms.
Rationale 2: This is accurate information.
Rationale 3: The older child can understand the reason for antibiotics and cooperate.
Rationale 4: Both oral and intravenous antibiotics may have side effects.
Global Rationale:
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The patient is complaining of pain related to pancreatitis. The nurse would expect the patient's pain to be in the abdomen and the:
A) Left lower quadrant B) Midepigastric area C) Back D) Midclavicular area
Which would be an example of heat loss by conduction?
a. Allowing the mother to unwrap her newborn in the room b. Delaying the removal of blood and amniotic fluid from on the newborn following delivery c. Examining the newborn on a cold countertop d. Leaving the ceiling fan on during the delivery
Which of the following therapies could be initiated by the medical-surgical nurse without special training?
A. Acupuncture B. Biofeedback C. Hypnosis D. Progressive muscle relaxation
As a nurse manager on a urology unit, you note that there has been a marked increase in medication errors on the unit. Which of the following actions would be consistent with the National Database of Nursing Quality Indicators (NDNQI) measures?
a. Staff are consulted regarding improvements in interprofessional approaches to patient care. b. Nursing staff are asked for input regarding the purchase of new medication carts. c. A recognition program is developed to acknowledge nurses who have provided safe and exemplary care utilizing skills in the staffing mix to optimize the delivery of patient care. d. Recent changes in staffing mixes are examined to determine if the timing of changes coincides with the increase in errors.