The nurse admits a child diagnosed with tetanus. What medication will the nurse expect to administer?
A) Methocarbamol (Robaxin)
B) Baclofen (Lioresal)
C) Dantrolene (Dantrium)
D) Diphenhydramine (Benadryl)
A
Feedback:
Methocarbamol is the drug of choice if a child needs to be treated for tetanus. Baclofen and dantrolene are not recommended for use with children. Diphenhydramine is not indicated for treatment of tetanus.
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The nurse and UAP are making an occupied bed together. Which action by the nurse is incorrect?
a. The nurse asks and assists the patient to turn toward the UAP and loosens the fitted sheet and rolls it in toward the patient. b. The nurse rolls dirty linens to the side then places the linens on the floor while finishing. c. The nurse tucks the clean bottom sheet under the cleaner underside of the dirty linens. d. The nurse wears gloves to remove dirty linens.
When in doubt about using restraints on an agitated patient, it is prudent for nurses to:
A) Restrain the patient for his or her own safety B) Use such minor restraints as a bedside rail or a tray on a wheelchair C) Use alternatives such as a bed alarm with increased staff supervision D) Avoid any device or procedure to limit liability
A patient diagnosed with macular degeneration asks the nurse to explain his condition. Which statement by the nurse best describes macular degeneration?
a. "The portion of your eye called the macula, which is responsible for central vision, is damaged." b. "Your lens became cloudy, causing your blurred vision. This cloudiness will increase over time." c. "The pressure in the anterior cavity of your eye became elevated, shifting the position of your lens." d. "There's an irregular curvature of your cornea, causing your blurred vision."
The nurse is performing an abdominal assessment. After percussing the abdomen, the nurse notes that the liver span is approximately 9 centimeters. Which of the following ways is an appropriate way to document this finding?
1. Hepatomegaly 2. A normal finding 3. Related to recent diagnosis of chronic bronchitis 4. Presence of ascites