The nurse is caring for a patient who experienced a severe headache. When the prescribed number of over-the-counter pain relievers did not work the patient said she took double the dosage an hour later
The nurse recognizes this patient is at greatest risk for what? A) An allergic reaction
B) Anaphylactic reaction
C) Poisoning
D) Sedative effects
C
Feedback:
This patient has taken an overdosage of the medication. Poisoning occurs when an overdose of a drug damages multiple body systems, leading to the potential for fatal reactions. Allergic and anaphylactic reactions can occur with any drug administration but this is not the patient's greatest risk. More information about the exact type of medication would be needed to determine whether sedative effects are likely.
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A patient at 24 week' gestation reports to the clinic nurse that she is tired all the time. What is the nurse's best response?
a. "Everyone has chronic anemia at this time in pregnancy." b. "I'll make sure your health care provider is informed of your concern." c. "Your urine is clean of protein and sugar. You are doing well at this time." d. "Make sure you are drinking enough fluid to keep up with the demands of your body."
The nurse needs to locate external evidence to support evidence-based practice interventions for a patient's care. What action indicates that the nurse maximized the use of technology to locate this evidence?
1. The nurse focused the search on appropriate and applicable nursing diagnoses. 2. The nurse identified specific data points when searching a clinical guidelines website. 3. The nurse input medical subject heading terms when searching through a database. 4. The nurse emphasized the expected patient outcomes when searching through a database.
When doing triage in a disaster situation, leaving a person whose injuries are beyond treatment with the available resources to attend to someone whose injuries, though serious, can be cared for with resources available is considered:
a. unprofessional behavior. c. inappropriate nursing care. b. abandonment of the person. d. ethically appropriate.
The nurse is caring for a patient diagnosed with acute pancreatitis who complains of significant pain. Which nursing action holds the highest priority for this patient?
a. Instruct the patient to sit and lean forward. b. Monitor intake and output. c. Monitor laboratory values and note changes. d. Check blood glucose values frequently.