Which of these methods should the nurse use to cleanse a poisonous snakebite wound?
a. Soak in povidone-iodine (Betadine) for 10 minutes.
b. Scrub with hydrogen peroxide.
c. Wash with soap and water.
d. Rinse with normal saline, and apply Betadine.
ANS: C
The site of the bite is cleaned with soap and water. Cytotoxic agents—hydrogen peroxide and Betadine—are not used.
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A soldier has been back from Iraq for two weeks. He is being seen in the outpatient mental health clinic due to complaints of inability to sleep, nightmares, and flashbacks
The nurse would expect the client to be diagnosed with which of the following? A) Generalized anxiety disorder B) Obsessive-compulsive disorder C) Posttraumatic stress disorder D) Social phobia
The nurse administers the client's medication and, within 30 minutes, the client has bilateral wheezing, large red blotches on the face, and is anxious and dizzy. Which should the nurse im-plement?
1. Encourage the client to drink plenty of fluids. 2. Direct a colleague to contact the provider stat. 3. Check the MAR for an antihistamine as needed. 4. Document potential client allergy to medication.
The nurse has noticed that more clients are asking about the use of herbal supplements to treat their symptoms. The nurse is aware that this could be related to which factor?
1. Aggressive marketing by the herbal industry 2. The greater safety of herbal remedies over prescription medications 3. An increase in acute illnesses 4. The lower cost of herbal remedies
A child with growth hormone deficiency is receiving growth hormone. What result would the nurse interpret as indicating effectiveness of this therapy?
A) Rapid weight gain B) Complaints of headaches C) Height increase of 4 inches D) Growth plate closure