Before administering a macrolide antibiotic the nurse would question the order for what patient?
A) An 82-year-old woman with hypertension
B) A 12-year-old boy with hearing loss
C) A 30-year-old pregnant patient
D) A 51-year-old man after myocardial infarction
B
Feedback:
Macrolide antibiotics can cause severe auditory nerve damage so the nurse would question administration of this drug to the child with hearing loss because another antibiotic may be indicated to preserve remaining hearing. This drug is not contraindicated in older adults, although a lower dosage may be indicated. It may safely be given in pregnancy and after myocardial infarction.
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The nurse is assessing an older adult postmenopausal client. Which question should the nurse ask to assess for signs of osteoporosis?
A) "Have you experienced any palpitations?" B) "Are you having any low back pain?" C) "Are you having problems with swelling in your feet?" D) "Is constipation a problem for you?"
After opening the airway of a client with a complete airway obstruction, the nurse helps the client lie in the recovery position. Which of the following reasons explains the nurse's action?
A) To assess the spontaneous breathing of the client B) To maintain an open airway and prevent aspiration of fluid C) To allow the client to regain his or her strength D) To maximize ventilation to the lower airway
A client with diabetes mellitus type 1 underwent surgery 24 hours ago. Which precaution does the nurse take to help prevent postoperative complications for this client?
a. Order a high-protein diet. b. Observe the incision frequently. c. Have suction available at the bedside. d. Instruct the client to use an electric razor.
Which assessment finding indicates that fluid resuscitation therapy for the client with isotonic dehydration is effective?
A. Pulse pressure has changed from 22 mm Hg to 32 mm Hg. B. Urine specific gravity has increased from 1.040 to 1.050. C. Pulse oximetry shows oxygen saturation of 95%. D. Respiratory rate has changed from 16 to 18