A patient prescribed vancomycin (Vancocin) has developed redness on the face, neck, chest, back, and arms. The family asks the nurse if the drug should be stopped because of this response. What is your best answer?
a. "Yes, these problems indicate an allergic reaction."
b. "Yes, these side effects eventually lead to difficulty breathing."
c. "No, these uncomfortable problems are an expected drug side effect."
d. "No, the problems are caused by the presence of the infection and are not related to the drug."
ANS: C
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Which documentation by the nurse is most appropriate?
a. "The patient states would except moving to a semi-private room." b. "Developed aspiration pneumonia due to dysphasia." c. "Bruise noted on right side over fractured abdimin." d. "Right jugular vein distended."
A nurse is making an initial psychiatric assessment. What does she realize is the most important part of this process?
1. Providing the DSM-5 diagnosis 2. Gathering information from the family 3. Ruling out a medical causation of symptoms 4. Evaluating the need for psychotropic medication
An older patient complains of pruritus. The nurse suggests which of the following interventions to alleviate the patient's complaint? (Select all that apply.)
a. Use only nonperfumed laundry detergent and fabric softeners b. Avoid sudden temperature changes c. Wear loose-fitting clothing d. Apply heat to affected areas e. Exercise vigorously for at least 30 minutes daily
A client asks the nurse how long it will take for a pain medication to take effect. The nurse realizes the client is asking about the movement of a drug from the blood into various body fluids and tissues, which is termed:
a. absorption. c. metabolism. b. distribution. d. excretion.