The nurse anticipates preparing a patient who is allergic to shellfish for an arteriogram by
a. Obtaining baseline vital signs after the start of the procedure.
b. Monitoring the extremity for neurocirculatory function.
c. Keeping the patient on bed rest for the prescribed time.
d. Administering an antihistamine medication to the patient.
ANS: D
Before the procedure is begun, the nurse should assess the patient for food and other allergies and should administer an antihistamine, because a contrast iodine-based dye is used for the procedure. Baseline vitals should be obtained before the start of the procedure and frequently thereafter. The procedure site is monitored and the patient kept on bed rest after the procedure is complete.
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The patient in the clinic receives a prescription for an anti-infective to treat a urinary tract infection
The patient asks the nurse, "Would you ask the doctor to give me refills on this prescription? I get a urinary tract infection almost once a year it seems and I'd like to have a refill I can store for the next time so I don't have to come back to the clinic." What is the nurse's priority response? A) "Sure, I'd be glad to ask. How many refills would you like to have?" B) "Most medications, if not used, should be discarded after a year so it is better to get a new prescription next year when you need it." C) "This antibiotic doesn't destroy every pathogen that could cause a urinary tract infection so it is better to get the right antibiotic next time." D) "Saving antibiotics for another time and self-diagnosing when antibiotics are needed lead to resistant organisms that no longer respond to drugs."
The nurse assesses the frostbite on the victim's hands and feet to be second-degree frostbite because the skin is:
a. reddened and has hard white plaques. b. waxy and has sensory deficits. c. reddened and has blisters filled with milky fluid. d. waxy and has blisters filled with blood.
A preschool-age child has moderate dehydration and needs a rapid bolus of fluids. To provide atraumatic care and administer fluids most effectively, what action will the nurse take?
a. Apply a eutectic mixture of local anesthetic (EMLA) just before inserting an intravenous line. b. Ask the child's parents to restrain the child during venipuncture so fluids may be administered. c. Request an order for nasogastric (NG) fluids to avoid the trauma of venipuncture. d. Use a powdered lidocaine preparation prior to insertion of the intravenous needle.
The nurse anesthetist is a Registered Nurse who assists in administering the anesthetic to the patient in the operating room
True False