The nurse explains to the family of a quadriplegic that IV drugs are the most effective method of administration, because drugs injected by the IM method are:
1. too concentrated.
2. too irritating to poorly perfused tissue.
3. not absorbed well below the level of the injury.
4. too small a dose to be effective.
3
A quadriplegic has a high cervical lesion, which causes nearly the entire vascular tree to have poor perfusion. This would make absorption of medication from the tissues unpredictable.
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Which teaching technique is best for teaching a nursing assistant how to perform finger-stick glucose testing?
1) Provide a manufacturer's pamphlet with detailed instruction. 2) Explain the best technique for performing glucose testing. 3) Demonstrate the procedure; then ask for a return demonstration. 4) Suggest that the assistant watch a DVD showing the procedure.
The nurse is caring for a patient who is being monitored with a pulmonary artery catheter. Which change requires immediate intervention?
1. Systemic vascular resistance of 900 dynes/sec/cm5 2. Appearance of an "a" wave on the pulmonary artery waveform 3. Pulmonary artery wedge pressure of 10 mmHg 4. Spontaneous development of a pulmonary artery wedge pressure waveform
The nurse would instruct a client who has undergone microvascular decompression surgery of the trigeminal nerve to
a. chew on the affected side of the mouth. b. eat foods that are very warm or very cold for better taste. c. resume a full diet immediately. d. use a water jet device instead of a toothbrush.
While obtaining a health history from a patient, the nurse learns that the patient has a history of allergic rhinitis and multiple food allergies. Which action by the nurse is most appropriate?
a. Encourage the patient to carry an epinephrine kit in case a type IV allergic reaction to latex develops. b. Advise the patient to use oil-based hand creams to decrease contact with natural proteins in latex gloves. c. Document the patient's allergy history and be alert for any clinical manifestations of a type I latex allergy. d. Recommend that the patient use vinyl gloves instead of latex gloves in preventing blood-borne pathogen contact.