At 1600, the patient requests another dose of Tylenol because she feels "miserable." Her temperature is currently 100.4°F. What should you do? 
A. Administer one 325 mg Tylenol tablet.
B. Tell the patient she cannot have the Tylenol because she no longer has a fever.
C. Administer two 325 mg tablets of Tylenol.
D. Contact the authorized prescriber and ask if the medication can be given.
Answer: D
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An infant has just returned from surgery for correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The toes on both feet are edematous, but there is color, sensitivity, and movement to them
Which of the following should the nurse do first? 1. Call the physician to report the edema. 2. Elevate the legs on pillows. 3. Apply a warm, moist pack to the feet. 4. Encourage movement of toes.
A client is admitted for evaluation of cerebral aneurysm. Which assessment finding is of greatest importance in prioritizing nursing care to this client?
A) Complaint of headache off and on for past month B) No bowel movement since yesterday C) Nausea D) Frequent voiding
Where do most obstructions in the large bowel occur?
A) Sigmoid B) Ascending C) Transverse D) Descending
The nurse is preparing to administer an intravenous insulin drip to a patient admitted with diabetic ketoacidosis. Which laboratory result is of most concern to the nurse?
1. Phosphorus level of 2.8 mEq/L 2. Bicarbonate level of 16 mEq/L 3. Sodium level of 130 mEq/L 4. Potassium level of 3.2 mEq/L