A patient is prescribed to receive lymphocyte immune globulin (Atgam) to prevent an immediate transplant reaction. What action should the nurse take when administering this medication? Select all that apply.
A. Measure hourly urine output.
B. Measure vital signs every hour during the infusion.
C. Keep epinephrine at the bedside.
D. Plan to infuse the medication over 2 hours.
E. Premedicate with acetaminophen.
Answer: E
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Which of the following provides a scientific basis for practice?
1. Authority 2. Research 3. Education 4. Practice
The nurse is providing education to a family whose child experiences anaphylaxis when exposed to any amount of latex. Which items, often found in the home or school environment, should the nurse include in the teaching session? Select all that apply
1. Art supplies 2. Toothpaste 3. Balloons 4. Perfumes 5. Chewing gum
An hour after admission, you recheck T.N.'s perineal pad and find that there is a very small
amount of drainage on the pad. What will you do next? a. Ask T.N. to change her perineal pad b. Check her perineal pad again in 1 hour c. Check the pad underneath T.N.'s buttocks d. Document the findings in T.N.'s medical record
A physician is explaining to a group of medical students the concept of Virchow triad as it applies to venous thrombosis
Which of the following clinical observations of a 50-year-old male client is most likely unrelated to a component of Virchow triad? A) The man has decreased cardiac output and an ejection fraction of 30%. B) The man's prothrombin time and international normalized ratio (INR) are both low. C) The man has a previous history of a dissecting aneurysm. D) There is bilateral, brown pigmentation of his lower legs.