Which assessment is most important to perform when providing care to an older adult patient who has been prescribed a topical corticosteroid?
a. Skin assessment
b. Intake and output
c. Cognition or mental status
d. Urinary tract infection
ANS: A
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A nurse is assigned to care for an infant with an unrepaired tetralogy of Fallot. What should the nurse do first when the baby is crying and becomes severely cyanotic?
a. Place the infant in a knee-chest position. b. Administer oxygen. c. Administer morphine sulfate. d. Calm the infant.
The nurse is preparing to give a medication to a child. The child's parent asks whether the drug is safe for children. How will the nurse respond to the parent?
a. "Drugs are tested on adults and safe doses for children are based on weights compared to adult weights." b. "Drugs are deemed safe for children over time when repeated use proves effectiveness and safety." c. "Drugs are tested for both efficacy and safety in children in order to be marketed for pediatric use." d. "Drugs are tested on children in postmarketing studies and on a limited basis."
When preparing the plan of care for a forensic client, a nurse determines not to investigate the details of the crime. Which of the following best supports the rationale for the nurse's decision?
A) Knowing the crime details would be extremely frightening for the nurse. B) Denying the crime details will help to protect the nurse from undue anxiety. C) It will keep the nurse's attitudes about the crime from influencing care. D) It will help maintain proper professional boundaries between the nurse and the client.
A nurse prepares to administer a scheduled injection of haloperidol decanoate (Haldol depot) to an outpatient with schizophrenia. As the nurse swabs the site, the patient shouts, "Stop! I don't want to take that medicine anymore. I hate the side effects
Select the nurse's best action. a. Assemble other staff for a show of force and proceed with the injection, using restraint if necessary. b. Stop the medication administration procedure and say to the patient, "Tell me more about the side effects you've been having." c. Proceed with the injection but explain to the patient that there are medications that will help reduce the unpleasant side effects. d. Say to the patient, "Since I've already drawn the medication in the syringe, I'm required to give it, but let's talk to the doctor about delaying next month's dose."