The father of a school-age child who requires hospital admission for intravenous antibiotics to treat osteomyelitis states, "I don't understand why normal antibiotics can't be used." Which should the nurse include in the response to the father?

1. The antibiotic of choice is not available in oral form.
2. Blood flow to bones is limited, and parenteral administration is necessary to get appropriate blood levels.
3. Because the child is older now, it is harder to get the child to cooperate with oral antibiotics.
4. Because 2 weeks of therapy is necessary, the intravenous route will produce fewer side effects.


2
Explanation:
1. Most antibiotics are available in multiple forms.
2. This is accurate information.
3. The older child can understand the reason for antibiotics and cooperate.
4. Both oral and intravenous antibiotics may have side effects.

Nursing

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The patient is 24 hours post acute myocardial infarction and may have developed a ventricular septum rupture. What nursing assessment would best indicate this complication?

A) Loud holosystolic murmur B) Dyspnea and basal crackles C) Sinus tachycardia D) Pain unrelieved by nitroglycerin

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Every day a child came into the school nurse's office with vague complaints, but sometimes it seemed to the nurse that the child just wanted to talk and be listened to for a while. Unfortunately, the child took up almost 15 minutes of the nurse's very busy day. Which of the following actions should be taken by the nurse?

a. Ask a staff person to talk with the child so the nurse could complete required tasks b. Continue to listen while assessing for possible underlying problems c. Refer the child to a private physician for follow-up on the constant physical symptoms the child presented d. Talk to the teacher about not letting the child leave the classroom unless obvious symptoms (fever, vomiting) of illness were present

Nursing

Energy balance is measured by weight gain or weight loss. How is protein balance measured?

a. Nitrogen b. Weight c. Muscle development d. Carbon

Nursing

A nurse is caring for a patient who is newly diagnosed with chronic obstructive pulmonary disease (COPD). The patient cares for a spouse at home who also has COPD

When formulating a nursing diagnosis for this patient, the nurse selects "Readiness for enhanced knowledge." When the nurse sits down with the patient and presents the information included in his or her teaching plan, the nurse is performing the step in the nursing process called 1. Planning. 2. Evaluation. 3. Assessment. 4. Implementation.

Nursing