A patient is to receive antibiotic therapy with a cepholasporin. When assessing the patient's drug history, the nurse recognizes that an allergy to which drug class may be a possible contraindication to cephalosporin therapy?
A. Cardiac glycosides
B. Thiazide diuretics
C. Penicillins
D. Macrolides
Answer: C. Penicillins
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Certification through the American Nurses Credentialing Center (ANCC) for APNs is offered to which group of nurses? (Select all that apply.)
1. Nurse practitioners 2. Associate degree 3. Baccalaureate prepared nurses 4. Diploma prepared nurses 5. Clinical nurse specialists
A patient in a cast for a right tibial fracture complains of increasing pain, unrelieved by analgesics. Assessment by the nurse reveals paresthesias and paleness of the right foot. What action should the nurse take first?
A) Administer analgesia for breakthrough pain, and reassess the patient in 30 minutes. B) Elevate the leg above the heart, and reassess the patient in 30 minutes. C) Notify the orthopedic physician immediately. D) Ask the patient to do dorsiflexion and plantar flexion exercises of the foot.
A woman has just delivered a stillborn child at 26 weeks' gestation. Which nursing action is appropriate at this time?
1. Remind the mother that she will be able to have another baby in the future. 2. Dress the infant in a gown and swaddle it in a receiving blanket. 3. Ask the woman whether she would like the doctor to prescribe a sedative for her. 4. Remove the baby from the delivery room as soon as possible.
The postsurgical patient has an order for morphine 2 mg IV push every 2 hours and propoxyphene 100 (Darvon 100) every 3 hours. He received the morphine 2 hours ago, and is complaining of pain again. What will the best plan of the nurse include?
1. Plan to administer the morphine again. 2. Plan to administer the propoxyphene 100 (Darvon 100). 3. Plan to have the patient do some distraction techniques. 4. Plan to assess the patient's level of pain.