During antibiotic therapy, the nurse will monitor closely for signs and symptoms of a hypersensitivity reaction. Which of these assessment findings may be an indication of a hypersensitivity reaction?
(Select all that apply.)
a. Wheezing
b. Diarrhea
c. Shortness of breath
d. Swelling of the tongue
e. Itching
f. Black, hairy tongue
ANS: A, C, D, E
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The process of fibrinolysis is to
1. stop blood flow. 2. remove a blood clot. 3. promote enzymes. 4. increase blood flow.
How does the role of the LPN differ from that of the RN regarding decision making related to client care?
A) The LPN is responsible for low level, non life threatening client related decisions. B) The RN makes all the decisions based on the analysis of client focused information C) The decision making role may be delegated by the RN to the LPN when appropriate D) LPNs are responsible for decision making but as an RN they will now be held accountable.
A client has severe right-sided weakness and is unable to complete bathing and grooming inde-pendently. Based on this observation, the nurse identifies a nursing diagnosis of:
1. Powerlessness 2. Self-care deficit 3. Tissue integrity impairment 4. Knowledge deficit of hygiene practices
A patient prescribed carbidopa/levodopa (Sinemet) for Parkinson's disease may experience a decrease in absorption of the drug if on a high- ________ diet.
Fill in the blank(s) with the appropriate word(s).