The nurse is planning to care for a patient diagnosed with possible tuberculosis (TB). Assessment of possible TB may be based on which of the following? (Select all that apply.)
a. A positive AFB smear or culture
b. Signs or symptoms of TB
c. Cavitation on chest x-ray study
d. History of recent exposure
e. TB skin test
A, B, C, D
Signs of infectious pulmonary or laryngeal TB include documentation of positive AFB smear or culture, signs or symptoms of TB, cavitation on chest x-ray study, history of recent exposure, and physician progress notes indicating a plan to rule out TB.
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An infant is born with exstrophy of the bladder but otherwise appears healthy. Which nursing diagnosis is the priority for this infant?
A. Altered family processes B. Fluid volume deficit C. Hypothermia D. Risk for infection
The recovery room nurse is caring for a patient status post surgery and administers an antiemetic agent for postoperative nausea and vomiting. The patient is transferred to the unit and beings to display extrapyramidal effects
The nurse suspects that which category of agents is most likely responsible? a. Phenothiazines b. Glucocorticoids c. Cannabinoids d. Serotonin-receptor antagonists
When percussing a patient's abdomen to gather assessment data, the nurse must rely most heavily on which ability?
1. Locating the margins of the various abdominal organs 2. Differentiating the various elicited sounds 3. Supplementing the technique with fine finger dexterity 4. Observing subtle variations in the contour of the abdomen
A patient in the intensive care unit continues to seizure after receiving Ativan. He currently has an intravenous infusion of Dextrose 5% and 0.45 Normal Saline infusing at a rate of 125 cc/hr
Which of the following should be done to assist with this patient's seizure activity? 1. administer Cerebyx as prescribed 2. administer Dilantin and Valium as prescribed 3. administer additional Ativan as prescribed 4. administer Haloperidol as prescribed