A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?

a. Chest x-ray via stretcher
b. Blood cultures from two sites
c. Ciprofloxacin (Cipro) 400 mg IV
d. Acetaminophen (Tylenol) rectal suppository


ANS: B
Initiating antibiotic therapy rapidly is essential, but it is important that the cultures be obtained before antibiotic administration. The chest x-ray and acetaminophen administration can be done last.

Nursing

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The client has an enlarged lymph node in front of his right ear. In which of the following ways should the nurse accurately document this finding?

1. Right-sided occipital lymph node enlarged 2. Right-sided submaxillary lymph node enlarged 3. Right-sided deep cervical lymph node enlarged 4. Right-sided preauricular lymph node enlarged

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The nurse is planning to assess an adult patient with a neurological problem for abnormal posturing. For what postures should the nurse specifically assess?

Select all that apply. 1. decorticate 2. decerebrate 3. circumduction 4. festinating 5. nystagmus

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A patient who has breast cancer is said to be in remission. What does this term signify?

A) The patient is experiencing symptoms of the disease. B) The patient has end-stage cancer. C) The patient is experiencing unremitting pain. D) The disease is present but the patient is not experiencing symptoms.

Nursing

Which hormone triggers uterine contractions?

a. Thyroxine b. Oxytocin c. Growth hormone d. Insulin

Nursing