Which is a priority nursing assessment for the client receiving multiple antibiotics?
A. Assessing blood cultures for the presence of bacteria
B. Assessing changes in stool, white patches in the mouth, and urogenital itching or rash
C. Assessing renal and liver function tests
D. Assessing whether or not the client has adequate food and fluid intake
Answer: B
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During a physical assessment, the nurse palpates a pregnant patient's fundus at the level of the umbilicus. What statement should the nurse make to the patient about this assessment finding?
A) "You are at 12 weeks of your pregnancy.". B) "You are at 20 weeks of your pregnancy.". C) "You are at 36 weeks of your pregnancy.". D) "You can go into labor at any time now.".
The school nurse is teaching a group of middle-school students about the female reproductive system. Which statement by a student most accurately describes the reason menstruation begins?
1. "Your uterus starts to contract, and this causes the lining to come out, which is your period." 2. "Your brain sends a signal that there is enough estrogen and progesterone. Then these hormone levels drop, and you get your period." 3. "You have to have your period every 28 days to be normal." 4. "You get your period when you ovulate."
A patient has taken phenytoin for 2 months. The patient is concerned about the different appearance of the capsules in the most recent prescription. The nurse verifies the label and dosage. What is the next action?
1. Have the patient discard the medication and obtain a new prescription. 2. Inform the patient that the prescription is correct and that different brands have been found to be equally effective. 3. Inform the patient, "You should consistently receive the same formulation to maintain a constant blood level." 4. Instruct the patient to report the pharmacist who filled the prescription for misconduct.
The nurse is caring for a 12-year-old child with a left leg below the knee amputation (BKA). The child had the surgery 1 week ago. Which intervention should the nurse plan to implement for this child?
a. Elevate the left stump on a pillow. b. Place ice pack on the stump. c. Encourage the child to use an overhead bed trapeze when repositioning. d. Replace the ace wrap covering the stump with a gauze dressing.