A patient who is receiving a factor VIII concentrate to treat hemophilia A develops hives, a low-grade temperature elevation, and a stuffy nose. The nurse will prepare to:
a. administer subcutaneous epinephrine.
b. give an antipyretic medication.
c. give oral diphenhydramine.
d. provide respiratory support.
C
Factor VIII concentrates can cause allergic reactions, which can range from mild to severe. This patient is showing signs of a mild reaction and can be managed with an antihistamine such as diphenhydramine. Epinephrine is used if there are signs of anaphylaxis, such as wheezing and shortness of breath. Antipyretics are not indicated for low-grade fevers. Respiratory support may be necessary with severe anaphylaxis.
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An adult patient suddenly cries out. The nurse sees the patient's head twisted to the side, the back arched, and the eyes rolled up
The patient has been newly diagnosed with schizophrenia, and therapy with a traditional antipsychotic medication was started yesterday. Select the next nursing action. a. Obtain the patient's vital signs and pulse oximetry. b. Administer a PRN dose of diphenhydramine. c. Administer a PRN dose of haloperidol. d. Explore the patient's feelings about the new diagnosis.
A patient is recovering from a colonoscopy with removal of polyps. Which teaching should the nurse provide?
1. "Rectal bleeding can occur up to a year after the polyps are removed." 2. "Rectal bleeding can occur up to 1 month after polyp removal." 3. "Contact the surgeon if any rectal bleeding occurs." 4. "Polyp removal weakens the intestinal wall, so bleeding may occur off and on indefinitely."
Which of the following statements about enuresis and encopresis is/are true? (SELECT ALL ANSWERS THAT APPLY)
A) Once a child is potty trained, even an occasional "accident" is a sign of these disorders. B) Enuresis is inappropriate urination; encopresis is inappropriate passing of stool. C) These problems are always signs of emotional trauma. D) Enuresis is labeled as a disorder when a child is about 5; encopresis at about age 4. E) These disorders are not usually labeled as such until a child has exhibited the behavior fairly consistently for 3 months. F) Enuresis is more common in girls than in boys.
The nurse planning to assess the structure of a family should ask which question?
a. "Who lives with you in this home?" b. "Who does the grocery shopping?" c. "Who provides support in your family?" d. "How old are the members of your family?"