A nurse should include which instructions when teaching a patient with repeated hordeolum how to prevent further infection?
a. Apply cold compresses at the first sign of recurrence.
b. Discard all open or used cosmetics applied near the eyes.
c. Wash the scalp and eyebrows with an antiseborrheic shampoo.
d. Be examined for recurrent sexually transmitted infections (STIs).
ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in cosmetics that the patient is using. Warm compresses are recommended to treat hordeolum. Antiseborrheic shampoos are recommended for seborrheic blepharitis. Patients with adult inclusion conjunctivitis, which is caused by Chlamydia trachomatis, should be referred for sexually transmitted infection (STI) testing.
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A patient with gout is prescribed colchicine. For which laboratory value should the nurse question administering this medication to the patient?
1. WBC 20,000 2. uric acid level 7.8 3. BUN 68 4. Hgb 14.2
Which of the following illustrates a common error when writing patient outcomes?
A) Patient will drink 100 mL of fluid every 2 hours from 6 a.m. to 9 p.m. B) Patient will demonstrate correct sequence of exercises by next office visit. C) Patient will be less anxious and fearful before and after surgery. D) On discharge, patient will list five symptoms of infection to report.
A mother tells her 4-year-old child that balls should be played with outside and not inside the house. Why is the child likely to obey the rule?
a. The child does not want to be punished.
b. The child wants to please her mother.
c. The child respects authority figures.
d. The child believes that following the rules is right.
The nurse is caring for a patient admitted to the burn unit with burns to 45% of the body. After 3 days, the nurse notes that the patient's temperature is newly elevated at 100.2°F (37.9°C), and the patient exhibits new-onset agitation and confusion
What should the nurse do first? a. Increase oral fluids to 3000 mL/day. b. Notify the registered nurse (RN) or primary care provider. c. Monitor the patient for further changes in mental status. d. Administer a prn dose of acetaminophen (Tylenol) for the fever.