The nurse is administering an intravenous antibiotic infusion over 30 minutes for a patient with cellulitis of the left lower extremity. The patient states, "I am itching all over and am having trouble swallowing
" What priority interventions by the nurse are necessary for this patient? Select all that apply.
A) Stop the antibiotic infusion.
B) Administer subcutaneous epinephrine.
C) Administer diphenhydramine (Benadryl) IV.
D) Switch to amoxicillin by mouth.
E) Administer Ativan for the patient's anxiety.
A, B, C
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The nurse suspects that the patient who was brought to the emergency department (ED) because of what the family describes as "a sudden case of Alzheimer disease" may have general amnesia. Which characteristics make the nurse suspect general amne
Select all that apply. 1. The patient cannot remember any personal information. 2. The patient has been wandering away from home. 3. The patient describes a "detachment" from her mind. 4. The patient feelings of "disconnection" with her home. 5. The patient has developed an alternate personality.
Which action should the nurse take first in caring for a client during an acute asthma attack?
A) Obtain arterial blood gases. B) Send for STAT chest x-ray. C) Administer bronchodilator as ordered. D) Initiate oxygen therapy and reassess pulse oximetry in 10 minutes.
How does a nurse's use of sympathetic communication sometimes hinder a patient's work in developing a more realistic self-concept?
a. Sympathy can reinforce self-pity. b. Sympathy reduces patient ego strength. c. Sympathy encourages premature self-revelation. d. Sympathy limits potential positive effects of transference.
The nursing student is assigned to care for a child with hemophilia. The nursing instructor reviews the plan of care with the student and asks the student to describe the characteristics of this disorder
Which of the following statements, if made by the student, indicates a need for further research? 1. Males inherit hemophilia from their fathers. 2. Hemophilia A results from deficiency of factor VIII. 3. Females inherit the carrier status from their fathers. 4. Hemophilia is inherited in a recessive manner via a genetic defect on the X chromosome.