A patient presents to the urgent care clinic for treatment of an upper respiratory virus. During assessment, the nurse notes lesions the patient says are caused by "skin popping."
How should the nurse respond to this discovery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "You really shouldn't do this to yourself.".
2. "Skin popping increases your risk for staph infection.".
3. "When did you have your last tetanus immunization?"
4. "Don't you know this is not legal?"
5. "Skin popping is probably the way you got the flu.".
2,3
Rationale 1: The nurse should provide care for the patient without being judgmental.
Rationale 2: This is a statement of fact and is good information for the nurse to provide.
Rationale 3: Skin popping can increase the patient's risk for tetanus. Immunization status should be verified and immunization provided if necessary.
Rationale 4: The patient probably does know that injecting illegal drugs is not legal. This statement is judgmental and may adversely impact the relationship between the patient and the nurse.
Rationale 5: Upper respiratory viruses are contracted through the respiratory tract, not through breaks in the skin.
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The nurse at a long-term care facility is teaching unlicensed care providers about some of the factors that characterize adverse drug reactions in the elderly residents. Which teaching points are valid? (Select all that apply.)
A) "Even when a resident stops taking a drug, a reaction can take place after the fact.". B) "Even when a resident has been taking a drug for a long time, a drug reaction can still occur.". C) "Most 'drug reactions' are in fact age-related changes that are mistakenly attributed to medications.". D) "Older adults often have signs and symptoms of adverse reactions that are very different from those of younger adults.". E) "While older adults are prone to adverse reactions, these reactions tend to resolve more quickly than in younger people.".
A nurse is totaling an 8 hour output for a child admitted with vomiting and diarrhea. The child had an emesis at 0800 of 50 mL and an emesis at 1200 of 35 mL
The child had 3 diapers weighed and calculated during the 8 hour shift: 1 diaper (urine and stool) = 30 mL; 1 diaper (urine only) = 25 mL; and 1 diaper (stool only) = 20 mL. What is the total 8 hour output for this child?
A patient with possible viral meningitis is admitted to the nursing unit after lumbar puncture was performed in the emergency department. Which action prescribed by the health care provider should the nurse question?
a. Elevate the head of the bed 20 degrees. b. Restrict oral fluids to 1000 mL daily. c. Administer ceftriaxone (Rocephin) 1 g IV every 12 hours. d. Give ibuprofen (Motrin) 400 mg every 6 hours as needed for headache.
Stimulation of beta-1 adrenergic receptors would produce all of the following effects, EXCEPT:
A) an increase in heart rate. B) increased renin secretion. C) increased cardiac electrical conduction. D) decreased myocardial contractility.