The client receiving morphine by epidural catheter for pain control complains of generalized itching. What medication should the nurse have ready for administration?
A. Benadryl (diphenhydramine)
B. Narcan (naloxone)
C. Phenergan (promethazine)
D. Sublimaze (fentanyl)
B
Narcan is a morphine antagonist and can reverse the side effects as well as the analgesic effects of opioids. This response is not mediated through histamine, so Benadryl would not be helpful in this situation.
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As the RN team leader, identify all potential disadvantages of using team nursing to deliver care to the assigned clients. Select all that apply
1. Delegation/accountability 2. Client/staff communication 3. Cost savings/staffing 4. Continuity of care
The nurse is examining a 3-year-old boy with acute otitis media who has a mild earache and a temperature of 38.5ยบ C. Which of the following actions will be taken?
A) Obtain a culture of the middle ear fluid. B) Instruct the parents to watch for worsening symptoms. C) Administer antibiotics. D) Administer antivirals.
A patient has just returned from surgery for removal of a cataract. Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Position the patient with the head of the bed up at 30 degrees. 2. Have the patient lie on the affected side. 3. Assess the operative eye for drainage. 4. Keep the eye patch in place. 5. Monitor the patient's pain level.
Which of the following statements best defines osteomyelitis?
a. any bone and muscle inflammation that is usually caused by a viral nonspecific organism b. an infection of a muscle group associated with a given bone c. an infection of an entire bone caused by a microorganism, which is usually bacterial but may be viral or fungal d. a necrotic, infectious, inflammatory process, which left untreated will progress to gangrene