The nurse is caring for a child hospitalized with Reye's syndrome. Which of the following will the nurse watch for most carefully during the acute stage?
A) Indications of increased intracranial pressure
B) An increase in the blood glucose level
C) A decrease in the liver enzymes
D) A presence of protein in the urine
A
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The nurse is teaching a client recently started on digitalis preparation the signs and symptoms of toxicity. The client should be instructed to notify the physician if what is experienced?
1. Anorexia, anxiety, and pulse rate below 70 2. Anorexia, nausea, malaise, and blurred vision 3. Loss of night vision, anxiety, and leg cramps 4. Vision disturbances, abdominal cramps, and pulse above 80
You are acting as a preceptor for a newly hired graduate nurse. The graduate has been assigned to care for a client with a Stage III pressure ulcer. The graduate nurse voices questions about infections and pressure ulcers
Which of the following statements should be included in your response? A) Topical antibiotic therapy is used for long-term prophylactic pressure ulcer management. B) Silver sulfadiazine is the antimicrobial of choice for wounds with high bacterial counts. C) Nanocrystalline silver dressings are effective against gram-positive bacteria. D) Caution must be used with cadexomer iodine dressings, as they have been shown to disrupt granulation activity.
The nurse is instructing on bioterrorism agents. Which of the following does the nurse emphasize as an agent which is transmitted from person to person?
A) Anthrax B) Botulism C) Smallpox D) Varicella
Of the following, which is the best choice for performing wound irrigation?
a. Water jet irrigation b. 35-mL syringe with a 19-gauge angiocatheter c. 5-mL syringe with a 23-gauge needle d. Bulb syringe