The nurse is instructing a client who has been prescribed tetracycline (Sumycin). What should the nurse advise this client to avoid while taking this medication?
1. Sunlight
2. Foods that contain wheat
3. Exercise
4. Taking with food
Correct Answer: 1
Rationale 1: Patients should be advised to avoid direct exposure to sunlight because tetracyclines can cause photosensitivity, which makes the skin particularly susceptible to sunburn.
Rationale 2: The client should avoid milk, but does not need to avoid wheat.
Rationale 3: There is no restriction on exercise.
Rationale 4: This medication can be taken with food.
Global Rationale: Patients should be advised to avoid direct exposure to sunlight because tetracyclines can cause photosensitivity, which makes the skin particularly susceptible to sunburn. The client should avoid milk, but does not need to avoid wheat. There is no restriction on exercise. This medication can be taken with food.
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Which situation creates an ethical dilemma for the nurse serving as an expert witness in a jury trial?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The documentation in the medical record contradicts itself. 2. There are time lapses in the documentation of the event resulting in the suit. 3. The interventions implemented only minimally met the standards of care. 4. Outcomes for the patient were unexpected and severe. 5. Nurses from more than one department took care of the patient.
A patient is scheduled to receive a course of external radiation therapy for cancer treatment. What should the nurse instruct the patient about this therapy?
1. Wash the radiation site with plain water and no soap. 2. Shave the treated area with a straight razor. 3. Apply ice packs to the treatment site to help reduce pain. 4. Use a sunscreen for three months after the conclusion of the treatments.
Serious hemorrhaging has resulted in the patient experiencing a fluid and electrolyte imbalance. How should the nurse respond?
a. Initiate intravenous (IV) therapy. b. Order blood for transfusions. c. Remove and reapply any dressings. d. Monitor vital signs every 15 minutes.
When answering the phone, you should
A. identify the unit, yourself, and your title. B. take orders from the physician. C. yell down the hall to locate the person being called. D. tell the caller to call back later.