The nurse is caring for patient with a urinary tract infection (UTI) who is to receive cefazolin (Ancef). The nurse should carefully monitor the patient for which side effect(s)? (select all that apply.)
a. Vaginitis
b. Decreased clotting time
c. Arrhythmias
d. Rash
e. Confusion
A, C, D, E
Cefazolin (Ancef) may cause vaginitis, arrhythmias, a sunburn-like rash, and confusion. Cefazolin may increase clotting time.
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A nurse who is talking to a patient when he begins choking on his lunch and coughing forcefully should:
A) Stand him up and perform the abdominal thrust maneuver from behind. B) Lay him down, straddle him, and perform the abdominal thrust maneuver. C) Leave him to get assistance. D) Stay with him but not intervene at this time.
The clinic nurse reviews the complete blood count results for Tamara, a 30-year-old woman who is now 33 weeks gestation. Tamara's hemoglobin value is 11.2 g/dL and her hematocrit is 38%. The clinic nurse interprets these findings as:
A) Normal adult values B) Normal pregnancy values for the third trimester C) Increased adult values D) Increased values for 33 weeks gestation
The client is being treated with Herceptin. The nurse notes that the client is experiencing episodes of hypotension. The highest priority nursing intervention is to:
a. stop the infusion. b. increase the rate of the infusion. c. decrease the rate of the infusion. d. notify the pharmacist.
A nurse is teaching nursing students about the importance of health promotion among older adults. Which of the following statements by a student indicates a need for further teaching?
A) "Teaching older adults how to live with diabetes would be a useful health promotion initiative." B) "I can see why we would want to promote timely discharge back to the community following hospitalization." C) "I think that attending to spiritual growth could likely be a part of health promotion." D) "If we could promote healthy, simple diets, then some diseases could likely be prevented."