An ambulatory care client with allergic dermatitis has been given a prescription for a tube of diphenhydramine (Benadryl) 1% to use as a topical agent. The nurse determines that the medication was effective if which of the following was assessed?

1. Nighttime sedation
2. Decrease in urticaria
3. Absence of ecchymoses
4. Healing of burned tissue


2

Rationale: Diphenhydramine reduces the symptoms of allergic reaction, such as itching or urticaria, when used as a topical agent on the skin. The oral form also has other uses, such as to provide mild nighttime sedation. It is not used to treat burns or ecchymoses.

Nursing

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A patient was taken to surgery for a left lung resection earlier today. The patient has been in the postoperative care unit for 30 minutes

When you are completing your assessment, you notice that the chest tube has drained 125 cc of red fluid in the past 30 minutes. The nurse contacts the physician and suspects that the patient has developed a. pulmonary edema. c. acute lung failure. b. hemorrhage. d. bronchopleural fistula.

Nursing

A nurse is caring for a newly admitted patient with a suspected gastrointestinal (GI) bleed. The nurse assesses the patient's stool after a bowel movement and notes it to be a tarry-black color

The nurse recognizes that the bleeding is likely occurring where? A) The lower GI tract B) The upper GI tract C) The esophagus D) The anal area

Nursing

A 71-year-old male patient tells the nurse that growing old causes constipation so he has been using a suppository for constipation every morning. Which action should the nurse take first?

a. Encourage the patient to increase oral fluid intake. b. Assess the patient about risk factors for constipation. c. Suggest that the patient increase intake of high-fiber foods. d. Teach the patient that a daily bowel movement is unnecessary.

Nursing

For children who have the most severe pain, the nurse is aware that opioid analgesics can be given in which of the following ways?

a. titrated to extremely high doses b. up to one and a halftimes the usual dose c. bolused with three-fourths of the daily dose d. rectally and orally at the same time

Nursing