A nursing instructor has just completed a class on the effects of over-the-counter drugs on the fetus. At the end of class the students completed a quiz
Which responses by the students indicate that they understood the class? (Select all that apply.)
a. Increased birth weight d. Renal failure
b. Neonatal bleeding e. Teeth decay
c. Bone growth inhibi-tion f. Central nervous sys-tem disturbances
B, C, D, F
The effects of over-the-counter drugs on the fetus include low birth weight (not increased birth weight), neonatal bleeding, bone growth inhibition, renal failure, teeth discoloration (not decay), and central nervous system disturbances. Other effects include pulmonary hypertension, mental health restriction, drug addiction, FAS, congenital malformations, spontaneous abortions, and fetal death.
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A nurse is caring for a patient in the ICU. During assessment of the skin she notices a wound on the patient's coccyx that is covered in a brown leathery tissue-like material. Which of the following is the patient exhibiting?
A) Stage III pressure ulcer B) Unstageable pressure ulcer C) Abrasion D) Stage II pressure ulcer E) Suspected deep tissue damage
A new nurse caring for a toddler in pain after a procedure is reluctant to medicate the child for fear of causing a respiratory arrest. What action by the nurse's preceptor is best?
A. Agree about withholding medication and teach some distraction techniques. B. Explain that pain has detrimental health effects and needs treatment. C. Have the new nurse get naloxone (Narcan) and place it at the child's bedside. D. Tell the new nurse to give the child analgesics and not worry about respiratory arrest.
You are caring for a patient who has been diagnosed with chronic rhinosinusitis. While admitting this patient for the clinic visit, the patient asks, "Will this chronic infection hurt my new kidney?"
What do you, as a nurse, know about chronic rhinosinusitis in transplant patients? (Mark all that apply.) A) It may be linked to primary or secondary immune deficiency or treatment with immunosuppressive therapy. B) Typical symptoms may be blunted or absent due to immunosuppression. C) Taking immunosuppressive drugs can contribute to chronic rhinosinusitis. D) Chronic rhinosinusitis can damage the transplanted organ. E) Immunosuppressive drugs can cause organ rejection.
A child is admitted to the hospital with pneumonia. The child's oximetry reading upon admission to the pediatric floor is 88. The priority nursing activity for this child would be to:
1. Obtain a blood sample to send to the lab for electrolyte analysis. 2. Begin oxygen per nasal cannula at 1 liter. 3. Medicate for pain. 4. Begin administration of intravenous fluids.