The nurse has completed discharge teaching with a patient who had a valve replacement for infective endocarditis. Which of the following patient statements would indicate an understanding of the instructions?
1. "I will take antibiotics prior to a dental cleaning.".
2. "I will take antibiotics prior to my next electrocardiogram.".
3. "I will take antibiotics prior to going on vacation.".
4. "I will take antibiotics prior to seeing my chiropractor.".
1
Rationale: In high-risk patients, such as those with valve replacements, antibiotic prophylaxis is suggested prior to procedures that may introduce bacteria. Antibiotics are not needed before an electrocardiogram nor when planning to see a chiropractor. The patient should not be instructed to take antibiotics before going on a vacation.
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An infant is in the hospital for hypernatremia. Which of the following is the most appropriate means of collecting urine for a specific gravity test?
1. Placing cotton balls in the diaper and then (wearing gloves) squeezing a drop of urine from the cotton balls onto the specific gravity test strip 2. Performing a sterile in-and-out catheterization to collect urine for the specific gravity test strip 3. Placing a urine collection bag on the infant 4. Inserting a Foley catheter to obtain a sterile urine specimen for the specific gravity test strip
The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment involves
a. Corticosteroids to reduce inflammation b. IV therapy to correct fluid and electrolyte imbalances c. An antiemetic, such as pyridoxine, to control nausea and vomiting d. Enteral nutrition to correct nutritional deficits
The nurse is caring for a client with degenerative joint disease who expresses the desire to remain active as long as possible. The nurse prepares to:
1. Teach the client nutrition and joint exercises. 2. Refer the client to the appropriate professionals. 3. Tell the client there is no hope. 4. Ask the client the reason for the decision.
Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include:
1. Heart failure 2. Angina 3. Myocardial infarction 4. Dyslipidemia