Which client should the nurse assess for hemolysis and jaundice?
A. 48-year-old taking one aspirin a day to prevent a second myocardial infarction
B. 42-year-old taking zidovudine and foscarnet (Foscavir) daily for HIV/AIDS
C. 78-year-old taking 40 mg of furosemide (Lasix) daily for mild CHF
D. 27-year-old with mitral valve prolapse taking penicillin daily
D
Chronic penicillin use can cause hemolysis, leading to jaundice and anemia.
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An adolescent has vaginally given birth to a healthy baby. What action by the nurse would be most important in developing a plan to help this mother bond successfully?
A. Ask the mother about her expectations of the baby and their relationship. B. Determine if the mother plans to keep the baby or give it up for adoption. C. Inquire as to how many family members are available to help care for the baby. D. Refer the mother and her baby to the social worker or to the visiting nurses.
The nurse is teaching a community education class on prevention of eye injuries and care of someone with an eye injury. What should be included in this presentation?
Select all that apply. 1. Eye protection devices should be worn when participating in high-risk sports or occupations. 2. Use of seat belts and air bags prevents eye injuries in automobile crashes. 3. In case of injury, immediately flush the eye with copious amounts of water if a chemical splash occurs. 4. Loose, visible objects can be removed using a clean, moistened cotton-tipped swab. 5. If an object appears to penetrate the eye, gently remove it using sterile gauze and seek medical attention.
A client in the intensive care unit will experience less sensory overload in which of the following situations?
A) If a clock displays date, time, AM/PM B) If the nurse silences the alarms C) If the nurse provides touch every hour D) If the family visits at all times
Which of the following statements about pseudomembranous enterocolitis is INCORRECT?
A. Broad-spectrum antibiotic treatment destroys most of the normal intestinal bacterial flora. B. Overgrowth of the yeast Candida albicans causes necrosis of intestinal mucosa. C. Clostridium difficile proliferates and produces toxins that damage the intestinal mucosa. D. Disease manifestations may include cramps and bloody diarrhea.