A patient admitted with severe burns to his face and hands is showing signs of extreme agitation. The nurse should explore the mechanism of burn injury possibly related to:
a. excessive alcohol use.
b. methamphetamine use.
c. posttraumatic stress disorder.
d. subacute delirium.
B
A vague or inconsistent injury history, burns to the face and hands, and signs of agitation or substance withdrawal should alert the nurse to a potential methamphetamine-related injury.
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A nurse caring for a child receiving chemotherapy notes that the child's urine specific gravity is 1.010. Which action by the nurse is the most appropriate?
A. Document the findings in the child's chart. B. Increase the rate of the IV fluids per protocol. C. Notify the provider about the laboratory results. D. Prepare to administer an alkalizing agent.
In planning teaching and ongoing care for a new diabetic client, the clinic nurse should base the plan around concepts such as (Select all that apply)
a. continual assessment of client knowledge and skill level. b. empowering the client to become the expert in his/her care. c. liberal use of referrals depending on client need. d. the nurse being the expert in diabetes care. e. using a multidisciplinary approach.
Guidelines for wording questions include:
A) Aim for a reading level of at least the 10th grade B) Use long sentences or phrases to ensure clarity C) Word questions in a positive way D) Put two or more ideas in a single item to save reading
A nurse is discussing the use of immunosuppressants for the treatment of inflammatory bowel disease (IBD) with a group of nursing students. Which statement by a student indicates understanding of the teaching?
a. "Azathioprine (Imuran) helps induce rapid remission of IBD." b. "Cyclosporine (Sandimmune) can be used to induce remission of IBD." c. "Cyclosporine (Sandimmune) does not have serious adverse effects." d. "Methotrexate is used long term to maintain remission of IBD."