When caring for a male patient with a suspected gonorrheal infection, which action is most important for the nurse to take?
a. Report the infection to the local public health agency.
b. Assess the patient's temperature hourly.
c. Administer antibiotics before cultures are drawn.
d. Wait 1 hour after the patient voids to col-lect a urethral swab.
D
Since the urine will have flushed out the organisms, the nurse should wait at least 1 hour postvo-id before collecting the specimen. The infection has not been confirmed, so no report should be made at this time. The patient's temperature should be obtained each shift. Administering anti-biotics before cultures are drawn may cause cultures to be negative even though the drug or the dose may not be sufficient to cure the infection. If possible, obtain cultures prior to administering antibiotics.
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A patient has a head injury and is presenting with signs and symptoms of increased intracranial pressure. Which nursing intervention would be helpful in reducing this pressure?
a. Place the neck in a neutral position to promote venous drainage. b. Suction hourly to stimulate the cough reflex. c. Add extra blankets to keep the patient warm. d. Turn the patient frequently to prevent skin impairment.
A 32-year-old patient is admitted to the critical care unit with a diagnosis of diabetic ketoacidosis. Following aggressive fluid resuscitation and intravenous (IV) insulin administration, the blood glucose begins to normalize
In addition to glucose monitoring, which of the following electrolytes requires close monitoring? a. Calcium b. Chloride c. Potassium d. Sodium.
The National Alliance for the Mentally Ill (NAMI) is a(n):
a. public institution funded by the National Institute of Mental Health b. consumer group whose membership is reserved exclusively for clients c. educational institution that provides education to health care providers d. consumer group advocating for current and former clients and significant others
A nurse is teaching a nursing student how to measure a carotid pulse. The nurse should tell the student to measure the pulse on only one side of the client's neck primarily for which reason?
A. It is unnecessary to use both hands B. Feeling dual pulsations may lead to an incorrect measurement C. Palpating both carotid pulses simultaneously could occlude the trachea D. Palpating both carotid pulses simultaneously could cause the heart rate and blood pressure to drop