The nurse is preparing to administer meperidine (Demerol), which is an opioid analgesic, and promethazine (Phenergan), which is an antiemetic and antihistamine. The nurse understands that these drugs are given in combination for which reason?
a. They have antagonistic effects to reduce nausea.
b. They have additive effects to enhance analgesia.
c. They have potentiating effects to decrease an allergic response.
d. They have synergistic effects to increase sedation.
ANS: D
Meperidine and promethazine have a synergistic effect on each other with a clinical effect that is substantially greater than the combined effect of the two.
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Infant Jill is preterm and on a respirator, with intravenous lines and much equipment around her when her parents come to visit for the first time. It is important for the nurse to:
a. suggest that the parents visit for only a short time to reduce their anxieties. b. reassure the parents that the baby is progressing well. c. encourage the parents to touch Jill. d. discuss the care they will give Jill when she goes home.
Before administering botulinum antitoxin to a patient in the emergency department, it is most important for the nurse to
a. obtain the patient's temperature. b. administer an intradermal test dose. c. document the neurologic symptoms. d. ask the patient about an allergy to eggs.
A nurse is caring for a client with drug-resistant gastroenteritis. The nurse has to initiate precautions for the client. Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members?
A) Droplet precautions B) Contact precautions C) Airborne precautions D) Protective precautions
A nurse is called into work to perform triage in the aftermath of an earthquake. Which of the following are the expected responsibilities of this nurse?
A) Set up and monitor IV lines. B) Prepare the emergency room for multiple victims. C) Screen victims to prioritize treatment. D) Check available blood products and assist with transfusions.