A patient tells the nurse that he had a tuberculin test several months ago, and the site of injection became very red and inflamed. How should the nurse interpret this information?
1. This Arthus reaction is common with tuberculin tests.
2. This type IV hypersensitivity response indicates the tuberculin test was positive.
3. Since this type II hypersensitivity response occurred, the patient should never have another tuberculin test.
4. The patient will require chest x-ray confirmation of this type I hypersensitivity response.
Answer: 2
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The nurse is caring for an obese woman who was just diagnosed with type 2 diabetes. When developing this patient's plan of care, what is the priority nursing diagnosis?
A) Imbalanced nutrition: more than body requirements related to obesity B) Risk for unstable blood glucose related to ineffective dosing of antidiabetic agents C) Disturbed sensory perception related to glucose levels D) Ineffective coping related to diagnosis and therapy
Which antidepressant is no longer recommended for use during pregnancy?
a. Sertraline (Zoloft) b. Paroxetine (Paxil) c. Fluoxetine (Prozac) d. Citalopram (Celexa)
A patient is receiving morphine (MS Contin) for severe cancer pain. His wife states that he has difficulty swallowing and asks if the tablets can be crushed and given with applesauce or pudding. What is your best response?
a. "That is an excellent solution and will make it much easier for him to swallow his pain medicine." b. "It might be best if we talk with the prescriber about having a feeding tube placed for medication administration." c. "You can dissolve the tablets in water then give the drug to your husband mixed with juice." d. "I will contact the prescriber about this because your husband may need to be prescribed a different form of morphine for his pain."
The nurse is calculating a client's intake for a shift: 120 mL coffee; 240 mL juice; 240 mL broth, 80 mL gelatin; 500 mL intravenous fluid. What is the total amount of intake in liters that the client had during the entire shift?
1. 1.18 2. 1.26 3. 1.53 4. 1.76