The nurse is caring for a patient with a severe allergic reaction. Which of the following medications and route would the nurse anticipate being ordered?

a. Oral diphenhydramine (Benadryl)
b. Intravenous diphenhydramine
c. Intramuscular morphine
d. Subcutaneous epinephrine


ANS: D
Epinephrine subcutaneous (SQ) or intramuscular (IM) is given for anaphylactic reactions. It causes vasoconstriction, bronchodilation, and cardiac stimulation.

Nursing

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What approaches should the nurse suggest for introducing a toddler to new foods? (Select all that apply.)

a. Serve one food at a time. b. Avoid showing personal likes or dislikes. c. Offer foods in small amounts, less than a teaspoon. d. Entice the toddler to eat with sweets. e. Serve food warm.

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The spouse of an older adult with Alzheimer's disease tells the nurse that he has been giving the patient Amphogel (aluminum hydroxide) for heartburn. What is the nurse's best action?

a. Ask the spouse how often the patient is taking the Amphogel. b. Suggest that the patient be given AlternaGEL instead. c. Teach the spouse that taking this drug can worsen the patient's condition. d. Remind the spouse that giving this drug often can interfere with bowel function.

Nursing

While conducting an abdominal assessment, the nurse percusses a dull sound below the tenth rib at the left midaxillary line. What should the nurse suspect is occurring with this patient? Select all that apply.

A. Cancer B. Bacterial infection C. Blood dyscrasia D. Viral infection E. Hemophilia

Nursing

People with COPD often have difficulty taking in enough calories because of the fatigue they experience from the hypermetabolism of their respiratory stress. What would be an appropriate nutritional intervention for someone with COPD?

A) Limit total fluid intake. B) Increase empty-calorie liquids with meals. C) Eat small frequent meals. D) Limit fiber.

Nursing