T.Q. denies any cough, headache, sore throat, fatigue, or muscle ache. T.Q.'s nares do not
appear swollen or red, although he does have some clear mucous drainage. External auditory
canals and tympanic membranes clear.
There is no adenopathy or sinus tenderness, and
his lung sounds are clear to auscultation. Oral cavity and pharynx normal; there is no
inflammation, swelling, exudate, or lesions. Vital signs are 110/60, 76, 18, 98.4 ° F (36.9 °
C). Should you give the medication or ask him to return when he is no longer having nasal
stuffiness? Why or why not?
Give the gamma globulin. At present, T.Q. does not have any signs of an infection; however, he needs
the gamma globulin to protect him from developing an infection.
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The patient is in progressive care unit following arteriovenous fistula implantation in his left upper arm, and is due to have blood drawn with his next set of vital signs and assessment. When the nurse assesses the patient, the nurse should:
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The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?
a. Ask her, "Are you sexually active?" b. Ask her, "Are you having sex with anyone?" c. Ask her, "Are you having sex with a boyfriend?" d. Ask both the girl and her parent if she is sexually active.
The client at 20 weeks' gestation has not decided on a feeding method for her infant. She asks the nurse for advice. The nurse presents information about the advantages and disadvantages of formula feeding and breastfeeding
Which statements by the client indicate that the teaching was successful? A. "Formula feeding gives the baby protection from infections." B. "Breast milk cannot be stored; it has to be thrown away after pumping." C. "Breastfeeding is more expensive than formula feeding." D. "My baby has a lower risk of food allergies if I breastfeed."