In assessing H.K.'s cast on the third day postoperatively, you notice a strong foul odor
Drainage on the cast is extending, a Vital signs are 123/78, 102, 18, 102.2° F (39° C). What is
your analysis of these findings?
What will be an ideal response?
H.K. exhibits signs and symptoms of infection and is a likely candidate for a posttraumatic
osteomyelitis. Findings must be reported to the physician so that further treatment can be initiated.
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The critical care nurse is delivering a peer lecture on guidelines for the management of SIRS and severe sepsis. Which intervention would the nurse describe as improving outcomes in septic shock?
1. Use bicarbonate for pH of 7.30. 2. Keep mechanically ventilated patients flat in bed. 3. Maintain blood glucose lower than 150 mg/dL. 4. Initiate antibiotic therapy within 4 hours of diagnosis.
Which of the following statements about Health Care Rationing is most accurate?
A) It will not occur in the United States because of our country's values. B) A danger of rationing is compromising quality and effectiveness. C) Rationing in health care has never been practiced. D) Advances in knowledge and technological capabilities will eliminate the need for rationing in the future.
A client with premenstrual syndrome (PMS) has been on diet therapy, diuretics, and medications such as danazol (Danocrine) and fluoxetine (Prozac) and still finds no relief from the symptoms. The nurse recognizes that the client might benefit from:
1. alternative therapies such as reflexology. 2. belonging to a PMS support group. 3. oophorectomy, to relieve the hormonal imbalance. 4. a vigorous daily exercise regimen.
The nurse has received an order from the prescriber to administer spectinomycin (Trobicin) to a patient with gonorrhea. What route of administration will the nurse use?
a. Oral (with a full glass of water) b. Intravenous (in a large vein) c. Intramuscular d. Subcutaneous