The mother of a 4-year-old calls the nurse to report her child has been having diarrhea since he began taking an antibiotic 48 hours ago. The mother asks if she should give her child an over-the-counter medication for the diarrhea
What is the nurse's best response?
1. "Wait one more day and see if the diarrhea clears."
2. "Yes, give something over the counter, but only one dose."
3. "Yes, give something over the counter according to the dosage directions on the label."
4. "Do not treat the diarrhea, and bring the child to the office."
Correct Answer: 4
Rationale 1: Diarrhea may be a result of the antibiotic and should be evaluated now.
Rationale 2: Diarrhea may be a result of the antibiotic and should not be treated with over-the-counter products.
Rationale 3: Diarrhea may be the result of the antibiotic and should not be treated with over-the-counter products.
Rationale 4: Diarrhea due to antibiotic therapy should not be treated with over-the-counter products and should be evaluated as soon as possible.
Global Rationale: Patients should be taught to consult the health care provider before taking any antidiarrheal drugs that slow gastric motility because these may cause the retention of harmful bacteria.
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To help diagnose problems in cognitive function, many nursing facilities utilize the Mini-Mental State Examination (MMSE) tool. Which of the following statements accurately describes this tool?
A) It contains roughly 75 questions that will help identify those individuals at risk for harming themselves. B) It is a brief, objective tool that will assess memory, orientation, and attention. C) It is primarily used as a diagnostic tool to help differentiate Alzheimer disease versus dementia. D) This tool can be utilized to identify worsening of short-term memory.
Home health nurses typically do not provide specialized care
Indicate whether the statement is true or false
A patient who has a history of episodes of road rage thinks that she is a very good driver and doesn't understand why she keeps being told she is a poor driver
She will lose her license now, and she tells you that she is feeling very unhappy and abandoned. She feels like she might hurt herself. The nurse realizes that the patient is exhibiting: 1. narcissistic personality disorder. 2. paranoid personality disorder. 3. schizoid personality disorder. 4. borderline personality disorder.
A patient with antisocial personality disorder yells, "Shut up about that, or I'll punch you in the nose!" and shakes his fist at another patient in a group meeting after the patient speaks negatively of illicit drug use
The nurse quickly determines that the patient is at risk to act violently against others as evidenced by his aggressive behavior, verbal threats, and a history of impulsivity. Which is the best approach for the nurse to use? a. Secluding the patient to protect the other patients and staff b. Putting the patient in restraints to protect the entire milieu c. Exploring alternate ways to handle frustrating topics in the group d. Telling the patient to leave the group until he can behave appropriately