While assessing a patient, the nurse learns that he has a history of allergic rhinitis, asthma, and multiple food allergies. The nurse must:
A. Be alert to hypersensitivity response to the prescribed medications
B. Encourages the patient to carry an epinephrine kit in case of an allergic reaction
C. Advise the patient to use aspirin in case of febrile illnesses
D. Admit the patient to a single room with limited exposure to health care personnel
A patient is diagnosed with diabetic ketoacidosis. The nurse would expect the physician to prescribe:
A. Regular insulin IV
B. NPH insulin SC
C. Glucagon IM
D. Mixed insulin SC
To promote accuracy of self-monitoring blood glucose by patients the nurse should:
A. Retrain patients periodically
B. Direct patients to rotate testing sites
C. Advise patients to buy new strips routinely
D. Compare results from patient's meter against lab results
When checking the capillary refill time of a patient's extremity, the color returns in 7 seconds. The nurse recognizes this finding as indicative of:
A. A normal response
B. Thrombus formation in the veins
C. Lymphatic obstruction of venous return
D. Impaired arterial flow to the extremities
A patient becomes angry and threatens to leave the hospital unless the physician reviews the reason for the patient's delay in discharge. The patient has a medication order for agitation available p.m.. but refuses the medication and requests a drink of orange juice instead. What should the nurse do?
A. Secretly slip the p.r.n. medication into the orange juice and give it to the patient
B. Give the patient the orange juice and tell the patient that a staff member is attempting to call the physician
C. Inform the patient that staff is unable to force anyone to stay in the hospital
D. Inform the patient that nothing can be done until the morning
A 3-month-old infant is admitted with a diagnosis of ventricular septal defect. The physical assessment for this infant would reveal:
A. High pitched cry
B. Harsh heart murmur
C. Bradycardia
D. Hypertension
The immediate treatment for ventricular fibrillation is:
A. Precordial blow
B. Defibrillation
C. Bolus of lidocaine
D. Ventricular pacing
Which of the following interventions should the nurse implement if a patient complains of cramps while irrigating the colostomy?
A. Reduce the flow of solution
B. Have the patient sit up in bed
C. Remove the irrigation tube
D. Insert the tube further into the colon
A patient is to receive 2.5mg of morphine sulfate. The ampoule contains l000mcg/mL. How much morphine should the nurse administer?
A. 0.25 ml
B. 1 ml
C. 1.5 ml
D. 2.5 ml
The patient is to receive 100 ml/hr of D5W through a micro drip. How many drops per minute should the patient receive?
A. 25 gtts/min
B. 30 gtts/min
C. 100 gtts/min
D. 200 gtts/min