Chapter 23: Problem 90
A client with an infectious process is receiving IV vancomycin (Vancocin). When will the nurse instruct the laboratory to draw blood for a 30-minute trough level if the Vancomycin IVPB is scheduled to be hung at 2000? ? A. 1900 ? B. 1930 ? C. 2000 ? D. 2030
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The nurse is caring for a client with cancer who is exhibiting the following symp- tomology: back pain, lower extremity weakness, decreased motor abilities, numb- ness of the legs, and bladder incontinence. What is the most appropriate initial nursing action? ? A. Notify the physician ? B. Administer acetaminophen (Tylenol) for pain ? C. Call supply to obtain incontinent pads ? D. Insert a Foley catheter
The nurse is preparing to make a home visit to a client with hepatitis \(\mathrm{A}\). Which plan would the nurse include to prevent the family from contracting hepatitis \(\mathrm{A}\) from the client? A. Emphasize the need for good hand-washing and personal hygiene B. Inform the family to place the client in isolation C. Avoid contact with the client's blood D. Tell the client to wear a mask at all times
A client with cirrhosis and bleeding esophageal varices has a SengstakenBlakemore tube in place. Which nurse's assessment finding is the priority? A. Wheezing on chest auscultation. B. Blood pressure elevation by \(20 \mathrm{~mm} / \mathrm{Hg}\) - C. Blood noted in the lumen that is in the stomach. D. The label is missing from one of the three tube lumens.
The nurse recognizes which of the following population groups is at highest risk for melanoma? ? A. Adults older than 35 ? B. Senior citizens who have had repeated exposure to the sun ? C. Employees of a chemical plant ? D. 22-year-olds who tan in tanning beds three times a week
The nurse in the critical care unit is caring for a client with an ICP monitor in place. Assessment reveals a consistent ICP reading of 28 . Which action is appropriate? A. Lower the head of the bed B. Notify the physician C. Administer an extra dose of Decadron D. Document the finding
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