Passpoint - Immune and Hematologic Disorders
A client was admitted with human immunodeficiency virus (HIV). Which statement by the client would indicate the need for further education regarding safer sex practices?
"I should use plenty of oil-based lubricant to prevent latex condom tearing."
A client with pernicious anemia is receiving parenteral vitamin B12 therapy. Which client statement indicates effective teaching about this therapy?
"I will receive parenteral vitamin B12 therapy for the rest of my life."
A client receiving ferrous sulfate therapy to treat an iron deficiency reports taking an antacid frequently to relieve heartburn. Which instruction should the nurse provide?
"Take ferrous sulfate and the antacid at least 2 hours apart."
Which immunoglobulin is specific to an allergic response?
IgE
A nurse is caring for a child with celiac disease. How should the nurse evaluate the effectiveness of nutritional therapy?
Monitor the appearance, size, and number of stools.
A client is placed on neutropenic precaution. Which nursing action is appropriate?
avoiding yogurt for breakfast
The nurse is caring for a teen diagnosed with acute lymphocytic leukemia (ALL). A review of the laboratory report indicates a platelet count of 125,500/?L. When gathering data, which finding is most consistent with this laboratory result?
bruising
While gathering data about a child's skin integrity, the nurse observes a papular pruritic rash with some vesicles. The rash is profuse on the trunk and sparse on the distal limbs. What does the nurse correlate this finding with?
chickenpox
The client is starting the first chemotherapy treatment after a diagnosis of lymphoma. What priority nursing action can be delegated to the LPN?
completing vital signs
Which would the nurse incorporate when reinforcing education for the parents of a neonate diagnosed with sickle cell anemia?
demonstrate how to take an accurate temperature
In a client who has human immunodeficiency virus (HIV) infection, CD4+ levels are measured to determine the:
extent of immune system damage.
Which instruction regarding the proper administration of oral iron supplements would the nurse include in the education plan for parents?
give the medicine via a dropper or through a straw
A nurse is caring for a client with herpes zoster. The family is requesting to visit the client. Which action should the nurse take?
instruct the family on contact precautions before they visit the client
The nurse is caring for a child with hemophilia. What is the most common site for the nurse to suspect bleeding?
joint cavities
A client has been diagnosed with scarlet fever. Which medication does the nurse anticipate reinforcing education to the parents?
penicillin
Which additional health care provider order should a nurse anticipate for a client who has been prescribed corticosteroids?
perform blood glucose checks every six hours.
A nurse is caring for a client who received 1 unit of fresh frozen platelets (FFP) for a platelet count of 20,000 mm3. Which repeat laboratory values will be of greatest concern to the nurse?
platelet count 22,000 mm3
A nurse is assigned to a Muslim client. Which cultural considerations should the nurse expect in the care plan? Select all that apply.
preference to be treated by health care worker of same sex meat products not ritually slaughtered are forbidden right hand should be used in handing over items
A nurse is caring for a client with multple myeloma. When assisting with the plan of care, which nursing intervention is most appropriate?
preventing bone injury
The nurse is caring for a child experiencing a sickle cell crisis. What priority nursing intervention should the nurse perform?
provide oral and IV fluids
The nurse is collecting data on a client who has been experiencing black stools for the past month. The client suddenly reports chest and stomach pain. Which action should the nurse perform first?
take vital signs
The nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan?
Monitor body temperature.
Which of the following is the most numerous type of white blood cell (WBC)?
Neutrophil
A nurse is caring for a client who has had a bone marrow transplant. Which nursing intervention has priority?
listening to the breath sounds every 2 hours
The nurse is caring for a client diagnosed with leukemia who is going to have a chemotherapy treatment. Which test would the nurse expect to be done to evaluate the client's ability to metabolize chemotherapeutic agents?
liver function studies
Which clinical manifestations should a nurse expect to see in a child in stage V of Reye syndrome?
seizures, flaccidity, and respiratory arrest
The nurse is caring for a child who has just been diagnosed with sickle cell anemia. Which initial action will be most therapeutic?
offer emotional support
A client recovering from a stroke has residual dysphagia. When assisting the client to eat, which educational points should the nurse provide? Select all that apply.
"After you swallow food, wait a few seconds and then swallow again." "Tuck your chin in when you swallow." "Turn your head toward your weaker side when you swallow."
A client with acquired immunodeficiency syndrome (AIDS) is prescribed zidovudine (azidothymidine, AZT), 200 mg by mouth every 4 hours. When teaching the client about this drug, the nurse should provide which instruction?
"Take zidovudine exactly as prescribed."
Which type of leukemia with fast growing immature lymphocytes accounts for most cases of childhood leukemia?
acute lymphocytic leukemia (ALL)
A nurse is teaching high school students about transmission of the human immunodeficiency virus (HIV). Which comment by a student warrants clarification by the nurse?
"I won't donate blood because I don't want to get AIDS."
The parents of an infant report they are concerned about giving their child immunizations due to their association with autism. Which response by the nurse is appropriate?
"Studies do not support a link between autism and immunizations."
A client with rheumatoid arthritis reports flatulence and heartburn after taking piroxicam. Which instruction should the nurse reinforce to address the client's concern?
"Take an antacid at the same time that you take the medication."
A 1-year-old infant is pale, but the physical examination is normal. Blood studies reveal a hematocrit of 24% (0.24). Which question by the nurse to the parents would be most useful in helping to establish a diagnosis of anemia?
"What's the infant's usual daily diet?"
A child tests positive for the sickle cell trait, and the parents ask the nurse what this means. Which response by the nurse would be most appropriate?
"Your child is a carrier but doesn't have the disease."
A female client with human immunodeficiency virus (HIV) receives family-planning counseling. Which statement about safe sex practices for persons with HIV is accurate?
A latex condom with spermicide provides the best protection against HIV transmission during sexual intercourse.
After undergoing testing, a client comes to a physician's office for a follow-up appointment. During the appointment, the physician informs the client that she has systemic lupus erythematosus (SLE). Which resource might be helpful for a nurse to recommend to this client?
A support group for clients with SLE
A clinical nurse specialist (CNS) is orienting a new licensed practical nurse to an oncology unit where blood product transfusions are frequently administered. In discussing ABO compatibility, the CNS presents several hypothetical scenarios. A well-informed new graduate would know the greatest likelihood of an acute hemolytic reaction would occur when giving:
A-positive blood to an A-negative client.
A client's blood studies reveal a deficiency in all of the blood's formed elements. The physician suspects that the client's bone marrow is failing to generate enough new cells. Which disorder is most likely affecting this client?
Aplastic anemia
A child with von Willebrand disease (vWD) is brought to the clinic with epistaxis. What is the priorty action by the nurse?
Apply pressure to the nose.
A client arrives at the emergency department reporting chest and stomach pain and a history of black, tarry stools for the past 2 months. Which orders should the nurse anticipate?
ECG, complete blood count, testing for occult blood, and comprehensive serum metabolic panel
A nurse is reviewing the laboratory results of a client with anemia and anticipates which lab value would be decreased?
Erythrocyte count of 3.1 × 106/µL (3.10 × 1012/L)
Which action must a nurse take first before drawing a blood sample for human immunodeficiency virus (HIV) testing?
Make sure that an informed consent form has been signed.
How can a nurse best ensure the safety of a client who has a latex allergy?
Make sure that the latex allergy is properly documented.
The physician prescribes didanosine (ddI), 200 mg by mouth every 12 hours, for a client with acquired immunodeficiency syndrome (AIDS) who is intolerant to zidovudine (azidothymidine, AZT). Which condition in the client's history warrants cautious use of this drug?
Peripheral neuropathy
A nurse administers etanercept by subcutaneous injection to a client with ankylosing spondylitis. Which action should the nurse take to prevent a needle-stick injury?
Place the uncapped needle in the designated puncture-resistant container.
A nurse receives laboratory results for a hospitalized adult client who has acute leukemia. Referring to the provided laboratory slip, which result requires immediate reporting by the nurse?
Platelet count
Which factor is most important when planning care for a client with a bleeding disorder?
Prioritization
Which nursing intervention takes priority for a client with human immunodeficiency virus (HIV) infection?
Protecting the client from infection
A client in a late stage of acquired immunodeficiency syndrome (AIDS) shows signs of AIDS-related dementia. Which nursing diagnosis takes highest priority?
Risk for injury
A client is admitted with hemophilia. Which sports should the nurse recommend for this client? Select all that apply.
Swimming Golf
In community health and epidemiologic studies, which definition of disease prevalence is correct?
The number of individuals affected by a particular disease at a specific time
The nurse is caring for a child who is receiving steroid therapy as a part of the cancer treatment plan. The child tearfully asks the nurse," Why does my face looks so "fat?" What information should be included in the nurse's response?
This change is temporary and will subside once the steroid medication has been discontinued.
A client with blood type B needs a blood transfusion. Which type of blood can this client receive?
Type B or type O blood
The nurse is caring for a client with thrombocytopenia. What is the best way to protect this client?
Use the smallest needle possible for injections.
Which intervention does the nurse determine has the most impact in delaying the development of acquired immunodeficiency syndrome (AIDS) once a client has been infected with human immunodeficiency virus (HIV)?
adherence with the complete therapeutic regimen
A pregnant woman arrives at the emergency department with abruptio placentae at 34 weeks gestation. Which blood dyscrasia should the nurse closely monitor for?
disseminated intravascular coagulation (DIC)
The nurse is caring for a client with multiple myeloma. Which condition should the client be closely monitored for?
hypercalcemia
A client has been taking a decongestant for allergic rhinitis. During a follow-up visit, which data collected by the nurse suggests that the decongestant has been effective?
less sneezing
A client is injected with radiographic contrast medium and immediately shows signs of dyspnea, flushing, and pruritus. Which intervention should take priority?
make sure the airway is patent
When collecting data on a child with sickle cell anemia, which finding would indicate the child is experiencing vaso-occlusive crisis?
pain with ambulation
A client with thrombocytopenia, secondary to leukemia, develops epistaxis. What should the nurse instruct the client to do?
sit upright, leaning slightly forward
A client diagnosed with systemic lupus erythematous (SLE) is experiecing an exacerbation. Which statement made by the client indicates further education should be reinforced?
"I don't have to worry if I get strep throat."
A nurse is reinforcing nutritional counseling to the parent of a child with celiac disease. Which statement by the parent indicates understanding of the diet?
"I need to read food labels carefully to avoid gluten additives in foods.
Which statement by a client with sickle cell disease indicates further education is needed to reinforce the therapeutic regimen?
"I should take one baby aspirin daily to help prevent sickle cell crisis."
A nurse has instructed a client about taking ferrous sulfate liquid preparation. Which statement by the client indicates the need for additional education?
"I should take the iron with an antacid to prevent gastric distress."
A nurse is reinforcing the education plan with the parent of a child who has asthma triggered by a dust mite allergy. Which statement by the parent indicates that education has been effective?
"I'll wash all of the bedding in hot (130° F (54 degrees C)) water every week."
A nurse is caring for a cleint with non-Hodgkin's lymphoma. Which statement indicates that the client diagnosed with non-Hodgkin's lymphoma needs further reinforcement from the education plan?
"If I stay healthy and eat right, I can cure this disease."
The nurse is meeting with a 17 year-old client who has recently tested positive for human immunodeficiency virus (HIV). The client states, "What information will be disclosed to others." What information should be provided by the nurse?
"In some jurisdictions laws may require you share this information with future sexual partners."
Which instruction would be appropriate for the nurse to reinforce during education with a client who has human immunodeficiency virus (HIV) and is at high risk for altered oral mucous membranes?
"It is important to lubricate your lips."
A client presents to the emergency department with flu-like symptoms. During data collection, the nurses note the client returned from vacation 3 weeks ago, had a blood transfusion 3 years ago, and the sclera appears yellow in color. After being diagnosed with Hepatitis A virus (HAV), the client states, "How could I have gotten hepatitis?" Which nursing response given is most accurate?
"It may have happened if the food handler in a restaurant had the virus."
The parents of a child diagnosed with leukemia have stated that they'll give aspirin to their child for pain relief. Which statement by the nurse about aspirin would be most accurate?
"It's contraindicated because it promotes bleeding tendencies."
A parent asks the clinic nurse how often the influenza virus vaccine should be given to a child. Which response would be most accurate?
"The vaccine is usually given annually to children with certain risk factors."
A client arrives at the allergy clinic for allergy shots and asks, "Why do I need to have these shots weekly?" What is the nurse's best response?
"Weekly shots help decrease the production of the antibodies that cause allergies."
A 27-year-old client with end-stage acquired immunodeficiency syndrome (AIDS) is being cared for by his wife at home. The hematologist recommends hospice care and the couple agrees. During the initial admission visit, the hospice nurse provides information to the client and his family about advance directives. At the next visit, the client states that since he and his wife filled out the advance directive form he feels abandoned by his physician. Which statement by the hospice nurse best addresses the client 's concerns?
"Your physician will continue to care for you. Advance directives document in writing your wishes regarding your care in case you're unable to communicate them to the physician yourself."
A nurse is gathering data for a young adult with a temperature of 103°F (39°C), a sore throat, and swollen lymph glands. No adventitious breath sounds or cardiac disorders are noted. To complete gathering data for a potential Epstein-Barr viral infection, place an X on the quadrant of the abdomen which the nurse would carefully palpate?
*** An Epstein-Barr infection is a common viral infection. Symptoms include a fever, sore throat, and swollen lymph glands. Additionally, a swollen liver or spleen may develop. Assessment of the liver and spleen is essential. The spleen is located in the left upper quadrant of the abdomen. It is posterior and slightly inferior to the stomach. The nurse should stop palpating immediately if the nurse feels the spleen because compression can cause rupture.
A client has been prescribed 600 mg/day of ferrous sulfate for iron deficiency anemia. The nurse needs to administer in two divided doses with a solution of 300 mg/5 mL. How many mL of the medication will the nurse administer per dose? Record your answer using a whole number.
5
A client who is receiving cyclosporine must practice good oral hygiene, including regular brushing and flossing of the teeth, to minimize gingival hyperplasia. Good oral hygiene also is essential to minimize gingival hyperplasia during long-term therapy with certain drugs. Which of the following drugs falls into this category?
Phenytoin
A client seeks medical evaluation for fatigue, night sweats, and a 20-lb weight loss in 6 weeks. To confirm that the client has been infected with the human immunodeficiency virus (HIV), the nurse expects the physician to order:
Western blot test with ELISA.
Which instructions should the nurse include when reinforcing education to the parents about caring for a child with chickenpox?
administer antipruritics as ordered
Which nursing intervention is most effective in maximizing tissue perfusion for a child in vaso-occlusive crisis?
administer oxygen as prescribed
A nurse is reinforcing discharge instructions for a client with systemic lupus erythematosus (SLE). Which intervention is most important for the nurse to include?
apply sunscreens with SPF higher than 15 daily
Following a kidney transplantation, a client is prescribed a combination of medications that includes steroids and cyclosporine. Which client education should the nurse reinforce?
avoid being in crowded places
The nurse is caring for a client who is receiving antibiotics to treat a gram-negative bacterial infection. Because antibiotics destroy the body's normal flora, the nurse must monitor the client for:
diarrhea.
A nurse is caring for a client with multiple myeloma. Which intervention should be stressed when reinforcing education to the client?
drinking 3 qt (2.8 L) of fluid daily
A nurse is caring for a child with juvenile arthritis (JA) who has oral prednisone prescribed. The nurse knows that the drug will be given at the lowest possible dosage and for the shortest period of time in order to avoid which adverse effects?
growth retardation and increased risk of infection
A client was admitted with Pneumocystis jirovecii pneumonia (PJP). Which history would the nurse expect to see in the client's chart?
history of acquired immunodeficiency syndrome (AIDS)
A client diagnosed with systemic lupus erythematosus and taking daily prednisone reports severe back pain after manually opening a garage door. What adverse effect of long-term corticosteroid therapy is most likely responsible for the pain?
osteoporosis
Which communicable disease requires isolating infected children from pregnant women?
rubella
A client with thrombocytopenia, secondary to leukemia, develops epistaxis. The nurse should instruct the client to:
sit upright, leaning slightly forward.
The nurse is reinforcing education for a client with hepatitis B about prevention of infection transmission. What strategies are included in the teaching? Select all that apply.
wear a condom when engaging in sexual intercourse do not share razors, nail clippers, toothbrush, or any other personal care item that comes in contact with blood or body fluids do not share needles with anyone, and avoid recapping all needles do not donate blood.
A child with Reye syndrome is exhibiting signs of increased intracranial pressure (ICP). Which nursing intervention would be most appropriate for this child?
position the child with the head elevated and the neck in a neutral position
A nurse is caring for a client with deep vein thrombosis (DVT). The client suddenly reports shortness of breath, blood-tinged sputum, and chest pain. The nurse suspects that the client has developed which complication?
pulmonary embolism
The nurse is reinforcing nutritional information with a client with a leukocyte (WBC) count of 2,500/µL (2.50 × 109/L). What food should the nurse be sure to have the client avoid?
raw carrot sticks
A nurse is monitoring a client who's receiving a blood transfusion for volume replacement. The client reports itching about 20 minutes after the infusion begins. What is the priority action by the nurse?
report the symptom so that the infusion can be stopped immediately
The nurse is meeting with a client who has recently been diagnosed with human immunodeficiency virus (HIV). The client is concerned about the impact of sharing the recent diagnosis with friends and family. What information can the nurse provide to the client?
sharing the diagnosis with friends and family members will provide a needed source of support
A nurse obtains data from a client receiving a blood transfusion and determines that the client is wheezing, has chills, and back pain. What is the priority action of the nurse?
stop the transfusion.
The nurse is obtaining a dietary history from a newly admitted client. Which food eaten by the client does the nurse recognize is a common allergen?
strawberries
When discussing activities that are safe for the school-age child with hemophilia, which activities should the nurse encourage? Select all that apply.
swimming leisure walking
The nurse is observing a client with cerebral edema for evidence of increasing intracranial pressure. The client's current blood pressure is 170/80 mm Hg. What's the client's pulse pressure? Record your answer using a whole number.
90
A client receiving antiplatelet therapy is being monitored for adverse reactions. For which most commonly produced adverse reaction would the nurse observe this client?
Bleeding
A client with suspected lymphoma is scheduled for lymphangiography. The nurse should inform the client that this procedure may cause which harmless, temporary change?
Bluish urine
A client was admitted with a platelet count of 95,000/µl (95 × 109/L). What would the nurse anticipate observing during data collection?
Bruising and petechiae
A client with human immunodeficiency virus (HIV) infection is preparing for discharge from the hospital when he reports to a nurse that he continually feels weak. How should the nurse intervene?
Explain to the client that he should schedule periods of rest throughout the day.
When conducting an information session for a group of clients with genital herpes which medication information should the nurse include?
acyclovir
A nurse is caring for newly admitted client diagnosed with a fever 5 days after a chemotherapy treatment. Which diagnostic study should the nurse anticipate to be ordered initially? Select all that apply.
complete blood count chest X -Ray urine culture throat culture
A multidisciplinary oncology team of physicians, nurses, and the social worker notes that a client who has been undergoing chemotherapy is now experiencing pancytopenia. When reviewing the laboratory data, which values support this diagnosis? Select all that apply.
decreased platelets decreased white blood cells decreased red blood cells
While obtaining a health history, the nurse learns that the client is allergic to bee stings. When obtaining this client's medication history, the nurse should determine if the client keeps which medication on hand?
diphenhydramine hydrochloride
The nurse is caring for a client receiving chemotherapy. Which should the nurse consider the priority?
nutrition
The nurse is reinforcing teaching instructions to a client with trigeminal neuralgia on how to minimize pain episodes. Which comments by the client would indicate correct understanding of instructions? Select all that apply.
"I'll drink fluids at room temperature." "I'll chew food on the unaffected side." "I'll perform mouth care after meals."
For a client with an exacerbation of rheumatoid arthritis, the physician prescribes the corticosteroid prednisone. When caring for this client, the nurse should monitor for which adverse drug reactions?
Increased weight, hypertension, and insomnia
A licensed practical nurse (LPN) is coassigned with a registered nurse (RN) for the care of a client with hemophilia. The physician prescribes a blood transfusion for this client. Which task associated with blood transfusion is the responsibility of the LPN?
Monitoring the client during the transfusion
Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. The nurse suspects abnormal orthostatic changes. The vital sign values that would most support the nurse's suspicions are:
drop in blood pressure and rise in heart rate.
A nurse is caring for a client newly diagnosed with Human Immunodeficiency Virus (HIV). Which action by the nurse violates the client's confidentiality?
sharing the client's information with the clergy who is visiting with the client
When reinforcing education to parents about preventing nutritional iron deficiency, the nurse should emphasize which foods are significant sources of dietary iron? Select all that apply.
peas spinach dried fruits
A child is seeing the health care provider for bone and joint pain. Which other signs and symptoms may suggest leukemia?
petechiae
Which nursing diagnosis should the nurse expect to see in a plan of care for a client in sickle cell crisis?
Acute pain related to sickle cell crisis
A 40-year-old client with mild dementia related to end-stage acquired immunodeficiency syndrome (AIDS) is preparing for discharge. She has decided against further curative treatment. Before discharge, she develops ocular cytomegalovirus (CMV). Her physician recommends treatment with a ganciclovir-impregnated implant, which requires a surgical procedure. The client's husband feels the implant won't help the client and asks the nurse if the implant will cure CMV. Which response best answers the husband's question while promoting client advocacy?
"The implant won't cure the virus, but it may help preserve her vision. If she can't see you or her surroundings, it may worsen her dementia and make caring for her at home more difficult."
Which nursing intervention takes priority for a client infected with Pneumocystis carinii pneumonia?
Auscultating breath sounds
The nurse is caring for a client who has been newly diagnosed with systemic lupus erythematosus (SLE). Which information should be included when the nurse is assisting with the teaching plan that focuses on home care? Select all that apply.
Avoid exposure to sunlight. Keep exercise to a minimal level. Avoid over-the-counter (OTC) medications unless approved by the health care provider. Take rest periods as needed.
A nurse is assigned to a client experiencing Stage 3 hypovolemic shock. Which findings should the nurse expect to notice?
BP 87/58 mm Hg, HR 123, urine output of 20 ml/hour, clammy skin
A 33-year-old client who tested positive for the human immunodeficiency virus (HIV) is admitted to the medical unit with pancreatitis. A nurse director from another unit comes into the medical unit nurses' station and begins reading the client's chart. The staff nurse questions the director, who says that the client is her neighbor's son. What should the nurse do to protect the client's right to privacy?
Inform the nurse director that she's violating the client's right to privacy and ask her to return the chart.
A nurse is preparing a teaching plan for a client with sickle cell disease. She includes periods of rest in her plan. Why is this point important to include?
Rest relieves stress, which may precipitate sickle cell crisis.
A child is admitted to the hospital for an asthma exacerbation. The nursing history reveals this client was exposed to chickenpox 1 week ago. When would this client require isolation if he or she were to remain hospitalized?
immediate isolation is required
Two days after a client undergoes splenectomy, a nurse changes his abdominal dressings according to the physician's order. How should the nurse proceed with the dressing change?
Remove the soiled dressings using clean gloves.
Which aspect is most important for successful management of the child with Reye syndrome?
early diagnosis
A child with hemophilia is hospitalized with bleeding into the knee. Which action should the nurse take first?
elevate the affected part
A nurse is reinforcing discharge instructions to a client after treatment for a severe allergic reaction from a bee sting. What instructions should the nurse include? Select all that apply.
fill the prescription for injectable epinephrine to carry with you obtain diphenhydramine to take following a bee sting
A client is receiving the drug epoetin alfa. Which findings would indicate the effectiveness of the drug?
increase in red blood cells
The nurse is reinforcing education for a client who has hemorrhagic cystitis caused by bladder irritation from chemotherapeutic medications. Which suggestion can the nurse make to prevent this occurance?
increasing fluid intake
Which nursing action is most important to decrease the risk of postoperative complications in a child with sickle cell anemia?
increasing fluids
During the admission process, the nurse evaluates a client with rheumatoid arthritis. To assess for the most obvious disease manifestations first, the nurse checks for:
joint abnormalities.
A client with allergic rhinitis is prescribed loratadine (Claritin). On a follow-up visit, the client tells the nurse, "I take one 10-mg tablet of Claritin with a glass of water two times daily." The nurse concludes that the client requires additional teaching about this medication because:
loratadine should be taken once daily for allergic rhinitis.
When caring for a child with sickle cell anemia in vaso-occlusive crisis, what does the nurse identify as the priority nursing intervention?
manage pain
A client with human immunodeficiency virus (HIV) experiences frequent bouts of diarrhea. The nurse determines dietary teaching is effective when the client states which food to avoid?
milk
An anxious client is brought to the walk in clinic with difficulty breathing following a bee sting. Which of the following is the nurse's priority action?
monitor the client's airway
Parents of a child with Kawasaki disease should be taught the importance of keeping follow-up appointments to monitor and prevent which complication?
myocardial infarction
A nurse in a family health clinic is caring for a client with anemia. What education does the nurse reinforce?
needs to have activities spaced to allow for rest periods
A client who is receiving a unit of packed red blood cells reports nausea, chills, and itching. Which nursing interventions are most important? Select all that apply.
notify the healthcare provider. obtain the client's vital signs stop the transfusion notify the blood bank
The nurse is caring for a client with pneumonia. The health care provider orders 600 mg of ceftriaxone oral suspension to be given once per day. The medication label indicates that the strength is 125 mg/5 mL. How many milliliters of medication should the nurse administer? Record your answer using a whole number.
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