The physician has ordered amoxicillin (Amoxil) for a client with a sinus infection. Before administering the medication, the nurse should ask the client if he is allergic to:
- A. Codeine
- B. Aspirin
- C. Penicillin
- D. Sulfa drugs
Correct Answer: C
Rationale: Penicillin allergy must be assessed before amoxicillin, a penicillin derivative, to prevent anaphylaxis in a sinus infection client codeine, aspirin, and sulfa aren't related. Nurses confirm allergies, ensuring safe antibiotic administration, critical for infection resolution without adverse reactions.
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This is characterized by severe symptoms relatively of short duration.
- A. Chronic Illness
- B. Acute Illness
- C. Pain
- D. Syndrome
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is being assessed for dehydration. Which of the following findings should the nurse expect?
- A. Elevated blood pressure
- B. Increased skin turgor
- C. Dark-colored urine
- D. Bradypnea
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following Nursing diagnosis is INCORRECT?
- A. Fluid volume deficit R/T Diarrhea
- B. High risk for injury R/T Absence of side rails
- C. Possible ineffective coping R/T Loss of loved one
- D. Self esteem disturbance R/T Effects of surgical removal of the leg
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which position should the nurse use for a patient who is immobile to promote lung expansion and prevent respiratory complications?
- A. Supine position with the head of the bed elevated
- B. Prone position with the head turned to the side
- C. Lateral position with the affected side down
- D. Semi-Fowler's position with the knees slightly flexed
Correct Answer: D
Rationale: Semi-Fowler's position with knees flexed promotes lung expansion in immobile patients by easing diaphragm movement, reducing respiratory complication risks like pneumonia. Supine restricts breathing, prone is impractical, and lateral may compress lungs. Nurses adopt this to optimize oxygenation, supporting recovery and comfort in those unable to shift positions independently.
A nurse is caring for a client receiving oxygen therapy through a transtracheal catheter. What is an important nursing consideration for this client?
- A. Ensuring the catheter is placed in the client's nostrils
- B. Assessing the client's respiratory rate every 15 minutes
- C. Monitoring the oxygen flow rate continuously
- D. Monitoring the client for signs of oxygen toxicity
Correct Answer: D
Rationale: Monitoring for oxygen toxicity (D) is critical with a transtracheal catheter, as high oxygen delivery directly to the trachea risks lung damage or neurological symptoms. Nasal placement (A) is incorrect transtracheal is tracheal. Q15min RR (B) is excessive. Continuous flow checks (C) are routine. Toxicity monitoring, per respiratory standards, ensures safe long-term use.
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