37.  The nurse is caring for a patient who presents to the emergency department with reports of having hives earlier, and now is noted to be short of breath with noted cyanosis, pallor and stridor. Which of the following physician’s orders is priority?

 The nurse recommends to the busy mother of three that the antihistamine fexofenadine (Allegra) would be more beneficial than diphenhydramine (Benadryl) because Allegra:

20.  The nurse is passing medications at the skilled nursing facility. Several patients are receiving antimicrobial therapy. Prior to the med pass the nurse reviews information regarding the different classifications of these medications. The nurse will evaluate patients receiving which of the following for symptoms of photosensitivity?

12.  The nurse is caring for a client with HIV who continues to decline physically and mentally. The nurse recalls that the progression of HIV infection to AIDS is based on which of the following CDC criterion?

30.  The nurse receives an order to administer Rocephin 1G IM X 1 now. The manufacturer’s instructions include reconstituting the powder with 1% lidocaine. Which of the following reasons would warrant the mixing of the medication this way?

29. Review the scenario below: Which of the following actions would the nurse anticipate: Orders Labs Nurse Note IV 0.9% NACL @ 100 mL/ HR Vancomycin 500 mg/250 mL every 6 hours IVPB Rocephin 1 gram IV piggy back every 12 hours ibuprofen 400 mg by mouth every 6 hours as needed for pain Vital Signs Q 4 hours Diet as tolerated Wound care to LLE twice daily-cleanse with wound cleanse, pat dry, cover with sterile 4x4s and secure with Tegaderm.  Foley to drainage bag Strict I&O Daily Weight Ambulate with assist Up in chair TID for meals   CBC:  WBC 15,700 RBC 3.7 Hgb 11.5 HCT 37.9 PLT 268,000 neutrophils 47% Lymphs 46% Monocytes  6% EOS 1% Basos 0 % CMP: BUN 24 mg/dL Creatinine 1.5 mg/dL Na+ 132 mmol/L K+ 3.3  mmol/L Chloride 96 mmol/L Calcium 8.9 mg/dL   0610: Client resting in bed, responds to verbal stimulus, alert and oriented to time, place and situation. IV site to LEFT forearm patent, infusing NS @ 100mL/hr via pump, without redness or edema at site. Denies complaints of tenderness.  Dressing to Left lower leg dry/intact. Skin warm and dry. Extremities with 3+ cap refill, dorsalis pedis pulses palp and equal bilat.  Abdomen soft, non-tender. Bowel sounds hyperactive x 4 quads. Last BM reported by patient this morning was watery, large amount with a foul odor. Complains of abdominal cramping and nausea. Oral cavity without redness/lesions.  Foley intact, patent and draining clear, pink tinged urine. . Bladder non distended.   requests antidiarrheal at this time. Will continue to monitor. 

A nurse is caring for a child who is allergic to penicillin. Which of the following medications should the nurse identify as contraindicated for the child? 

A nurse is preparing to administer immunizations to a child who has an allergy to eggs. The nurse should know that an allergy to eggs is a contraindication for which of the following immunizations?

45.  The nurse is planning an information session on immunity and immunizations with a group of seniors at the county senior center. The nurse recalls the following are effects on the normal aging system:  Select all that apply.

1.  Immediately after the nurse administers an intradermal injection of a suspected antigen during allergy testing, the patient complains of itching at the site, weakness, and dizziness. Which action by the nurse is most appropriate initially?