A nurse is caring for a patient who has gastrointestinal bleeding. Which of the following actions should the nurse take first?
Assess orthostatic blood pressure.
Administer pain medication.
Explain the procedure for an upper gastrointestinal series.
Test the patient’s emesis for blood.
The Correct Answer is A
The first action the nurse should take when caring for a patient with gastrointestinal bleeding is to assess orthostatic blood pressure. This can help determine the extent of the patient’s blood loss and whether they are experiencing hypovolemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Amoxicillin-clavulanate is a type of antibiotic that falls under the class of penicillin antibiotics. If a patient is allergic to penicillin, they should not take amoxicillin as it belongs to the penicillin class of antibiotics and must be avoided. Therefore, if a nurse is caring for a child who is allergic to penicillin, they should verify a prescription for amoxicillin-clavulanate with the provider.
Choice B rationale
Gentamicin is an aminoglycoside antibiotic, not a penicillin antibiotic. Therefore, it is generally safe for use in patients with a penicillin allergy.
Choice C rationale
Erythromycin is a macrolide antibiotic, not a penicillin antibiotic. Therefore, it is generally safe for use in patients with a penicillin allergy.
Choice D rationale
Amphotericin B is an antifungal medication, not an antibiotic. Therefore, it is generally safe for use in patients with a penicillin allergy.
Correct Answer is ["120"]
Explanation
The correct answer is 120 gtt/min.
Step 1 is to convert the infusion rate from mL/hr to mL/min: 120 mL/hr ÷ 60 min/hr = 2 mL/min.
Step 2 is to multiply the mL/min rate by the drop factor to find the gtt/min rate: 2 mL/min × 60 gtt/mL = 120 gtt/min.
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