The nurse is administering an IV chemotherapeutic agent to a child with leukemia. The child suddenly begins to wheeze and have severe urticaria. Which is the most appropriate nursing action?

A) Stop drug infusion immediately.
B) Recheck rate of drug infusion.
C) Observe child closely for next 10 minutes.
D) Explain to child that this is an expected side effect.

Why do employees who are involuntarily separated file unemployment claims?

The nurse in the intensive care unit enters her patient's room and observes the patient is experiencing a seizure.What are the most appropriate interventions by the nurse? Select all that apply.

A) Insert a padded tongue depressor in the patient's mouth.
B) Turn the patient to his side.
C) Restrain the patient to control his jerking movements.
D) Loosen any restrictive clothing.
E) Pad the siderails of the patient's bed.

When caring for the child with Kawasaki disease, the nurse should know which information?

A) A child's fever is usually responsive to antibiotics within 48 hours.
B) The principal area of involvement is the joints.
C) Aspirin is contraindicated.
D) Therapeutic management includes administration of gamma globulin and aspirin.

The nurse evaluates that an expected outcome for analysis of gastric secretions is:

A) inability of the patient to discuss the rationale for the test.
B) negative occult blood.
C) the presence of clumps or clots.
D) the presence of brown,"coffee-ground" secretions.

A patient experiencing psychosis became aggressive, struck another patient, and required seclusion. Select the best documentation.

A) Patient struck another patient who attempted to leave day room to go to bathroom. Seclusion necessary at 1415. Plan: Maintain seclusion for 8 hours and keep these two patients away from each other for 24 hours.
B) Seclusion ordered by physician at 1415 after command hallucinations told the patient to hit another patient. Careful monitoring of patient maintained during period of seclusion.
C) Seclusion ordered by MD for aggressive behavior. Begun at 1415. Maintained for 2 hours without incident.
D) Patient pacing, shouting. Haloperidol 5 mg given PO at 1300. No effect by 1315. At 1415 patient yelled, “I’ll punch anyone who gets near me,” and struck another patient with fist. Physically placed in seclusion at 1420. Seclusion order obtained from MD at 1430.