The nurse completes an admission database and explains that the ...

[Brittanyd9008]

The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient's input. The patient states, How is this different from what the doctor does?
 
  Which response would be most appropriate for the nurse to make?
  a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
  b. The nurse's job is to help the doctor by collecting information and communicating any problems that occur.
  c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer time than the doctor.
  d. In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health.

Question 2

The nurse suspects that patient who received intramuscular penicillin for treatment of secondary syphilis is developing the Jarisch-Herxheimer reaction. What information did the nurse use to make this clinical determination?
 
  Select all that apply.
 
  1. new onset of fever
  2. heart rate 112 beats per minute
  3. sudden severe abdominal cramping
  4. complaints of musculoskeletal pain
  5. administration of medication 16 hours ago

[kishoreddi]

Answer to Question 1

ANS: D

Answer to Question 2

Correct Answer: 1, 2, 4, 5
Manifestations of the Jarisch-Herxheimer reaction include fever, tachycardia, and musculoskeletal pain. The Jarisch-Herxheimer reaction generally begins within 24 hours of treatment. Sudden severe abdominal cramping is not a manifestation of this reaction.