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By Dorothy Daniels, ©1964 Cover illustration by Lou Marchetti Carol Allison, R.N. hid a dark secret out of her past from her friends at the World’s Fair. But her more immediate problem was Tina, the delicate ballerina at the Fair who had an incurable heart condition. Carol warned her that if she danced, she risked death. Yet Tina refused to quit, and threatened to reveal Carol’s secret if she went to the authorities. Standing by Carol were the two men who loved her. Each man knew that only one would win Carol, yet they both worked to clear her name. But it was Carol alone who had to choose between saving the life of the dancer or her own nursing career. GRADE: C- BEST QUOTES: “I’m Dick Walden. You will address me as Doctor when any patients are around and I’ll give sharp orders to show what a fine medical man I am. Otherwise, I cotton well to Dick.” “She’s better looking than a spanking new electrocardiograph machine, Jane. And much more fun.” “I want you back here. Not only because you dress up the scenery so well, but because you’re so capable.” REVIEW: Nurse Carol Allison finished her RN training, but then decided to continue her studies with a baccalaureate degree in nursing as well. Always a top student, she earned the college’s first perfect store on her final exam—but what does she get for her hard work? A hearty handshake? A job offer? No—it’s a blank piece of paper where her diploma ought to have been, because a shred of a stolen answer key was found under her chair, so she’s accused of cheating, and the school board is launching an investigation, but who knows when that’s going to be finished? While she’s waiting for her lawyer fiancé Marty to finish working on that important case that keeps him too busy to answer her calls, she takes a job at—you guessed it—the World’s Fair in New York City. There she works alongside Dr. Dick Walden, who from the get-go says way too many creepy things like, “You’re very attractive, know that? I hope it’s Miss Allison,” and, “Not next year. We’ll probably be married by then.” And this is just on the first day they meet. The problem with a lot of these plots of false accusation is that the alleged crime and the ensuing drama is just completely overdone, and this book is no exception. The hysteria is heightened by the fact that the fair’s prima ballerina (and it’s always spelled like that in the book, in italics), Tina, has a congenital heart condition that no one has diagnosed through many years of arduous training except Carol, and if she tells anyone about it, Tina’s evil manager will expose the cheating allegation and Carol will never work again—Never!!—but if she doesn’t tell, Tina will drop dead on the opening night of “Woodsmen’s Legend.” Oh, what to do, what to do? Well, we’ll spend about 80 pages watching Carol worry, not to mention step seriously outside her scope of practice by administering IV papaverine and oxygen when Tina has a cardiac crisis during practice. In the meantime, Dr. Dick is putting his alarming moves on, and Carol, who might ace her final but is not smart enough to work out this situation, is also not smart enough to recognize sexual harassment and seems to be going for Dick, even though Marty appears to be a fairly stand-up guy, a novelty in VNRN fiancés. There’s really not much more to tell about the story, and the ending will surprise exactly no one. Everyone is perfunctorily disposed of, some in ways that seem startlingly out of character (Marty being one of them), but let’s not quibble—the sooner everyone is paired off and Carol’s diploma and sterling reputation safely restored, the sooner we can close this profoundly insipid and stupid book—the cover art and title easily being the best things about it.

ionale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated. An abrupt rate change can alter blood glucose levels significantly. Rationale PDF nutrition p.58: don’t discontinue abruptly, must taper to prevent rebound hypoglycemia 2. A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment will give him an electric shock. Which of the following is an appropriate response by the nurse? a. The machine only senses and records electrical currents coming from your heart – pg.170 Electrocardiography uses an electrocardiograph to record the electrical activity of the heart over time. b. The lead wires and cables are insulated for your safety c. The electrode pads will prevent the conduction of electricity to your skin d. The machine voltage delivery is low enough that you won’t feel any discomfort 3. A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider about which of the following medications in the client’s medication administration record? a. Potassium chloride b. Levothyroxine c. Acetaminophen d. Metformin 4. A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective? a. Elevation in blood pressure b. Adventitious breath sounds c. Weight loss of 1.8 kg (4 lb) in the past 24 hr d. Respiratory rate of 24/min 5. Couldn't paste the picture on here. But it asked where u can hear pericardial friction rub the best at… Erb’s Point (3rd Intercostal, Central) 6. A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the nurse indicates an understanding of the teaching? a. I will increase the amount of fresh veggies b. I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash c. I will need to take my clothes to the dry cleaners to sterilize them d. I will be sure to wear gloves and wash my hands when I change my cat’s litter box 7. A nurse is performing a venipuncture on an older adult client whose veins are difficult. Which of the following actions should the nurse take? a. Apply cool compresses b. Elevate the client’s extremity using a pillow c. Tap the skin around the insertion site d. Raise the angle of the catheter to 30 degrees above the insertion site 8. A nurse is caring for a client in the ER following a myocardial infarction. which of the following actions should the nurse anticipate if the client develops asystole? a. Administer atropine b. Defibrillate with 200 joules c. Starts a continuous lidocaine infusion d. Begin CPR – first line of medical management is CPR and ACLS. 9. A nurse is caring for a client with severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock? a. Potassium 5.2 mEq/L b. Capillary refill 1.5 seconds c. Urine output 45 mL/hr d. PaCO3 37 mmHg 10. A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glasgow coma scale scores should the nurse assign the client? a. 2 b. 5 c. 10 d. 13 11. A nurse is teaching a client who has heart failure about self-management techniques. Which of the following statements by the client indicates an understanding of the teaching? a. I will keep an exercise diary b. I will take ibuprofen for mild pain c. I will expect swelling in my feet and ankle d. I will weigh myself every other day 12. A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following statements by the client indicates an understanding of the teaching a. I’ll insert the obturator after cleaning my stoma b. I’ll cut a slit in a clean gauze pad to use as a stoma dressing c. I’ll cleanse the cannula with half strength hydrogen peroxide d. I’ll remove the soiled tracheostomy ties prior to cleaning my stoma 13. A nurse is caring for a client who has a sealed radiation implant which of the following actions should the nurse take? a. Limit family member visits to 30 min per day – pg. 583 Limit visitors to 30-min visits, and have visitors maintain 6 feet distance from the source b. Give the dosimeter badge to the oncoming nurse at the end of the shift c. Apply second pair of gloves before touching the clients implant if it dislodges d. Remove soiled linens from the room after each change 14. A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect? a. WBC count 15,000/mm b. Hematocrit 35% c. Sodium 130 mg/dl d. BUN 8 mg/dl 15. A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care? a. Instruct the client to avoid lifting the right arm for 72 hr b. Check blood pressure in the right arm c. Palpate the site for thrill d. Insert a saline lock into a site 10 cm (4in) distal to the graft 16. A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen. which of the following should the nurse take first? a. Check the color of the client’s skin – Assessment first b. Prepare the client’s clothing c. Remove all the clients clothing d. Administer an opioid analgesic 17. A nurse is assessing a client who has an arteriovenous (AV) fistula in the left forearm. Which of the following findings should the nurse identify as an indication of a complication at the vascular access site? a. Presence of palpable thrill b. 2 + left radial pulse c. Absence of bruit – pg. 367 d. Dilated appearance of the AV site 18. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take? a. Decrease traction on the catheter b. Remove the indwelling urinary catheter c. Flush the catheter manually with 0.9% sodium chloride d. Administer ibuprofen 400 mg for pain relief 19. A nurse is caring for a client who has contusion of the brainstem and reports thirst. The client’s urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications? a. Desmopressin – pg.500 Desmopressin, which is a synthetic ADH, or aqueous vasopressin administered intranasally, orally, or parenterally. Results in increased water absorption from kidneys and decreased urine output. b. Epinephrine c. Furosemide d. Nitroprusside 20. A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold? a. Valproic acid b. Metformin – pg.530 c. Metoprolol d. Fluticasone Stop Metformin for 48 hr before any type of elective radiographic test with iodinated contrast dye and restart 48 hr after (can cause lactic acidosis due to acute kidney injury). 21. A nurse is preparing a client who is to undergo a thoracentesis. The nurse should place the client in which of the following positions? a. On her affected side with her head lowered b. In high-Fowler’s position with her arms at her side c. Prone position with her arms above her head d. Upright on the edge of the bed leaning over the bedside table 22. A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? a. Position the mouthpiece 2.5 cm (1in) from the mouth b. Hold breaths 3 to 5 seconds before exhaling c. Place hands on the upper abdomen during inhalation d. Exhale slowly through pursed lips 23. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a prescription for opioid analgesia. Which of the following actions should the nurse implement to help facilitate the client’s recovery? a. Provide analgesic medication prior to physical activities b. Inform the client to monitor for loose stools while taking opioid analgesia c. Withhold analgesic medication unless the client reports pain d. Administer naloxone if the client’s respiratory rate is greater than 24/min Give analgesic to relieve pain before getting involved in any physical activity 24. A nurse is preparing to assist the provider with thoracentesis for a client who has left pleural effusion. Which of the following interventions is the priority for the nurse? a. Describe the sensation the client will feel during the procedure b. Reinforce the importance of lying still during the procedure c. Administer a sedative medication d. Determine whether the client has an allergy to local anesthetics - Assessment 25. A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect? a. Decreased serum lipid levels b. Proteinuria c. Hypoalbuminemia d. Decreased coagulation