A child with osteomyelitis asks the nurse, "What is a ‘sed' rate?" What is the best response for the nurse?
a. "It tells us how you are responding to the treatment.".
b. "It tells us what type of antibiotic you need.".
c. "It tells us whether we need to immobilize your extremity.".
d. "It tells us how your nerves and muscles are doing.".
A
The erythrocyte sedimentation rate (ESR) indicates the presence of inflammation and infectious process and is one of the best indicators of the child's response to treatment. Although the ESR indirectly identifies whether an antibiotic is needed, the organism involved dictates the type of antibiotic and the length of treatment. The ESR does not direct whether the extremity will be immobilized and will not evaluate neuromuscular status.
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The overall temperature in your gerontological unit is 62° F during the evening shift. In documenting this concern to administration, which factor is the most important for the health and well-being of older adults?
a. It is not fair for older adults to have to deal with an uncomfortable environment. b. Some of the residents are wearing blankets around their shoulders to keep warm. c. An ambient temperature of 62° F is unsuitable for older people because they have impaired thermoregulation. d. It feels much warmer in the administration wing than out in the client care areas.
A newly admitted homeless client diagnosed with schizophrenia states, "I have been living in a cardboard box for two weeks. Why did the government let me down?" Which is an appropriate nursing response?
1. "Your discharge from the state hospital was done prematurely. Had you remained in the state hospital longer, you would not be homeless." 2. "Your premature discharge from the state hospital was not intended for patients diagnosed with chronic schizophrenia." 3. "Your discharge from the state hospital was based on firm principles; however, the resources were not available to make the transition a success." 4. "Your discharge from the state hospital was based on presumed family support, and this was not forthcoming."
Which of the following assessment findings would indicate to the nurse that the patient has an altered blood supply to the right coronary artery affecting the posterior wall of the myocardium?
1. Hyperacute T waves in aVF 2. CK-MB of 4 percent 3. cTnT of 0.0 mcg/L 4. ST segment depression in V1 and V2
In a proportion using ratios, units can be canceled only when they are found in the same part of each of
the ratios. Indicate whether the statement is true or false