A patient is seen in the clinic for peptic ulcer disease. The nurse realizes this patient's treatment will include:
• Ways to prevent hospitalization.
• A plan to be admitted to the hospital for diagnostic testing.
• The need for a pneumococcal vaccination.
• Vaccination against hepatitis A.
Ways to prevent hospitalization.
Rationale: According to Healthy People 2010, one strategy to reduce infectious diseases and emerging antimicrobial resistance is to reduce hospitalizations caused by peptic ulcer disease in the United States. Planning to admit this patient into the hospital would not support the Healthy People 2010 strategy. There is no evidence to suggest this patient needs either a pneumococcal or hepatitis A vaccination.
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A client with high blood pressure is concerned about medication side effects and wants to try "natural" strategies to treat it. The nurse suggests:
1. Using a combination of visual imagery and music. 2. Doing nothing. 3. Sleeping. 4. Receiving massage.
A 5-year-old boy is admitted to the hospital with acute glomerulonephritis. In taking the child's history, what does the nurse recognize as the probable cause?
a. Recovery from German measles 2 months ago b. Dysuria since the previous night c. A history of allergy d. A sore throat 2 weeks ago
To assess for pronator drift, you would ask the patient to extend her arms in front of her body with palms up and observe for
a. downward drifting of an arm. c. medially rotating one hand. b. upward drifting of an arm. d. gradually leaning to one side.
A measure of a patient's ability to read, comprehend, and act on medical instructions is
1. Health literacy 2. Ethnicity 3. Medical training 4. Disparity