Which health problem does the nurse identify as being a higher risk for the patient from the Hispanic culture when compared to the general population?
A. Unintentional injuries
B. Septicemia
C. Chronic lower respiratory diseases
D. Alzheimer's disease
Answer: A
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The nurse auscultates a functional systolic murmur, grade II/IV, on a woman in week 30 of her pregnancy. The remainder of her physical assessment is within normal limits. The nurse would:
a. Consider this finding abnormal, and refer her for additional consultation. b. Ask the woman to run briefly in place and then assess for an increase in intensity of the murmur. c. Know that this finding is normal and is a result of the increase in blood volume during pregnancy. d. Ask the woman to restrict her activities and return to the clinic in 1 week for re-evaluation.
The nurse knows that an older adult client with a diagnosis of heart failure (HF) will most likely have compromised ability to perform activities of daily living upon discharge due to which of the following statements listed below?
A) The client's musculature will be dependent on aerobic metabolism. B) The client's diagnosis will have contributed to cardiac muscle atrophy. C) Intramuscular acidification will cause the client to be more easily fatigued. D) The client will have experienced a shift toward the use of slow-twitch muscle fibers.
A provider has told a parent that a 3-year-old child has a minor ear infection and that an antibiotic would be prescribed in a couple of days if the child's symptoms worsened. The parent asks the nurse why the child cannot get an antibiotic today
Which response by the nurse is cor-rect? a. "If the eardrum ruptures, we can culture the fluid to determine which antibiotic is best." b. "Most ear infections are caused by viruses, so antibiotics are not effective." c. "Most ear infections will resolve on their own without antibiotics." d. "Your child will develop tolerance to an-tibiotics if they are prescribed too often."
Which of the following would help prevent the development of multiple organ dysfunction syndrome in a patient with sepsis and an infected foot ulcer?
1. turn and reposition every 4 hours 2. good hand hygiene before applying gloves for invasive procedures 3. keep blood pressure to <100 mm Hg systolic and <50 mm Hg diastolic 4. maintain blood glucose at identified protocol level