Clostridium difficile infection has been moving through an extended-care facility, and several of the elderly residents have been experiencing severe diarrhea
One particularly sick resident has told the nurse that he is now experiencing extreme fatigue and muscle cramps and that his heart feels like it occasionally "skips a beat." The nurse should facilitate a stat assessment of this resident's:
A) Potassium levels
B) Calcium levels
C) Cardiac biomarkers
D) Hemoglobin and hematocrit
A
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The nurse is caring for a baby whose fetal circulation did not properly transition for extrauterine life, indicated by:
1. Open foramen ovale. 2. Closed ductus arteriosus. 3. Blood flowing to the lungs through the pulmonary artery. 4. Blood returning to the heart through the pulmonary artery.
A pregnant patient with tuberculosis asks the nurse how the disease will affect her pregnancy and her newborn. What statements by the nurse are most appropriate? (Select all that apply.)
a. "You have nothing to worry about. You will be disease free before you deliver." b. "The tuberculosis can be transmitted to the fetus in rare occurrences." c. "Your newborn will be tested for tuberculosis after delivery." d. "There is no approved treatment for the infant if she tests positive for the disease." e. "You will not be able to hold your newborn until you have been cleared according to the health department guidelines."
Using Freud's personality theory, the nurse recognizes a strong ego when a patient:
a. laughs at himself for being foolish. b. continually boasts of his accomplishments. c. apologizes continually. d. insists that the TV channel stay tuned to CNN.
A patient who has severe refractory psoriasis on the face, neck, and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?
a. Discuss the possibility of enrolling in a worker-retraining program. b. Encourage the patient to volunteer to work on community projects. c. Suggest that the patient use cosmetics to cover the psoriatic lesions. d. Ask the patient to describe the impact of psoriasis on quality of life.