A 72-year-old patient who was admitted to the hospital for a total hip arthroplasty has developed increasing dyspnea and leukocytosis over the past 48 hours and has been diagnosed with hospital-acquired pneumonia (HAP)
The choice of antibiotic therapy for this patient will be primarily based on which of the nurse's assessments?
A) Auscultation and percussion of the patient's thorax
B) Collection of a sputum sample for submission to the hospital laboratory
C) Analysis of the patient's leukocytosis and the white blood cell (WBC) differential
D) Assessment of the patient's activities of daily living
B
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A nurse witnesses a client with late-stage Alzheimer's disease eat breakfast. Afterward the client states, "I am hungry and want breakfast." How should the nurse respond?
a. "I see you are still hungry. I will get you some toast." b. "You ate your breakfast 30 minutes ago." c. "It appears you are confused this morning." d. "Your family will be here soon. Let's get you dressed."
How does the nurse describe the cardiac action potential to a new coworker?
A) The cycle of depolarization and repolarization B) The time it takes from the firing of the sinuatrial (SA) node to the contraction of the ventricles C) The time between the contraction of the atria and the contraction of the ventricles D) The cycle of the firing of the atrioventricular (AV) node and the contraction of the myocardium
An elderly patient with multi-infarct dementia is striking out with her arms and kicking at people who walk past in the hall. The nurse determines that the patient believes she is at home and that the other patients have broken into her home
The clinical nurse specialist suggests that staff use validation. Which of the following responses reflect this intervention? a. "I'm a nurse who has come to check on you. Tell me about your home.". b. "You are in a nursing home. The others here are patients, just like you are.". c. "I wish you could be home, but you have been sick and are in a nursing home.". d. "You are not at home. This is a nursing home. It is September 10th, 2010.".
A nurse is caring for a patient on a low-fat diet. Which water-soluble vitamin should be included when planning this patient's diet?
a. Vitamin A b. Vitamin B complex c. Vitamin D d. Vitamin K