The nurse caring for several clients with mycobacterium infections on a medical unit monitors which clients for atypical mycobacterial infections (AMIs)?
Standard Text: Select all that apply.
1. A client with tuberculosis
2. A client with HIV
3. A client with leprosy
4. A client who is post-transplant
5. A client with leukemia
Correct Answer: 2,4,5
Rationale 1: A client with tuberculosis is not considered to be at risk for an atypical mycobacterial infection.
Rationale 2: A client with HIV is considered to be at risk for an atypical mycobacterial infection.
Rationale 3: A client with leprosy is not considered to be at risk for an atypical mycobacterial infection.
Rationale 4: A client who is post-transplant is considered to have an atypical mycobacterial infection.
Rationale 5: A client with leukemia is considered to have an atypical mycobacterial infection.
Global Rationale: Nontuberculosis diseases caused by mycobacteria are known as atypical mycobacterial infections (AMIs). These are considered opportunistic infections because they most often appear in people with compromised immune defenses, such as those with HIV, leukemia, or who are post-transplant. Clients with tuberculosis or leprosy are not at such high a risk.
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A hospital is experiencing a high nursing turnover rate. One manager suggests offering sign-on bonuses to fill positions
Why would the nurse executive veto this suggestion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Sign-on bonuses only attract newly licensed nurses. 2. The bonus schedule adversely impacts the current salary schedule. 3. Current nurses can be discouraged by this program. 4. Sign-on bonuses do not recognize achievement and loyalty. 5. Sign-on bonuses do not attract enough nurses to make it worth the time to set them up and advertise them.
Because the patient is hypovolemic, the nurse anticipates that treatment will be focused on:
1. extracellular fluid deficit, limit drinking water. 2. hypertonic intracellular deficit, limit water intake. 3. extracellular fluid deficit, encourage fluid intake. 4. circulatory system hormone deficit, limit water intake.
An older adult client is prescribed furosemide (Lasix) for control of hypertension. What client education does the nurse provide? (Select all that apply.)
a. "Confusion can occur when taking this medication." b. "Drink at least 3 liters of water every day." c. "Arise slowly from a chair or from your bed." d. "Persistent coughing is a side effect of this drug." e. "You should eat foods high in potassium."
The implementation of the use of clinical pathways in hospitals had what effect on current nursing practice?
A) Decreased the autonomy of nurses in practice B) Increased the variance of care in nursing practice C) Increased the complexity of nursing care D) Decreased the individualization of nursing care plans