The nurse is planning care for a client. Which intervention would be appropriate to reduce the risk of infection?
1. Assess vital signs only once daily.
2. Raise the temperature in the client's room.
3. Wash hands.
4. Wear a mask for all client care.
Correct Answer: 3
Rationale 1: Assessing vital signs is important but should occur more frequently than once daily.
Rationale 2: Raising the temperature in a client's room would contribute to the growth of microorganisms.
Rationale 3: Washing hands is always the first and best way to stop the spread of microorganisms, which cause infections.
Rationale 4: Wearing a mask for all clients is not practical and is unnecessary unless a microorganism is airborne and the client is in isolation.
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The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. The behavior consistent with this diagnosis is the patient:
a. talks excitedly about going home. b. suspiciously watches the staff. c. stands on one foot for 15 minutes. d. states he has a cat under his bed that talks to him.
A child, age 10 years, has a neuroblastoma and is in the hospital for additional chemotherapy treatments. What laboratory values are most likely this child's
a. White blood cell count, 17,000/mm3; hemoglobin, 15 g/dl b. White blood cell count, 3,000/mm3; hemoglobin, 11.5 g/dl c. Platelets, 450,000/mm3; hemoglobin, 12 g/dl d. White blood cell count, 10,000/mm3; platelets, 175,000/mm3
Which is an example of an actual diagnosis?
a. Risk for Impaired Skin Integrity Related to Inability to Change Positions b. Potential for Enhanced Nutrition c. Fluid Volume Deficit Related to Nausea and Vomiting d. Risk for Infection Related to Indwelling Urinary Catheter
Gould's theory of transformation in adults included which developmental phase for those ages 50 to 60?
A) challenging false assumptions B) accepting life is neither simple nor controllable C) having increased self-approval and acceptance D) questioning self and values