Most nosocomial infections involve which of the following systems?
A) Intravascular line
B) Gastrointestinal
C) Central nervous system
D) Peripheral lines
Ans: A
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Parents have brought their 7-year-old child into the emergency room with abdominal pain. Which of the following clinical manifestations would lead the health care team to suspect the child has appendicitis? Select all that apply
A) Tenderness in right lower quadrant with palpation B) Rebound tenderness in inguinal areas with palpation C) Redness and warmth over right lower quadrant D) Bloating and flatulence noticeable E) Urine has the smell of stool with brown coloring
Which principles of assessment does the nurse use when working with hospitalized clients? (Select all that apply.)
a. Assess each client at the beginning of each shift. b. Base the frequency of assessment on client condition. c. Begin with the most seriously ill client. d. Record findings as they are assessed, not later. e. Wait for physician orders to determine the frequency of assessments.
To best address the patient's right to self-determination, which of the follow questions does the nurse ask at the time the patient is admitted to a nursing facility? (Select all that apply.)
a. "Do you understand what a living will and durable power of attorney are?" b. "If you have already prepared an advance care directive, can you provide it now?" c. "Are you prepared to discuss your end-of-life choices with the nursing staff?" d. "Have you discussed your end-of-life choices with your family or designated surrogate?" e. "Would you like help with preparing a living will or a durable power of attor-ney?"
A patient is having yellow–green sputum. The nurse realizes this type of sputum is frequently associated with which underlying problem?
1. pulmonary edema 2. acute asthma 3. pneumonia and/or tuberculosis 4. bacterial infection