A client has been admitted for the second time to treat tuberculosis (TB). Which referral does the nurse initiate as a priority?
a. Social worker to see if the client can af-ford the medications
b. Visiting nurses to arrange directly ob-served therapy on dismissal
c. Psychiatric nurse liaison to assess reasons for noncompliance
d. Infection control nurse to arrange testing for drug resistance
B
The client has a risk of noncompliance as evidenced by the second admission to treat TB. When the client is dismissed, he or she most likely will need to be placed on directly observed therapy to ensure compliance. The other referrals may be appropriate depending on the client's needs.
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After an institutional project has been developed, the next step is to conduct a pilot study (a trial study). Based on the Iowa Model, which step would identify the success or failure of a pilot study?
A) Developing an evaluation plan B) Measuring client outcomes prior to implementation C) Training relevant staff in the use of the new guideline D) Evaluating the project in terms of both the process and the outcomes
Which laboratory findings are found in thyroid disease?
a. Elevated red blood cell count b. Reduced free T4 index c. Decreased TSH d. Elevated phosphorus
Which client is at highest risk of compromised immunity?
a. Client who has just had surgery b. Client with extreme anxiety c. Client who is awaiting surgery d. Client who just delivered a baby
In what ways do changes in oxygen concentration affect acid-base balance?
A. Oxygen deficiency results in increased carbon dioxide production and acidosis. B. Oxygen deficiency results in increased carbon dioxide production and alkalosis. C. Oxygen excess results in decreased carbon dioxide production and acidosis. D. Oxygen excess results in decreased carbon dioxide production and alkalosis.