The home care nurse is assessing the client receiving antibiotic therapy in the home for infective endocarditis. Which of the following clinical manifestations requires re-evaluation of the treatment regimen?
A. Fever
B. Fingernail clubbing
C. Resolving petechiae
D. Pulse pressure of 36 mm Hg
A
Persistent or new fever in a client receiving antibiotic therapy for infective endocarditis may in-dicate inappropriate or ineffective therapy.
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A health care organization has provided intensive education to staff regarding benefits and correct methods of delegation
Why has the organization spent the time and money to sponsor these sessions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Good delegation helps to reduce overtime. 2. Absences decrease when delegation is used correctly. 3. Delegation is required by state boards of nursing. 4. Patient satisfaction scores increase when care is efficient and effective. 5. Good delegation increases productivity.
The parent of an adolescent with schizophrenia asks the nurse, "My child's doctor ordered a PET. What kind of test is that?" Select the nurse's best reply
a. "This test uses a magnetic field and gamma waves to identify problem areas in the brain. Does your teenager have any metal implants?" b. "PET means positron-emission tomography. An injection is given and images are taken. It shows blood flow and activity in the brain." c. "A PET scan passes an electrical current through the brain and shows brain-wave activity. It can help diagnose seizures." d. "It's a special type of x-ray that shows structures of the brain and whether there has ever been a brain injury."
The statement relating to conceptions of self that will help a nurse accurately assess culturally
diverse clients and plan care is a. The Western conception of self is the ego, the aspect of personality that mediates demands of the id, the superego, and the environment. The definition of self in the interdependent worldview tradition is described as a web of relationships and expectations of the hierarchical group. b. The conception of self of indigenous peoples is an unbounded ego interacting primarily with family. The Western self is defined in the context of collective family genealogy traced from male lineage over centuries. c. The Western worldview views self as being independent and isolated from family and community. The Eastern worldview defines self in terms of the relationship with all of nature. d. The Eastern worldview sees self as independent of family and social relationships, with little emphasis on duty. Western tradition views self as interdependent, interrelated, and connected with all ancestors and community.
A patient is experiencing respiratory insufficiency and cannot maintain spontaneous respirations. The nurse suspects that the physician will perform or insert which of the following airway management techniques or devices?
A) Oropharyngeal airway B) Jaw thrust maneuver C) Endotracheal intubation D) Cricothyroidotomy