A clinic nurse is working with an older client. What assessment is most important for preventing infections in this client?
a. Assessing vaccination records for booster shot needs
b. Encouraging the client to eat a nutritious diet
c. Instructing the client to wash minor wounds carefully
d. Teaching hand hygiene to prevent the spread of microbes
ANS: A
Older adults may have insufficient antibodies that have already been produced against microbes to which they have been exposed. Therefore, older adults need booster shots for many vaccinations they received as younger people. A nutritious diet, proper wound care, and hand hygiene are relevant for all populations.
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A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect
The nurse will explain that lovastatin lowers cholesterol levels because it A) is a hormone. B) is a bile-acid resin. C) inhibits cholesterol syntheses. D) consists of a fibric acid derivative.
An anesthesiologist completes preoperative teaching for a patient the night before surgery. The patient asks the nurse to clarify the reason methohexital [Brevital] will be given as an adjunct to the anesthetic
Which statement by the patient indicates understanding? a. "Brevital allows a larger amount of in-haled anesthetic to be used without in-creased side effects." b. "Brevital is given to enhance the analgesic and muscle relaxation effects of the in-haled anesthetic." c. "Brevital is used to produce rapid uncons-ciousness before administration of the in-haled anesthetic." d. "Brevital is used to reduce cardiovascular and respiratory depression caused by the inhaled anesthetic."
The 55-year-old female client has had two episodes of bacterial urethritis in the last 6 months. She asks her nurse why this is happening to her now. What is the nurse's best response?
A. "Your immune system becomes less effective as you age." B. "Low estrogen levels can make the tissue more susceptible to infection." C. "You should be more careful with your personal hygiene in this area." D. "It is likely that your sexual partner is traumatizing this area."
Which belief by a nurse supports the highest degree of patient advocacy during a multidisciplinary patient care planning session?
a. All mental illnesses are culturally determined. b. Schizophrenia and bipolar disorder are cross-cultural disorders. c. Symptoms of mental disorders are constant from culture to culture. d. Some symptoms of mental disorders reflect a person's cultural patterns.