The nurse is planning the care for a patient at risk for developing an infection because of an interruption in the intestinal mucosa. Which of the following disease processes would exacerbate this risk?
1. congestive heart failure
2. diabetes mellitus
3. trauma
4. hypertension
3
Rationale: Risk factors for disruption of intestinal mucosa include shock, trauma, intestinal obstruction, protein malnutrition, and total parenteral nutrition. Congestive heart failure, diabetes mellitus, and hypertension are not known to cause an interruption in the intestinal mucosa.
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A multisystem healthcare organization is transitioning from an electronic medical record to a clinical information system. What should the informatics nurse recommend to improve nursing's presence and participation in the collection of big data?
A) Improving input screen design B) Including standardized nursing language C) Streamlining entry of routine measurements D) Increasing the number of standardized care plans
The parents of a newborn baby girl are very worried because they noticed a few drops of blood on the baby's diaper. The nurse explains that female newborns commonly have a small amount of bleeding from the:
A. vagina as a result of the rupture of capillaries from the pressure of labor and deli-very. B. vagina as a result of a sudden drop in hormone levels. C. rectum as a result of meconium irritating the intestinal mucosa. D. rectum as a result of the rupture of small capillaries from the pressure of labor and delivery.
A client with narcolepsy is being treated with modafinil (Provigil). The nurse anticipates which expected response from the drug?
a. An increase in the amount of time the client feels awake b. Increased effectiveness when given primarily after the evening meal c. Sleep induction d. Sleep paralysis if taken at bedtime
The nurse is assessing the social support of a patient who is recently divorced and has moved from their hometown to the city due to change in jobs. Which response related to social support would be most therapeutic?
a. Encourage the patient to begin dating again, perhaps with members of her church. b. Discuss how divorce support groups could increase coping and social support. c. Note that being so particular about potential friends reduces social contact. d. Discuss using the Internet as a way to find supportive others with similar values.