A patient admitted with a gastrointestinal infection tells the nurse that she started to feel sick a few days after visiting with out-of-town family. Which of the following should the nurse ask this patient?
1. Were any family members sick or recovering from a similar illness?
2. How often do you wash your hands?
3. Did you eat your meals at home or in public places?
4. Do you have a history of stomach ulcers?
Were any family members sick or recovering from a similar illness?
Rationale: The nurse should ask if there were any other family members sick or recovering from a similar illness. Within the chain of infection, a causative agent or microorganism must exist in order for infection to occur. The organism must have a reservoir. Human reservoirs can be carriers or people who do not have the infection but carry the microorganism. People can be in a period of incubation, have a subclinical infection, be recovering from an infection, or be chronic carriers of the infection. Although important, hand washing and location of eating meals would not help find the source of the infection. Having a history of stomach ulcers may or may not help identify the cause of the infection.
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A nurse is caring for a client who has chronic emphysema and is receiving oxygen therapy at 6 L/min via nasal cannula. The following clinical data are available:
Arterial Blood Gases Vital Signs pH = 7.28 Pulse rate = 96 beats/min PaO2 = 85 mm Hg Blood pressure = 135/45 PaCO2 = 55 mm Hg Respiratory rate = 6 breaths/min HCO3- = 26 mEq/L O2 saturation = 88% Which action should the nurse take first? a. Notify the Rapid Response Team and provide ventilation support. b. Change the nasal cannula to a mask and reassess in 10 minutes. c. Place the client in Fowler's position if he or she is able to tolerate it. d. Decrease the flow rate of oxygen to 2 to 4 L/min, and reassess.
A patient is admitted to the emergency department with complaints that indicate possible retinal detachment. Which nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Contact the health care provider immediately. 2. Record what the patient has eaten today and the time of consumption. 3. Ask the patient to bear down to see if there are changes in vision. 4. Give the patient oral pain medications as ordered. 5. Keep the patient as quiet as possible.
The nurse has an adequate understanding of the informatics nurse (IN) and informatics nurse specialist (INS) when making which of the following statements?
a. "The IN/INS does not require any com-puter or network knowledge on entry into the profession.". b. "The IN/INS does not interact directly with clinical staff.". c. ""The IN/INS does not need prior know-ledge of software or hardware implemen-tation.". d. "The IN/INS should be prepared to help with system implementation.".
Which of the following should make the nurse suspect a biological event? (Select all that apply.)
a. Large numbers of ill persons with unexplained similar symptoms b. Unexplained deaths among young and healthy populations c. A patient population with symptoms suggestive of a common agent d. An unusual geographical pattern associated with the symptoms