As the home care nurse, you observe oral candidiasis in the client with severe, chronic, airflow limitation. What information should you obtain from this client?
A. "How often are you using your steroid inhaler?"
B. "Have you had a cold or other viral infection lately?"
C. "When was the last time the oxygen tank was changed?"
D. "Do you share a toothbrush with any members of your family?"
A
Excessive use of steroid inhalers reduces local immune function and increases the client's risk for oral-pharyngeal infections, including candidiasis.
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A patient with an intracapsular fracture of the left femur is placed in Buck's traction before surgery for a hip replacement. The patient asks why traction is necessary when surgery is planned. The nurse's response to the patient is based on the knowledge that traction
a. will help prevent flexion contractures of the affected hip. b. is necessary to prevent displacement of the fracture. c. will decrease the incidence of painful muscle spasms d. is used to maintain the leg in the external rotation position.
The nurse is interviewing the caregivers of a child admitted with a diagnosis of type 1 diabetes mellitus. The caregiver states, "The teacher tells us that our child has to use the restroom many more times a day than other students do." The caregiver's statement indicates the child most likely has:
What will be an ideal response?
Which statement expresses accurately the genetic implications of cystic fibrosis (CF)?
a. If it is present in a child, both parents are carriers of this defective gene. b. It is inherited as an autosomal dominant trait. c. It is a genetic defect found primarily in non-Caucasian population groups. d. There is a 50% chance that siblings of an affected child also will be affected.
When discussing safety measures for the home environment, the nurse reminds the client to:
A. Set the hot water heater to only 160° F B. Turn on the cold water faucet first C. Use small throw rugs on slippery wood floors D. Put high-wattage bulbs into all of the lamps