A patient is admitted to the ICU with diagnosis of fever of unknown origin

The patient is complaining of fatigue, malaise, joint pain, and shivering. VS include: T 103F, HR 90 beats/min, RR 22 breaths/min, BP 132/78, and O2 sat 94% on 2L/NC. Blood cultures are ordered. The patient has a history of MI 3 months ago. The nurse suspects that the patient has developed

a. CAD.
b. heart failure.
c. endocarditis.
d. pulmonary embolus.


C
Initial symptoms include fever, sometimes accompanied by rigor (shivering), fatigue, and malaise, with up to 50% of patients complaining of myalgias and joint pain. Blood cultures are drawn during periods of elevated temperature.

Nursing

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A 22-year-old male college senior has lived with a diagnosis of Crohn's disease for several years and has undergone several courses of treatment with limited benefit

Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn's disease? A) Tositumomab plus 131I (Bexxar) B) Muromonab-CD3 (Orthoclone OKT3) C) Infliximab (Remicade) D) Eculizumab (Soliris)

Nursing

One of the implementations that the nurse could use to increase the comfort of a patient with oral hair leukoplakia is to:

1. allow aspirin to melt in the mouth and then wash out with warm water. 2. encourage warm salt water mouth rinses several times a day. 3. limit intake of ice cream and other cold foods. 4. offer fluids through a straw.

Nursing

A client had chest surgery this morning and has a chest tube attached to a closed-chest drainage system. When the nurse notes no tidaling of fluid, the nurse would first

a. attach the system to suction. b. milk the chest tube. c. notify the physician immediately. d. reposition the client.

Nursing

The client asks the nurse when she may resume exercising. The nurse's best response would be:

A) "If you do not experience pain, there are no restrictions to exercise." B) "You should wait two weeks before beginning any exercise program." C) "Abdominal exercises will help the uterus return to its former size and shape." D) "You can begin walking any time after delivery."

Nursing