What should a nurse focus on when assessing for major sources of infection in a patient with COPD?
a. Stasis of respiratory secretions
b. Low body weight
c. Episodes of postural hypotension
d. Delayed antigen-antibody response
A
Retained static secretions in the lungs are major sources of bacterial infiltration and infection.
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TT is a 15-year-old overweight student in to see the school nurse about weight loss. Together they examine her diet history and daily physical activity
The nurse explains that currently her intake is greater than the demand for energy, resulting in a positive energy balance. In order to lose weight a negative energy balance will have to be reached by: 1. Drinking only liquid dietary supplements for one month to change her metabolic rate. 2. Decreasing kcalorie intake and increasing physical activity to promote a slow weight loss. 3. Reducing food portions to one-half of normal and exercising daily. 4. Eating only fruits and vegetables.
The school nurse observes parents interacting with a school-aged child and notices that they do not show any affection toward the child and there is no evidence of emotional support or supervision
Later the nurse learns from the child that he must take care of all his own hygiene tasks, has to find something to eat on his own, and his parents never say anything nice about him. The nurse at this point believes that the parents are engaging in: a. physical abuse c. poor parenting b. psychological abuse d. withholding of love
The nurse is developing an ecomap for a pediatric client and family. Which explanation should the nurse provide prior to beginning this task?
1. "It provides information about your family structure including family life events, health, and illness." 2. "It illustrates your family relationships and interactions with community activities including school, parental jobs, and children's activities." 3. "It is a short questionnaire of five questions that measures your family's growth, affection, and resolve." 4. "It is an assessment that consists of three categories of information about your family's strengths and problems."
The nurse is caring for a 39-year-old client who has experienced a mild brain attack (stroke). The client is recently widowed, is very active physically, and has two young sons. The client says to the nurse, "I don't know what my sons will do if anything permanent happens to me. We have no other relatives, even on my late wife's side." Which of the following nursing responses would be therapeutic?
A. "You seem to be feeling very troubled." B. "You are working to get better, but you're worrying about things that aren't going to happen." C. "You seem to be feeling very powerless right now, yet you're getting better, so why worry about what won't happen?" D. "I am troubled that you are worried over the worst possible things that could happen rather than worrying about the efforts needed to strengthen your family situation."