Which of the following patient(s) does the nurse identify as at risk for developing fungal infections? (Select all that apply.)
a. Obesity
b. Multiple sclerosis
c. Impaired mental status
d. Incontinent
e. Bedridden
A, D, E
Prevention is prioritized for persons who are obese, bedridden, incontinent, or diaphoretic. Pa-tients with multiple sclerosis may develop skin infections but are not at high risk. Patients with an impaired mental status can often be incontinent, but this condition, in itself, does not predispose the patient to fungal infections.
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A client with injuries from a motor vehicle crash is intubated for respiratory support. The nurse notes that the client is fighting the ventilator and attempting to pull out the endotracheal tube
What should the nurse do to reduce this client's risk of developing respiratory alkalosis? A) Administer a sedative as prescribed. B) Apply wrist restraints. C) Teach the client to take slow, deep breaths. D) Discuss removing the endotracheal tube with the healthcare provider.
The client has a benign tumor in the middle ear and is scheduled for surgery to remove it. She asks her nurse whether her hearing will be affected. What is the nurse's best response?
A. "No, benign tumors do not affect hearing function." B. "No, because the tympanic membrane will remain intact." C. "Yes, all critical hearing structures are removed. It is important to remember that you will still have normal hearing in the other ear." D. "That is possible. I'll let the surgeon know you wish to discuss the extent of the surgery and possibility of reconstruction."
A nurse with 20 years of OB-GYN experience was asked to float to the ER. She refused. Was she correct in this decision and why?
a. Correct. If she did this once, she might be expected to float on a regular basis. b. Incorrect. She felt she had enough seniority to not have to float. c. Incorrect. She just did not want to float. d. Correct. With her lack of experience, she felt she could not safely care for her patients.
The patient is a 24-year-old man who is diagnosed with possible HIV infection while being treated for active pneumonia. He has stated that the nurse may share test result information with his significant other but nothing else at this time
With whom may the nurse communicate regarding this information? a. The patient's parents b. The patient's significant other only c. No one in the hospital until the patient says so d. The patient's physician, significant other, and laboratory personnel