The nurse works in a long-term care facility. Which resident does the nurse assess most carefully for manifestations of infection?
a. Resident who has long-standing dementia
b. Resident with incontinence
c. Resident who eats a lot of sweets and little protein
d. Resident whose family won't allow an influenza vaccination
B
All older clients are at increased risk for infection owing to age-related decreased immune func-tion. Each of these clients has special reasons for being at increased risk. However, the one at highest risk is the client with incontinence because this is a chronic condition that is a daily problem, leaving his or her skin vulnerable to breakdown and bacterial entry. Poor perineal care also increases the risk for urinary tract infection.
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A newborn delivered via cesarean birth at 32 weeks to a mother who experienced placenta previa has a low pulse rate, low blood pressure, and a capillary filling time of 3.6 seconds. Which interventions are indicated for the care of this newborn? Select all that apply
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A. Short-term goal B. Long-term goal C. Intervention D. Evaluation
A client with schizophrenia tells the nurse "I eat skiller. Tend to end. Easter. It blows away. Get it?"
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