A client is in the family practice clinic reporting a severe cough that has lasted for 5 weeks. The client is so exhausted after coughing that work has become impossible. What action by the nurse is most appropriate?
a. Arrange for immediate hospitalization.
b. Facilitate polymerase chain reaction testing.
c. Have the client produce a sputum sample.
d. Obtain two sets of blood cultures.
ANS: B
Polymerase chain reaction testing is used to diagnose pertussis, which this client is showing manifestations of. Hospitalization may or may not be needed but is not the most important action. The client may or may not be able to produce sputum, but sputum cultures for this disease must be obtained via deep suctioning. Blood cultures will be negative.
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A patient who is immunosuppressed after organ transplant has acquired an infection. What symptoms does the nurse most expect?
A) Fever above 101 degrees F B) Increase in the percentage of WBC bands C) Subnormal core body temperature D) Decline in absolute neutrophil count
The nurse is preparing to complete a cultural assessment of a group. Which components should the nurse include in this assessment? (Select all that apply.)
1. Ask personal questions about the group. 2. Look for similarities in one's own group. 3. Talk and interview members of the group. 4. Come prepared with prior research done on the group. 5. Acknowledge the group's reliance on alternative therapies.
Fever is associated with which change(s) in vital signs?
1. increased heart rate, decreased cardiac output 2. decreased heart rate, increased cardiac output 3. increased heart rate, increased cardiac output 4. decreased heart rate, decreased cardiac output
When assisting with rehabilitation, you need to:
a. Follow the service plan b. Follow the care plan c. Carry out the doctor's orders d. Ask the person what to do