List three critical potential infections that T.W. will be monitored for throughout his
hospitalization.
What will be an ideal response?
• Pulmonary infection
• Urinary tract infection (UTI)
• Wound infection
The diagnosis of the fracture is confirmed and T.W. is transferred from the ED to the surgical intensive care
unit (SICU). T.W. is taken to surgery 48 hours after the accident for spinal stabilization. He spends 2 addi
tional days in SICU and 5 days in the neurology unit and now is in the rehabilitation unit. He continues
to have paralysis of his lower extremities. Shortly after the transfer, T.W. turns on his call light and asks for
medication for headache. As you walk into the room, you immediately note that T.W.'s face is flushed and
he is profusely sweating.
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Knowing the high incidence and prevalence of heart failure among the elderly, the manager of a long-term care home has organized a workshop on the identification of early signs and symptoms of heart failure. Which of the following teaching points is most
A) "Displays of aggression, confusion, and restlessness when the resident has no history of such behavior can be a sign of heart failure." B) "Heart failure will often first show up with persistent coughing and lung crackles." C) "Residents in early heart failure will often be flushed and have warm skin and a fever." D) "Complaints of chest pain are actually more often related to heart failure than to myocardial infarction."
At Hospital Ajax, there has been a 20% increase in instruments and sponges being left in patients during surgery and surgeries on the wrong limbs. These are known as:
a. Sentinel events. b. Medically sensitive events. c. Nurse-sensitive events. d. Never events.
The patient is frequently thirsty. The nurse assesses this symptom as:
1. too much sodium and too much water in the body. 2. too little sodium and too much water in the body. 3. too much sodium and too little water in the body. 4. too little sodium and too little water in the body.
Which is the recommended procedure for palpating the testicle?
1) Use the first two fingers of each hand to palpate firmly. 2) Gently palpate using the fingers of both hands. 3) Palpate firmly using the palmar surface of one hand. 4) Gently palpate using the thumb and first two fingers of one hand.