A 15-year-old child whose parents are diplomats in the foreign country where the child was born is brought to the emergency department with fatigue, weight loss, and a dry cough, and night sweats
The nurse plans care for this client based on which of the following potential risks? 1. Pneumonia
2. Pneumothorax
3. Renal failure
4. Septicemia
2. Pneumothorax
Rationale:
This client was foreign born, a risk factor for TB, and has the classic symptoms of tuberculosis. The nurse plans frequent respiratory assessments as this child is at risk for pneumothorax. Clients with TB are not at particular risk for pneumonia, renal failure, or septicemia.
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A licensed practical/vocational nurse (LPN/LVN) is assisting in developing a nursing care plan for a patient in shock. Which nursing diagnosis should be included?
a. Increased cardiac output, related to hypertension b. Increased cardiac output, related to hypo-tension c. Decreased cardiac output, related to hy-povolemia d. Decreased cardiac output, related to hypertension
The nurse is inspecting the tonsils for a client with a fever and sore throat. The nurse observes purulent exudate on the surface of the tonsils. What does this finding indicate to the nurse?
A) Filariasis B) Thrush C) An abscess D) Tonsillitis
The nurse may practice hypnosis when:
a. licensure laws allow it as part of nursing practice b. advanced academic education in psychology has been undertaken c. she or he is an advanced practice psychiatric mental-health nurse d. the client requests that it be one of the modalities
Which of the following actions best demonstrates that a student has assimilated the evidence-based practice (EBP) paradigm?
A) The student acknowledges the value of evidence in providing sound patient care. B) The student is able to teach others about the process of identifying and appraising evidence. C) The student uses the EBP process when making clinical decisions regarding patient care. D) The student is able to synthesize the EBP process in a case study and present it in an academic paper.