The nurse is reviewing the immunization record of an adolescent who will be seen later in the day. Which item in the client's history makes heptatis B status a priority?
1. Chronic acne
2. Overuse injuries from playing varsity sports
3. Chronic asthma
4. Plans to get a tattoo
Correct Answer: 4
Rationale: The adolescent who is most at-risk in the scenario presented is the teen who is planning on getting a tattoo. Adolescents with chronic acne or asthma do not have an increased risk for hepatitis B, since transmission has nothing to do with a diagnosis of acne. Overuse of muscles while playing sports is not related to development of hepatitis B.
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Abnormal findings on assessment of the tonsils include:
A) Smooth surface. B) Glistening texture. C) Left and right tonsils meet at midline. D) Lack of discharge from the surface mucosa.
The nurse is providing preoperative teaching for a woman who is undergoing a tubal sterilization. Which of the following teaching points accurately describes this procedure?
A) Severe postoperative cramping may result from manipulation of the ovaries. B) Referred pain to the shoulder may occur after abdominal distention with CO2. C) The client is expected to remain overnight following the surgery. D) Moderate bleeding may occur for a few days following the surgery.
A nurse is planning care for a child with hyperkalemia. Which manifestation associated with the documented hyperkalemia requires immediate intervention by the nurse?
1. Hyperthermia 2. Respiratory distress 3. Seizures 4. Cardiac arrhythmias
Which statement about change in hospitals reflects the impact on nursing?
1. Nurses need to gather more data about the positive effects that nursing care has on patient outcomes in the acute care setting. 2. Nurses need to advocate for more unlicensed assistive personnel (UAP) to help nurses provide quality, low-cost care. 3. Nurses need to be more assertive in obtaining longer hospital stays for patients who have not reached their expected outcomes due to complications. 4. Nurses continue to provide patient education without difficulty despite changes occurring in hospitals.