When planning care for a patient hospitalized with a streptococcal infective endocarditis (IE), which intervention is a priority for the nurse to include?

a. Monitor labs for streptococcal antibodies.
b. Arrange for placement of a long-term IV catheter.
c. Teach the importance of completing all oral antibiotics.
d. Encourage the patient to begin regular aerobic exercise.


ANS: B
Treatment for IE involves 4 to 6 weeks of IV antibiotic therapy in order to eradicate the bacteria, which will require a long-term IV catheter such as a peripherally inserted central catheter (PICC) line. Rest periods and limiting physical activity to a moderate level are recommended during the treatment for IE. Oral antibiotics are not effective in eradicating the infective bacteria that cause IE. Blood cultures, rather than antibody levels, are used to monitor the effectiveness of antibiotic therapy.

Nursing

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The nurse is planning care for a client who is identified as a Pacific Islander. Which will the nurse include in the plan of care for this client because of the identified race?

1. Blood glucose. 2. BUN blood test. 3. Chest radiography. 4. HIV blood test.

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The nurse manager has asked that another staff nurse position be funded for the unit. The supervisor denies the request

Which statements by the manager are examples of negative assertion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "I know I haven't been too careful in keeping personnel costs low, but we are really going to need another position." 2. "I don't see why another position cannot be funded. We have met our budget each year for the last 3 years." 3. "I realize that my staff is not always positive about organizational changes, but having this extra staff member might reduce some of their stress." 4. "I can understand what you said about budget being tight, but we still need the position." 5. "Do you not understand how hard my nurses are working?"

Nursing

When referring to the critical success factors (CSFs) that organizations use for developing their strategic plans, the term Financial best describes which characteristic?

a. Financial indicates the economic benefits achieved. b. Financial indicates the expertise of the financial manager. c. Financial indicates the cost to the patient. d. Financial indicates the cost to the com-munity.

Nursing

A surgical wound requires a hydrogel dressing. The primary advantage of hydrogel is that it provides:

A. an absorbent to collect wound drainage. B. a negative pressure to promote healing. C. protection from the external environment. D. moisture needed for wound healing.

Nursing