For which reasons is a frail older patient more at risk for poor treatment outcomes in an acute care setting? Standard Text: Select all that apply
1. Nosocomial infections
2. Iatrogenesis of therapeutic interventions
3. Diagnoses of vague symptoms and problems
4. Assessment of the effects of acute illness on diagnosed chronic illnesses
1,2
Rationale: Nosocomial infections are considered complications of hospitalizations and can contribute to poor treatment outcomes in a frail older patient.
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A patient has come into the free clinic for HIV testing. The test comes back positive, and the patient is told she has HIV
While assessing the patient, the nurse is aware that many patients with HIV utilize various alternative or complementary therapies. How does the nurse address complementary or alternative therapy? A) "Complementary therapies such as acupuncture or herbal therapy are dangerous to patients with HIV, and we discourage you from exploring these types of therapy." B) "Researchers have not looked at the benefits of alternative therapy for patients with HIV, so we suggest that you stay away from these therapies until there is solid research data available." C) "We see many patients with HIV who are using some type of alternative therapy, and there are benefits and risks. Are there any types of alternative or complementary therapies that you follow, or are there any herbs that you take?" D) "You surely do not take herbs or practice some type of alternative medicine such as acupuncture, massage therapy, hypnosis or diet therapy, do you?"
The nurse is explaining the etiology of bulimia nervosa to the mother of a preteen newly diagnosed with the disorder. What would the nurse tell the mother the behaviors center on?
A) A dissatisfaction with body size and shape B) An outward preoccupation with dieting C) Limiting food intake with little or no alteration in weight or appearance D) The shame and guilt of the behaviors
A patient brought to the emergency department requires sutures. The prescriber orders a local anesthetic with epinephrine. The nurse understands that epinephrine is ordered to:
a. prevent hypertension induced by the anesthetic. b. allow a reduced dose of the anesthetic. c. reduce anesthetic-induced nausea. d. reduce the pain of an injection.
An instructor explains that the microorganism Rickettsia rickettsii causes Rocky Mountain spotted fever. A student demonstrates understanding of the subject by stating:
1. "Rocky Mountain spotted fever is spread by ticks." 2. "Rocky Mountain spotted fever is caused by eating undercooked ground meat." 3. "Rocky Mountain spotted fever is caused by spores that live in dead tissue." 4. "Rocky Mountain spotted fever can lie dormant in nerve endings for years."