The nurse prioritizes the care of four patients. Which patient has a systemic infection?
a. 14-year-old with acute appendicitis
b. 80-year-old with a urinary tract infection
c. 40-year-old with AIDS
d. 50-year-old with arthritis
C
AIDS is a systemic viral infection. Acute appendicitis and urinary tract infections are local infections. Arthritis is not an infection.
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After an assessment the nurse is concerned that a patient is experiencing cor pulmonale associated with right-heart failure. What findings led the nurse to make this clinical decision?
Select all that apply. 1. ankle edema 2. ruddy cheeks 3. nasal drainage 4. cyanotic nail beds 5. distended neck veins
A patient says that she's developed stomach problems ever since she was laid off from her job. The nurse realizes this patient is experiencing which of the following:
a. the concept of psychoneuroimmunology b. a health threat c. shattered self-concept d. disease prevention
You are monitoring urine output every hour for a client admitted with possible cardiogenic shock. The client's family member is very anxious and asks, "Why are you always checking the urine?
The problem is with the heart." You would formulate a response conveying the knowledge that: 1. urine output often increases during physiological stress. 2. an increase in urine output is expected because of peripheral vasodilatation. 3. an adequate blood pressure is needed for kidneys to function properly. 4. a decrease in urine output indicates impending heart failure.
On her second prenatal visit, a woman states that she feels like she needs to urinate "all the time, even during the night." She says she has reduced her fluid intake to control this problem. The nurse should tell her to:
a. "Drink more fluids during the day and less in the evening." b. "Bring in a urine specimen because you probably have an infection." c. "Decrease your fluid intake until you no longer have to urinate so often." d. "Try to resist the urge to urinate as long as possible to increase your bladder capacity."