The nurse understands the primary cause of septicemia from IV therapy is:
1. Due to the client with a renal or cardiac condition
2. Healthcare acquired infection
3. Air in the IV tubing
4. Infusing medications too quickly
2
Rationale: The client with a renal or cardiac condition is at risk for circulatory overload
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A nurse cares for a client who has advanced cardiac disease and states, "I am having trouble sleeping at night." How should the nurse respond?
a. "I will consult the provider to prescribe a sleep study to determine the problem." b. "You become hypoxic while sleeping; oxygen therapy via nasal cannula will help." c. "A continuous positive airway pressure, or CPAP, breathing mask will help you breathe at night." d. "Use pillows to elevate your head and chest while you are sleeping."
A nurse is planning the care of a patient with AIDS who is admitted to the unit with Pneumocystis pneumonia (PCP). Which nursing diagnosis has the highest priority for this patient?
A) Ineffective Airway Clearance B) Impaired Oral Mucous Membranes C) Imbalanced Nutrition: Less than Body Requirements D) Activity Intolerance
When performing a central venous catheter dressing change, which of the following steps is/are correct? Choose all that apply
1) Wear sterile gloves while removing and discarding the soiled dressing. 2) Apply pressure on the catheter-hub junction when removing the soiled dressing. 3) Place a sterile transparent dressing over the site and the catheter-hub junction. 4) Have the patient wear a mask or turn his head away from the site.
What are characteristics of late adolescence (18–20 years) with regard to sexuality? (Select all that apply.)
a. Exploration of "self-appeal" b. Limited dating, usually group c. Intimacy involves commitment d. Growing capacity for mutuality and reciprocity e. May publicly identify as gay, lesbian, or bisexual