A nurse is attempting to minimize damage following a bioterrorism attack in the community. Which of the following would be the most crucial aspect for the nurse to consider?
a. Detecting an increase in people with similar signs and symptoms
b. Identifying typical chemical or biological agents
c. Identifying factors that put people at risk
d. Recognizing areas of vulnerability within an area
ANS: A
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An older adult patient is undergoing diagnostic testing for chronic lymphocytic leukemia (CLL). What assessment finding is certain to be present if the patient has CLL?
A) Increased numbers of blast cells B) Increased lymphocyte levels C) Intractable bone pain D) Thrombocytopenia with no evidence of bleeding
The nurse has completed teaching a group of nursing assistants on oral hygiene approaches for the older patient. Which statement indicates that additional instruction is needed?
1. "Patients should brush teeth twice daily." 2. "A toothbrush is a better tool than a foam swab." 3. "Hydrogen peroxide can be used as a mouth rinse." 4. "Tooth brushing should be done for 3 to 4 minutes."
Based on guidelines from the Americans with Disability Act (ADA), which question is an appropriate choice for the director of nurses to ask a nurse with an artificial leg who is applying for a staff position in an extended care facility?
a. "How long have you had your prosthe-sis?" b. "How many flights of stairs are you able to climb without assistance?" c. "Are you able to lift a load of 45 lb?" d. "Has your disability caused you to miss work?"
A patient comes to the emergency department complaining of nausea, vomiting, and abdominal cramps. The nurse anticipates that the patient should receive
a. a stimulant laxative, such as bisacodyl (Dulcolax). b. increased fiber and water to promote defecation. c. an osmotic laxative, such as magnesium citrate (Citro-mag). d. nothing; further assessment should be performed, given the patient's symptoms.