A home health nurse explains the procedures for preventing infection in a client's central venous access device, and has the client's spouse watch while the nurse hooks the client to the medication infusion
The nurse is acting in which of the following roles? A)
Educator
B)
Caregiver
C)
Advocate
D)
Coordinator
A
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About 30 minutes following the morning medication pass, the nurse's aide informs the nurse that one of the patients on their team is complaining of "hot sweats."
The aide also states that his temperature is now 101.5 °F. Knowing that some medications can cause hyperthermia, the nurse reviews his medications. From the following patient list, which patient is at high risk for developing an elevated temperature? A) Patient with hypertension being treated with Prinivil (Lisinopril). B) Suicidal patient who overdosed on his monoamine oxidase (MOA) inhibitor. C) Postoperative patient receiving Oxycodone (OxyContin) for his pain. D) Patient with C. difficile receiving Vancocin (Vancomycin) IV every 6 hours.
The patient's temperature has reached 103.4° F. The nurse prepares to draw a blood culture before giving the patient an antipyretic medication. What is the best reason to draw a blood cul-ture before giving an antipyretic medication?
a. The causative organism is most prevalent during a spike in temperature. b. Elevated temperatures slow metabolic rate and improve blood oxygenation. c. Increased blood flow leads to moist muc-ous membranes making blood draws easi-er. d. Venous distention is greater because of fluid retention secondary to hyperthermia.
The nurse is explaining to a client with stones in the gallbladder about the role the gallbladder plays in digestion. What should the nurse explain about the gallbladder?
1. Produces the bile necessary for fat absorption 2. Releases enzymes into the small intestine 3. Produces clotting factors that aid with digestion 4. Stores the bile made by the liver
When questioned about the automobile accident that brought him into the hospital, the patient began to cry loudly. The patient then proceeded to curl up in a ball on the bed and suck his thumb. This patient is presenting the defense mechanism of
1. Sublimation. 2. Displacement. 3. Regression. 4. Avoidance.