Which condition causes a pt to have the greatest risk for community-acquired pneumonia?
a. Tube feedings
b. History of tobacco use
c. Poor nutritional status
d. Altered mental status
Answer: b. History of tobacco use
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A client in the emergency department is taking rifampin (Rifadin) for tuberculosis. The client reports yellowing of the sclera and skin and bleeding after minor trauma. What laboratory results correlate to this condition? (Select all that apply.)
a. Blood urea nitrogen (BUN): 19 mg/dL b. International normalized ratio (INR): 6.3 c. Prothrombin time: 35 seconds d. Serum sodium: 130 mEq/L e. White blood cell (WBC) count: 72,000/mm3
The physician has prescribed neomycin enemas for a patient with cirrhosis. The patient questions why they are being used. Which response by the nurse is most appropriate?
a. These enemas help prevent infection. b. These enemas help reduce straining during a bowel movement. c. These enemas kill intestinal flora. d. These enemas aid in reducing ascites.
A nurse is continuously irrigating the bladder for the client who has had a prostatectomy. The irrigation infusion rate is 1000 mL/hr. The client's urine output for the past hour is 200 mL. What is the nurse's best first action?
A. Notify the physician. B. Stop the irrigation flow. C. Document the finding as the only action. D. Irrigate the catheter with a large piston syringe.
The most significant driving force behind the development of managed care is:
1. cost containment. 2. foreign competition. 3. physician satisfaction. 4. outcome improvement.