When the nurse is asking questions regarding an older person's health history related to his or her nose and sinuses, which of the following is least appropriate?
a. History of allergies or hay fever
b. Discussion of appetite
c. History of nose trauma
d. History of colds and upper respiratory infections
B
Responses A, C, and D would give the nurse information regarding the function of the older person's nose and sinuses. Appetite would not give specific information regarding nasal function, even though there is a relationship between smell and the taste of food.
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A nurse is creating a care plan for a patient with acute pancreatitis. The care plan includes reduced activity. What rationale for this intervention should be cited in the care plan?
A) Bed rest reduces the patient's metabolism and reduces the risk of metabolic acidosis. B) Reduced activity protects the physical integrity of pancreatic cells. C) Bed rest lowers the metabolic rate and reduces enzyme production. D) Inactivity reduces caloric need and gastrointestinal motility.
The nurse anticipates that the baby of a mother who has abused cocaine will exhibit what symptoms during the first day of life?
a. Irritability, fussiness, and feeding difficulties b. Muscle rigidity, lethargy, and absent bowel sounds c. Diminished reflexes, sleepiness, and hypo-thermia d. Jitteriness, decreased reflexes, and fever
At the well-child clinic, how does the nurse correctly teach a mother about health promotion activities and describe immunizations?
a. Unique for children b. Primary prevention c. Secondary prevention d. Tertiary prevention
The nurse is providing ancillary personnel with instructions regarding the proper methods to implement when caring for a client with a Clostridium difficile (C. difficile) infection
Which of the following practices will have the greatest impact on containment of the bacteria, and thus on prevention of cross-contamination? a. Frequent in-services on transmission modes of C. difficile b. The practising of proper hand hygiene by all staff c. Appropriate handling of contaminated linen d. Stool cultures on all suspected carriers