A nurse is preparing for the admission of a client with pulmonary tuberculosis. Which of the following actions reflects the use of evidence-based practice in the care of the client?
A. Keeping the door to the client's room closed
B. Using a surgical mask when entering the client's room
C. Placing the client in a semiprivate room with a cohort client
D. Fitting the client for an N95 or HEPA (high-efficiency particulate air) mask to be worn at all times
Answer: A. Keeping the door to the client's room closed\
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An adolescent female with untreated Graves' disease is admitted to the hospital. The nurse expects to find which signs and symptoms in this client?
1. Hyperglycemia, ketonuria, and glucosuria 2. Weight gain, hirsutism, and muscle weakness 3. Tachycardia, fatigue, and heat intolerance 4. Dehydration, metabolic acidosis, and hypertension
A nurse hears a colleague state, "It's actually a myth that older people get sick more often and have a weaker immune response than young people.". How can the nurse best respond?
A) "Even though there are things that older people can do to strengthen their immune system, it naturally does get weaker over time.". B) "It's true; while older adults do suffer from more chronic conditions, they don't become more susceptible to infections as they age.". C) "Actually, function of the immune system becomes weaker with each decade and this decline is not modifiable.". D) "You're right. Characterizing older adults as sickly is an inaccurate stereotype based on ageist ideas.".
When assessing the blood pressure using the brachial artery, the nurse should:
a. position the arm at heart level with the elbow extended and the palm turned upward. b. place the diaphragm chest piece over the cuff before inflating the cuff. c. inflate the cuff until the manometer reads 50 mm Hg above the diminished pulse point. d. confirm the initial reading by retaking the blood pressure immediately.
V.M.'s ABGs on 8 L O
2 by simple face mask show Pao2 74 mm Hg. Is V.M. being adequately oxygenated? What will be an ideal response?