Which person is at greatest risk for developing DRSP?

A. The 40-year-old registered nurse who works full-time as a scrub nurse in an am-bulatory surgical center
B. The 70-year-old woman living with her 4-year-old grandson who attends day care 3 days per week
C. The 50-year-old woman with seasonal asthma who lives with three teenage children
D. The 60-year-old welder who smokes three packs of cigarettes per day.


B
The biggest risk factors for developing DRSP (drug resistant Streptococcus pneumonia) are being an older adult and being exposed to small children who spend significant amounts of time in a day care environment.

Nursing

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Hospital management is brainstorming ways to reduce absenteeism. Which suggestions from this session deserve further investigation? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Standard Text: Select all that apply. 1. "I think we should define excessive absenteeism by total time lost instead of absence frequency." 2. "Let's offer a salary increase for those with good attendance." 3. "Why not include attendance as part of the employee performance appraisal?" 4. "I don't think we are enforcing the absence policies we have now. That is the logical place to start." 5. "We need to start at the top and be certain all of our management employees maintain good attendance."

Nursing

Following destruction of the pituitary gland, ACTH stimulation stops. Without ACTH to stimulate the adrenal glands, the adrenals' production of cortisol drops. This is an example of which type of endocrine disorder?

A) Primary B) Secondary C) Tertiary D) Somatic

Nursing

A hospitalized patient has a blood pressure of 145/96 mm Hg. The nurse caring for this patient notes that the blood pressure the day before was 132/98 mm Hg. The patient reports ambulatory blood pressure readings of 136/98 and 138/92 mm Hg

The patient has a history of a previous myocardial infarction and has adopted a lifestyle that includes use of the DASH diet and regular exercise. What will the nurse do? a. Notify the provider and discuss ordering a beta blocker for this patient. b. Notify the provider and suggest a thiazide diuretic as initial therapy. c. Order a diet low in sodium and high in potassium for this patient. d. Recheck the patient's blood pressure in 4 hours to verify the result.

Nursing

A patient with cystic fibrosis has ineffective airway clearance. What intervention would worsen this problem?

a. Fluids b. Bedrest c. Mucolytics d. Percussion and postural drainage

Nursing