The nurse is assessing an 80-year-old client with gallbladder disease who has had a cholecystectomy. Which of the following factors would influence this client's susceptibility to produce an infection?
1. Active bowel sounds
2. Dry skin
3. Intact mucous membranes
4. Susceptibility of the client
4. Susceptibility of the client
Rationale: How susceptible the client is to an infection is one of the factors that influence microorganism growth. This client is 80 years old and has a surgical incision, so the first line of defense, the skin, is not intact. Active bowel sounds, dry skin, and intact mucous membranes are factors that help defend the body against infection.
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The tertiary prevention therapy the nurse should recommend for the distressed family and friends of
someone who has committed suicide is a. psychological postmortem assessment. b. attending a self-help group for survivors. c. participating in reminiscence therapy. d. contracting for two sessions of dynamic group therapy.
Who are whistle-blowers?
A) Never retaliated against B) Usually troublemakers C) Always protected by federal law D) Often afraid to speak out
The nurse is teaching nutrition guidelines to a group of newly diagnosed HIV/AIDS clients. What tip should the nurse give the clients to eat a healthier diet?
A) Drink sweetened beverages and foods high in added sugar. B) Eat at least 2 cups per day of a variety of fruits and vegetables. C) Eat a diet rich in whole grains, vegetables, fruits, and legumes with lean sources of protein. D) Avoid foods high in monosaturated fat.
The nurse is administering glucose and insulin to a client whose potassium level is 5.9 mEq/L. The client's wife says, "He doesn't have diabetes, so why is he getting insulin?" What is the best response by the nurse?
1. "Insulin is safer than giving laxatives such as sodium polystyrene sulfonate (Kayexalate).". 2. "Insulin will help his kidneys excrete the extra potassium.". 3. "Insulin lowers his blood sugar levels and this is how the extra potassium is excreted.". 4. "Insulin will cause his extra potassium to go into his cells and lower the blood level.".