A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP). What is an important measure for the prevention of HAP?
A) Administration of prophylactic antibiotics
B) Administration of pneumococcal vaccine to vulnerable individuals
C) Obtaining culture and sensitivity swabs from all newly admitted patients
D) Administration of antiretroviral medications to patients over age 65
Ans: B
Feedback:
Pneumococcal vaccination reduces the incidence of pneumonia, hospitalizations for cardiac conditions, and deaths in the general older adult population. A onetime vaccination of pneumococcal polysaccharide vaccine (PPSV) is recommended for all patients 65 years of age or older and those with chronic diseases. Antibiotics are not given on a preventative basis and antiretroviral medications do not affect the most common causative microorganisms. Culture and sensitivity testing by swabbing is not performed for pneumonia since the microorganisms are found in sputum.
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A nurse is leading an inpatient group for clients with schizophrenia. Which statements address the two main categories of nursing activities?
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The organization that awards magnet status would look for environments in which:
1. Nurses are involved in decision making. 2. Rewards are given to those with money-saving ideas. 3. Decisions are made and then followed. 4. Nurses do not have to work overtime.
vThe client asks the nurse to leave her sleeping pill at the bedside because she wants to read for a few more minutes before going to sleep. The most appropriate action for the nurse to take would be to:
a. leave the pill as requested. b. tell the client to call the nurse when she is ready for her medication. c. tell the client she can take it now or not at all as this is when it is ordered. d. leave the pill as requested and check back in half an hour to be sure the client took the medication.
A healthcare professional assesses a patient who presents with a single lesion on the trunk that is circular, demarcated, and salmon pink. The lesion measures approximately 3 to 4 cm in diameter. What treatment option does the professional educate the patient about?
a. Narrow-band ultraviolet light therapy b. Oral erythromycin regime c. Keratolytic agent application d. Consistent photoprotection