For which individual(s) does U.S. Public Health Service recommend the influenza immunization? (Select all that apply.)
a. Physicians
b. Compromised infants
c. Older adults
d. Chronically ill
e. Nurses
A, C, D, E
Health care workers, older adults, and chronically ill individuals are at risk for contracting in-fluenza and should be immunized. Compromised infants should not be immunized.
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The nurse planning the care of a patient with head injuries is addressing the patient's nursing diagnosis of "sleep deprivation." What action should the nurse implement?
A) Administer a benzodiazepine at bedtime each night. B) Do not disturb the patient between 2200 and 0600. C) Cluster overnight nursing activities to minimize disturbances. D) Ensure that the patient does not sleep during the day.
The nurse realizes that the following is true regarding illness and self-concept?
a. Illness has little effect on self-concept in the well-developed individual. b. The same illness has the same effect on all individuals. c. Conditions that cause a change in body image are the only illnesses that affect self-concept. d. Society puts a stigma on certain types of illnesses.
A male patient admitted with a gastrointestinal bleed and a hematocrit level of 40% receives fluid resuscitation. In a few hours, the hematocrit level drops to 32%. How should the nurse evaluate this finding?
1. It is very likely that this patient has underlying renal disease. 2. There must be an undiagnosed second site of bleeding. 3. The patient is experiencing hemodilution caused by fluid resuscitation. 4. Efforts to stop the bleeding have not been successful.
A postpartum patient complains of perineal pain. Her uterus is firm, and she has minimal vaginal bleeding. She states that she feels like she needs to urinate and have a bowel movement but has been unable to do either
The nurse suspects that the patient most likely has: a. A hematoma b. Subinvolution c. A postpartum infection d. Disseminated intravascular coagulation