A client is admitted to a hospital for secondary health care services. An example of secondary health care services would be the client who:
a. goes to the public health clinic for family planning services.
b. requires physical therapy to regain function after experiencing a stroke.
c. undergoes an appendectomy for a ruptured appendix.
d. attends a support group for smoking cessation.
ANS: C
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An 88-year-old resident of a long-term care home has been suffering from a 3-day onset of increased shortness of breath and decreased oxygen saturation
At the hospital, an anterior-posterior chest x-ray and sputum culture and sensitivity have confirmed a diagnosis of bacterial pneumonia, yet the client's tympanic temperature has not exceeded 37.3 °C (99.2 °F). The health care team would recognize that which of the following phenomena likely underlies this situation? A) An older adult is often insensitive to exogenous pyrogens. B) An older adult is sometimes incapable of vasodilation. C) An older adult's hypothalamus has diminished thermoregulatory ability. D) Infections manifest by cognitive changes in older adults.
The nurse is assessing a 78-year-old client who has been admitted to the emergency department with chest pain. The nurse plans to assess the client's skin turgor:
1. On the forearms. 2. On the sternum. 3. On the knee. 4. On the back of the neck.
A nurse practitioner is preparing to perform a pelvic examination of an adult patient. When performing this assessment, the ideal position is:
A) Supine lithotomy B) Semi-Fowler's C) Sims' position D) Prone
A licensed practical/vocational nurse (LP/VN) is caring for clients on a rehabilitation unit
The nursing supervisor announced that a tornado has been spotted nearby and is headed toward the nursing facility, and the clients need to be placed into safety immediately. The staff are instructed, since they are on the first floor of a four-story building, to place anyone able to walk into the bathrooms, which are on the inside of the building without windows. If anyone has to stay in the room, place them as close to the center of the building as possible and cover them with pillows and blankets and pull the wood blinds and curtains. Which actions should the LP/VN provide to achieve protecting her clients in the timeliest fashion? Select all that apply. A) Ask nursing assistant (NA) to pull blinds and curtains in rooms of clients who cannot be moved, rooms 4 and 6; place pillows over client's body with face free, and cover with three blankets from head to toe; move bed as close to door as possible with ventilator staying plugged into the essential "red" socket. B) Ask unlicensed assistive personnel (UAP) to pull blinds and curtains in rooms of clients who cannot be moved, rooms 4 and 6; place pillows over client's body with face free, and cover with three blankets from head to toe; move bed as close to hall door as possible with ventilator staying plugged into the essential "red" socket. C) Ask NA to transfer clients in rooms 5A and 5B to their wheelchairs and take them to the hall bathroom. D) Ask UAP to transfer client in room 5A and 5B to their wheelchairs and take them to the hall bathroom. E) The LP/VN quickly tells clients in rooms 1, 2, and 3 to go to the hall bathroom and stay there because a tornado has been sited. F) The LP/VN quickly checks that all clients have been evacuated or are made as safe as possible and that the NA and UAP and the LP/VN enter the hall bathroom.