A nurse performing an assessment would correctly identify that a patient has a greater chance of contracting health-care facility–acquired pneumonia if he has
1. Difficulty swallowing.
2. An existing respiratory disease.
3. Poor oral hygiene.
4. Any of the above.
ANS: 4
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The nurse is caring for an older client who was admitted for partial-thickness burns to the hands and arms following a kitchen accident. The client says she is afraid to return home for fear something else will happen. The nurse recommends:
1. A skilled nursing home. 2. An assisted-living center. 3. Moving in with a family member. 4. Hospice care.
An IV is infusing at 16 gtt/min. The drop factor is 15 gtt/mL. In 4 hours, the client will have received _______________
a. 68 mL b. 170 mL c. 500 mL d. 256 mL
The nurse is performing a physical assessment of a 3-year-old girl. Which of the following would be a concern for the nurse?
A) The toddler gained 4 pounds in weight since last year. B) The toddler gained 3 inches in height since last year. C) The toddler's anterior fontanel is not fully closed. D) The circumference of the child's head increased 1 inch since last year.
The nurse is planning care for a group of patients. Which individual should the nurse identify as being at the highest risk for developing hypertension?
a. A 60-year-old Japanese American man b. A 56-year-old African American woman c. A 45-year-old female tourist from China d. A 51-year-old man who recently emigrated from Korea