The nurse is caring for several patients and determines which patient to be most at risk for developing an infection related to a decreased anti-inflammatory response?
a. A patient who has been experiencing high levels of stress for the last 3 months.
b. A patient with a glycosylated Hgb level of 6.7%.
c. A patient with osteoarthritis who was re-cently diagnosed.
d. A patient who is scheduled for laparos-copic cholecystectomy in 2 weeks related to gallstones.
A
The presence of increased levels of cortisol resulting from ongoing stress inhibits the an-ti-inflammatory response, thus making this patient most susceptible to developing an infection. A glycosylated Hgb level of 6.7% is normal; osteoarthritis and gallstones would not significantly increase a patient's likelihood of developing an infection.
You might also like to view...
Joey is a 5-year-old who is causing his parents a lot of concern. His mother reports that "he bounces off the walls all the time" and can't focus on any one thing for very long
He is impulsive and has recently ran right out into the street in front of the family's home. His teacher has told his parents that he has done similar things at school. The nurse understands that: A. Joey shows all the signs of having ADHD and should probably be placed on Ritalin as soon as possible. B. Joey is just an active, healthy child who needs to be disciplined more effectively. C. Joey could be autistic, and additional testing will have to be done to confirm the diagnosis. D. Joey shows signs of having ADHD, but is too young for that diagnosis to be made definitively now.
A 56-year-old female patient thinks she's "losing her mind" because of constant anxiety, flushing, inability to sleep, and headaches
The nurse would ask assessment questions based on which condition being the most likely cause of these symptoms? 1. Premenstrual syndrome 2. Menopause 3. Postmenopause 4. Dysmenorrhea
When instructing a client on breast self-examination, the nurse reviews the importance of visual inspection of the breasts
Which of the following should the nurse instruct the client to focus on when doing this part of the examination? (Select all that apply.) 1. Contour and symmetry of the breasts 2. Skin changes 3. Position of the nipples 4. Presence or absence of masses 5. Pain 6. Size
What was the purpose of the CDC creating the first list of standard case definitions for notifiable diseases?
a. Some diseases were under-reported and others were over-reported. b. There was no central office to collect data. c. Some people refused to notify officials when diseases were seen. d. No one knew where to report the information that was collected.