There are several severity scoring systems that can be used in CAP (see Box 14.1) to determine the severity of the patient's condition and predict his need for further intervention and support. Using the information provided in the case study, describe the severity of this patient's presentation according to one or more of the scoring systems outlined
What will be an ideal response? scoring systems outlined.
Suggested response: CUR65/CURB65: Score 2, Moderate risk group (although BUN level not available) PSI: Score 154, Mortality 26.7%, Class V– High risk group, requires hospitalisation SMART-COP: Score 4, Likely to require intensive respiratory and/or vasopressor support
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The nurse transcribes an order for chlorpropamide (Diabinese). What is an appropriate dosage range for this medication?
A) 0.25 to 3 g per day B) 2 mg per day C) 100 to 250 mg per day D) 5 mg orally daily
The novice nurse is learning about the barriers to communication within the therapeutic nurse-patient relationship and the various types of communication that block the therapeutic relationship
What will the nurse recognize as a barrier to the therapeutic relationship? 1. Giving advice 2. Voicing doubt 3. Giving information 4. Seeking clarification
A patient is placed on reserpine (Serpalan) to decrease mild anxiety and treat hypertension. The patient researches the medication on the Internet and finds that this medication comes from which plant?
a. Atropa belladonna b. Digitalis purpurea c. Rauwolfia serpentina d. Cephaelis ipecacuanha
The nurse is conducting a pain assessment for a nonverbal child. Which physiological changes indicate the child is experiencing pain? Select all that apply
1) Increased blood pressure 2) Sweating 3) Constricted pupils 4) Crying 5) Clenched fists