Your assessment of T.Q. is unremarkable. After you administer the gamma globulin, you
assess T.Q.'s knowledge and give specific precaution instructions. What will you assess and
what precautions will you review?
What will be an ideal response?
• Assess T.Q.'s knowledge about the disease, immunoglobulin use, and side effects.
• Review specific precautions he should take because he is at college, including the importance
of avoiding those with infections, maintaining proper nutrition, regularly exercising, managing
stress, and following good hand washing practices. Ideally, he should avoid crowded places.
• Often gamma globulin is not sufficient to eliminate infections; therefore a stringent pulmonary
toilet regimen is recommended.
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The nurse explains that the Minimum Data Set (MDS) 3.0 used in extended-care facilities is designed to
a. identify ethnic populations in long-term care. b. group residents into specified activity levels. c. organize information relative to diagnostic categories. d. make assessment processes more consistent.
A 55-year-old data entry operator comes to the clinic to establish care. She has the following symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears, sharp brief chest pains at rest, burning abdominal pain with spicy foods, constipation, urinary frequency that is worse with coughing and sneezing, and swelling in legs. This cluster of symptoms is explained by:
A) One disease process B) More than one disease process
A client with peripheral arterial disease asks why they are experiencing so much pain in their lower extremities. Which information should the nurse be prepared to discuss with the client?
A. Decreased oxygenation blood flow. B. Varicose veins. C. Arterial spasms. D. Increased fluid in the extremities.
To obtain a vaginal specimen for a culture, the nurse should:
A. Apply sterile gloves B. Assist the client to a side-lying position C. Collect discharge from the perineum on the same swab D. Insert the swab ½ to 1 inch into the orifice and rotate before removal