The nurse is caring for an 80-year-old client with septic shock admitted from a nursing home earlier today. Which of the following should the nurse consider the most likely source of the sepsis?
1. An indwelling Foley catheter inserted by nursing home personnel
2. An intravenous catheter inserted in the field
3. A red, flat rash in the perineal area
4. Exposure to the client's daughter who is receiving chemotherapy
An indwelling Foley catheter inserted by nursing home personnel
Rationale: A major cause of sepsis is indwelling urinary catheters. An intravenous catheter inserted in the field would not cause sepsis if just inserted. A perineal rash without open skin will not contribute to sepsis. The client's daughter who receives chemotherapy is at risk for infection and sepsis, not the client.
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The client, whose mother has Huntington disease, is considering genetic testing but is not sure whether she really wants to know the results. She asks what the nurse would do in her situation. What is the nurse's best response?
a. "I would have the test so I could decide whether to have children or to adopt children." b. "I can only tell you the benefits and the risks of testing. You must make this deci-sion yourself." c. "Because there is no cure for this disease and testing would not be beneficial, I would not have the test." d. "You need to check with your brothers and sisters to determine whether testing for this disease would be appropriate for you."
What are some of the driving forces for change to improve the quality and safety competencies for nursing in the United States? (Select all that apply.)
a. The U.S. health care system is one of the world's least technically advanced systems. b. Health care has led other industries in establishing quality and safety standards. c. System failures occur regularly. d. The U.S. public has confidence in its system to reduce morbidity and mortality rates. e. Outcomes are unpredictable and costly.
When developing a plan of care regarding exercise for clients with diabetes, the nurse emphasizes which of the following?
1. Plan to carry a carbohydrate-containing snack. 2. Do not exercise if your glucose level is elevated. 3. Avoid aerobic exercises. 4. Exercise must be done every day to be effective.
In which phase of drinking behavior of an alcoholic would you notice the person beginning to drink alone, hiding alcohol, and being preoccupied with his or her supply of alcohol?
a. prealcoholic b. early alcoholic c. true alcoholic d. chronic alcoholic