The nurse develops a plan of care for an 88-year-old new resident of a care facility who arrived from the hospital after a cardiac event brought on by heat stroke. The resident was diagnosed with pneumonia this morning
Which of the following would be the most likely explanation for the pneumonia? A) Cardiac events often precede respiratory infections.
B) Pneumonia is directly related to the heat stroke.
C) Flu season and an increase in the number of cases.
D) Elderly predisposition to nosocomial pneumonia.
D
Feedback:
If it is summer, it is probably not flu season. The most likely explanation is that this man was recently hospitalized, which increases his risk of iatrogenic infections.
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All of the following are intrinsic changes in the integumentary system except:
a. increased skin temperature b. sagging and wrinkling c. age spots d. increased risk of bruising
A nurse learns at report that a newly admitted client experiencing mania is demonstrating grandiose delusions. The nurse should recognize that which client statement would provide supportive evidence of this symptom?
A. "I can't stop my sexual urges. They have led me to numerous affairs." B. "I'm the world's most perceptive attorney." C. "My wife is distraught about my overspending." D. "The FBI is out to get me."
The Standards of Practice provide nurses with:
A) legislation for health care reform. B) evaluation of care provided by nurses. C) measurement criteria for payment. D) guidelines for providing care.
The nurse is assessing a client's ability to shrug her shoulders against resistance. The nurse is assessing which cranial nerve?
A) III B) V C) VII D) XI