Sam Butler is an occupational health nurse at a large hospital. Recently Sam read several recommendations by the Centers for Disease Control and Prevention (CDC) and reports of incidence and prevalence studies,
and he is aware that tuberculosis raters are increasing in his area. Which of the following is a secondary prevention strategy Sam might propose to the hospital board?
1. Installation of a high-exchange ventilation system to decrease potential contamination by droplet nuclei
2. Placing all HIV-positive clients on respiratory isolation
3. Routine monitoring of medication compliance for all diagnosed cases of tuberculosis
4. Yearly screening of all hospital employees
ANS: 4
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A nurse assesses a wife who is caring for her husband. She has a Braden Scale score of 9. Which question should the nurse include in this assessment?
a. "Do you have a bedpan at home?" b. "How are you coping with providing this care?" c. "What are you doing to prevent pediculosis?" d. "Are you sharing a bed with your husband?"
A nurse cares for a client with right-sided heart failure. The client asks, "Why do I need to weigh myself every day?" How should the nurse respond?
a. "Weight is the best indication that you are gaining or losing fluid." b. "Daily weights will help us make sure that you're eating properly." c. "The hospital requires that all inpatients be weighed daily." d. "You need to lose weight to decrease the incidence of heart failure."
A child has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome. The clinical manifestations will include which signs and/or symptoms?
1. Hematuria, bacteriuria, weight gain 2. Gross hematuria, albuminuria, fever 3. Massive proteinuria, hypoalbuminemia, edema 4. Hypertension, weight loss, proteinuria
There is a difference between peripheral parenteral nutrition (PPN) and central vein total parenteral nutrition. What is that difference?
A) Dextrose B) Lipid emulsion C) Vitamins D) Electrolytes