The nurse is giving a patient who has mitral stenosis a preoperative antibiotic. Which of these, if stated by a patient, indicates to the nurse correct understanding of why the antibiotic is necessary?

a. "To prevent infection of the surgical incision."
b. "To prevent postoperative pneumonia."
c. "To prevent a bacterial infection in the heart."
d. "To prevent an increase in body temperature."


ANS: C
Prophylactic antibiotic therapy helps prevent a bacterial infection in the heart, rheumatic fever, and subsequent rheumatic heart disease and is recommended to prevent valvular disease.

Nursing

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Sharing decision-making responsibilities may be difficult for some managers for which of the following reasons?

A. They believe that empowered staff members have higher levels of job-related tension. B. There is inadequate staffing on the unit. C. There is a lack of time and situational support. D. They may be reluctant to give up their control.

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What are potential causes of performance inadequacies?

a. The person to whom the task was assigned had appropriate educational qualifications to complete the task. b. The task was assigned to a person capable of carrying out the assignment. c. The person who delegated the task con-firmed the recipient's ability to perform the task. d. The person to whom the task was assigned did not understand what the task involved.

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According to Rosenstock, which of the following are health beliefs critical for client motivation? Select all that apply

A) Clients view themselves as susceptible to the disease in question. B) Clients view the disease as a serious threat. C) Clients believe there are actions they can take to reduce the probability of contracting the disease. D) Clients believe the threat of taking these actions is greater than the disease itself. E) Patients view themselves as victims of the disease in question.

Nursing

A patient who is taking phenytoin (Dilantin) for a newly diagnosed seizure disorder calls the primary care NP to report a rash. The NP should:

a. order a phenytoin level. b. reassure the patient that this is a self-limiting adverse effect. c. recommend that the patient take diphenhydramine to treat this side effect. d. tell the patient to stop taking the phenytoin and contact the neurologist immediately.

Nursing