A home care patient with chronic obstructive pulmonary disease (COPD) has oral candidiasis. What additional information does the nurse obtain from this patient?
a. "How often are you using your steroid inhaler?"
b. "Do you share a toothbrush with any members of your family?"
c. "When was the last time your inhaler drug prescriptions were filled?"
d. "Have you taken any over-the-counter drugs for a cold or flu lately?"
A
Excessive use of steroid inhalers reduces local immune function and increases the patient's risk for oral-pharyngeal infections, including candidiasis.
You might also like to view...
A patient who is undergoing consolidation therapy for the treatment of leukemia has been experiencing debilitating fatigue. How can the nurse best meet this patient's needs for physical activity?
A) Teach the patient about the risks of immobility and the benefits of exercise. B) Assist the patient to a chair during awake times, as tolerated. C) Collaborate with the physical therapist to arrange for stair exercises. D) Teach the patient to perform deep breathing and coughing exercises.
The patient is a 69-year-old woman who has a history of diabetes mellitus, peripheral vascular disease, and myocardial infarctions
She was admitted to the hospital with a stroke and is being transferred to a subacute facility and then to a rehabilitation facility. At every admission, she must review her entire history, provide telephone numbers of family members, list all 30 of her medications, and list all home care and medical supply companies. Also, at each facility, a phy-sician or nurse practitioner completes a total history and physical about her and orders the same laboratory tests to be done. This is an example of ____. a. Continuum of care b. Fragmented service delivery c. Optimal health care economics d. Seamless care provision
On Unit 62, the nurses and the unit manager have been involved in shared decision making related to the model of nursing care delivery that the unit will adopt
All individuals have parti-cipated and been involved in decision making and implementation of changes. When issues arise during implementation, it is expected that: a. Accountability resides entirely with the unit manager. b. Individual expertise will be utilized to provide solutions, but that responsibility for the change is shared. c. No one really has any accountability or responsibility for the changes. d. This will contribute to widespread skep-ticism among the staff about the probabil-ity of success.
The nurse, giving direction to a nursing assistant for client care, realizes that which of the following nurse leaders opposed the movement to put untrained nursing aides under the control of physicians during World War I?
a. Clara Barton b. Isabel Hampton Robb c. Annie Goodrich d. Jane Delano