A client had a splenectomy. Which fact is most important to teach the client regarding immune function?
a. "You won't get a fever with infection, so you need to learn to identify other symp-toms."
b. "It will no longer be necessary for you to worry about developing allergies."
c. "Avoid people who are ill because it will be harder for you to develop antibodies."
d. "You will need to be assessed yearly for the risk of developing cancer."
C
The spleen is involved in B-lymphocyte maturation. People who undergo splenectomies for any reason may have a decreased antibody-mediated immune response and thus would be more sus-ceptible to infection. Clients will still develop fever after splenectomy and are not at increased risk for allergies or fever.
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For Orem, the clear specification that the nurse uses in the nursing role is the power of nurses to
A. Initiate caring for others. B. Coordinate the work of all health providers. C. Design and produce nursing care for others. D. Maintain an objective stance toward others.
Spironolactone (Aldactone), an aldosterone antagonist, is prescribed for a patient. Which statement by the patient indicates that the teaching about this medication has been effective?
a. "I will try to drink at least 8 glasses of water every day." b. "I will use a salt substitute to decrease my sodium intake." c. "I will increase my intake of potassium-containing foods." d. "I will drink apple juice instead of orange juice for breakfast."
Persistent early decelerations are noted. What would the nurse's first action be?
1. Turn the mother on her left side and give oxygen. 2. Check for prolapsed cord. 3. Do nothing. This is a benign pattern. 4. Prepare for immediate forceps or cesarean delivery.
Which of the following is the most probable cause of the increase in new emerging infectious diseases?
a. Activities or behavior of humans, including changes in the environment b. Increasing urbanization and growth in new housing materials c. New infectious agents are evolving throughout the world d. Overpopulation in many areas, creating a need to reduce global population