Your client has a temperature of 102° F on the second postoperative day. What is the likely source of infection?
1. the surgical wound
2. thrombophlebitis
3. the pulmonary system
4. any of the above
ANS: 3
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A client has a positive rapid HIV antibody test. For which additional diagnostic tests should the nurse instruct this client? (Select all that apply.)
1. Western blot assay 2. Sedimentation rate 3. HIV viral load test 4. Complete blood count and differential 5. Enzyme-linked immunosorbent assay (ELISA)
Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, "I've had this cough for 3 days, and it's getting worse."
You reply, "Tell me more about your cough.". Mr. Franklin states, "I wish I could tell you more. That's why I'm here. You tell me what's wrong!" Which caregiver response would be most appropriate for enhancing communication? a. "After 3 days, you're tired of coughing. Have you had a fever?" b. "I'd like to hear more about your expe-riences. Where were you born?" c. "I don't know what's wrong. You could have almost any disease.". d. "I'll examine you and figure out later what the problem is.".
A woman in her second trimester of pregnancy smiles and pats her abdomen when she feels the baby move. She expresses a wish for a beautiful little girl and often talks about the baby in positive terms
These behaviors illustrate which developmental task of pregnancy? a. Pregnancy validation b. Fetal embodiment c. Fetal distinction d. Role transition
A nurse is educating a preoperative client on how to cough effectively. What can the nurse tell the client to do to facilitate coughing?
A) "Hold a pillow or folded bath blanket over the incision." B) "Get up and walk before you try to cough." C) "It would be best if you do not cough until you feel better." D) "When you cough, cover your nose and mouth with a tissue."