Alton is an 89-year-old patient who lives in a nursing home. He has been admitted to the hospital for observation after falling and exhibiting confusion and malaise in the nursing home
He had a urinary catheter inserted 2 weeks ago when he complained of difficulty urinating. Alton's health care provider ordered laboratory work. The nurse notes that his neutrophil count is low. She knows that this, combined with the other clinical signs and symptoms, most likely indicates what condition? A. Stroke
B. Fractured hip
C. Bacterial infection
D. Viral infection
C
Neutrophils that are 55% to 70% increased in acute infection may be decreased in an overwhelming bacterial infection of an older adult.
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To manage urinary incontinence, the nurse should teach the patient to consider which of the following strategies:
A) Take diuretics every 12 hours. B) Eat a well-balanced diet high in fiber. C) Decrease smoking in the evening. D) Void 3 to 4 times a day.
Measuring the productivity of nurses is complex because the ____
a. Care outcomes should never be associated with cost b. Disease processes and nursing outcomes are not well understood c. Most efficient combination of resources for performing care processes is not known d. Use of diagnosis-related groups is not widespread
The nurse manager is anticipating changes on the unit because of managed care. It is up to the manager to "sell" the staff on this care concept. A goal of managed care that the staff must understand is that managed care is:
a. Grounded in business theory. b. Useful for long-term patients only. c. Designed to reduce unit resources and staff. d. Not concerned with the best interests of clients.
A patient seen in the asthma clinic has recorded daily peak flows that are 75% of the baseline. Which action will the nurse plan to take next?
a. Increase the dose of the leukotriene inhibitor. b. Teach the patient about the use of oral corticosteroids. c. Administer a bronchodilator and recheck the peak flow. d. Instruct the patient to keep the next scheduled follow-up appointment.