Which client should the nurse consider at an increased risk for infection as a result of a chronic health problem?
A. 28-year-old client who wears contact lenses
B. 28-year-old client with type 1 diabetes mellitus
C. 48-year-old client with a known hypersensitivity to latex
D. 48-year-old client taking analgesics for migraine headaches
B
Clients with diabetes are at greater risk for infection for many reasons. The disease affects the vascular system, preventing normal immune defenses from reaching sites of injury or invasion. The elevated glucose level in the extracellular fluid provides rich growth medium for microor-ganisms, especially bacteria and fungi.
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A thymectomy is sometimes used to treat which peripheral nervous system disorder?
a. Multiple sclerosis (MS) b. Guillain-Barré syndrome (GBS) c. Amyotrophic lateral sclerosis (ALS) d. Myasthenia gravis (MG)
When events are not consistent with facility or national standards of expected care, the form that explains the lapse is the:
a. subjective data. b. focus chart. c. incident report. d. nursing assessment.
The 39-year-old daughter of a client with a terminal illness tells the nurse that she thinks something is wrong with her because she frequently cries, is often sad, and can't imagine losing her mother
The nurse assures the daughter that these are normal feelings associated with: a. Bereavement-related depression b. Complicated grief c. Anticipatory grief d. Caregiver grief
The patient is exhibiting abnormal posturing to stimuli. Which findings would the nurse document as decerebrate posturing? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The arms are rigidly extended. 2. The toes are pointed downward. 3. The teeth are clenched. 4. The chin is held against the chest. 5. The arms are hypersupinated.