A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because
A) they occur in the lower lobe alveoli which are more sensitive to infection.
B) gram-negative organisms are more resistant to antibiotic therapy.
C) they occur in healthy young adults who have recently been debilitated by an upper respiratory infection.
D) gram-negative pneumonias usually affect infants and small children.
Answer: B) gram-negative organisms are more resistant to antibiotic therapy.
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Which of the following statements explains why it can be difficult to assess a child's dietary intake?
a. Recall of food consumption is frequently unreliable. b. Families usually do not understand much about nutrition. c. The child must be hospitalized to obtain an accurate dietary intake. d. No systematic assessment tool has been developed.
The patient has been forcefully blowing his nose and now has a nosebleed. The nurse is concerned about the patient's condition and assesses the patient for which possible negative issues? (Select all that apply.)
a. Clearance of nasal passages b. Injury to the tympanic membrane (eardrum) c. Damage to nasal mucosa d. Eye injury e. Decreased nasal passage pressure
Which of the following questions is best to ask when assessing the client's judgment?
A) "Can you describe your usual daily activities for me?" B) "If you found yourself downtown without money or a car, how would you get home?" C) "On a scale of 1 to 10, how stressed would you rate yourself?" D) "What problem would you like to work on while you're hospitalized?"
The nurse identifies that the client is unable to cough to produce a sputum specimen, and the cli-ent's secretions must be suctioned. Which suctioning route is preferred for obtaining this speci-men?
1. Nasopharyngeal 2. Nasotracheal 3. Oropharyngeal 4. Orotracheal