While caring for an older patient, the nurse is aware that the two most common sources of infection that can lead to sepsis in this patient include:
1. Pneumonia and urinary tract infections
2. Skin infections and diabetes
3. Surgical incisions and abdominal wounds
4. Traumatic wounds and abdominal surgeries
1
Rationale 1: The most common source of sepsis stems from urinary tract infections and pneumonia. Among older patients, the most common source of infection is the urinary tract. The second most common source, the lungs, accounts for 35% of sepsis cases.
Rationale 2: Skin and soft tissue account only for 7% of sepsis. Diabetes increases the patient's risk for developing sepsis.
Rationale 3: Other sources account only for 8% of sepsis cases.
Rationale 4: Other sources account only for 8% of sepsis cases.
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An older patient with Alzheimer's disease has a feeding tube. The family wants to know if the patient will ever be able to eat solid food again. What information should the nurse include when responding to this family's question?
1. The dietitian will decide if this can be done. 2. It depends upon the patient's functional eating abilities. 3. This can be done but the feeding tube has to be removed first. 4. In the patient with dementia, the restoration of natural feeding is highly unlikely.
A nurse is using the Health Insurance Portability and Accountability Act (HIPAA). Which of the following situations is the nurse most likely in?
a. Counseling an employee that his insurance will remain the same after changing jobs b. Supervising staff to ensure that all work has been completed c. Adhering to client confidentiality when providing care d. An employee takes additional time off of work to care for a sick family member
A client with bipolar disorder is admitted to the psychiatric unit. The client is talking loudly, walking back and forth rapidly, and exhibiting a short attention span. Which of the following would the nurse do first?
A) Decrease the client's environmental stimuli. B) Give the client feedback about his behavior. C) Introduce the client to other staff on the unit. D) Tell the client about hospital rules and policies.
A nurse is providing nursing care to patients after completing a care plan from nursing diagnoses. In which step of the nursing process is the nurse?
a. Assessment b. Planning c. Implementation d. Evaluation