A patient who has been on antibiotic therapy for 3 weeks has a cottage cheese–like coating on the teeth, gums, and roof of the mouth. What your best action?
a. Take a specimen and send it to the laboratory for culture.
b. Hold the dose and notify the prescriber immediately.
c. Document this expected finding as the only response.
d. Assist the patient to perform frequent mouth care
ANS: D
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When assigning priorities related to the care of the patient, it is important for the nurse and the patient's family to look at the urgency of specific problems. Which of the following provides the best framework for prioritizing patient problems?
A) Availability of hospital resources B) Family member statements C) Maslow's Hierarchy of needs D) Nursing skill
While performing a home assessment, the home care nurse identifies traditional practices that the patient uses to protect health. Which are practices used to protect health? Select all that apply.
A. Picture of a saint hanging on the wall in the bedroom B. String of garlic hanging in the kitchen C. Burning a candle on the kitchen table D. Wearing a purple scarf E. Chanting prayers
A 29-year-old patient has just been told that he has testicular cancer and needs to have surgery. The surgery is scheduled for the following week
That afternoon, the patient calls the nurse and tells her he wants to cancel the surgery because he thinks he might be better off dead. The nurse asks him why he feels that way. The patient states "My wife won't want to have sex with me anymore. He says he feels like he's spoiled a happy, satisfying sex life with his wife and he starts to cry. Based on these statements, which nursing diagnosis would be most appropriate for creating a plan of care for this patient? A) Situational low self-esteem B) Inability to function C) Social isolation D) Risk for loneliness
In vitro fertilization–embryo transfer (IVF-ET) is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview
The husband asks the nurse to explain what the procedure entails. The nurse's most appropriate re-sponse is: a. "IVF is a type of assisted reproductive therapy that involves collecting eggs from your wife's ovaries, fertilizing them in the lab with your sperm, and transferring the embryo to her uterus." b. "A donor embryo will be transferred into your wife's uterus." c. "Donor sperm will be used to inseminate your wife." d. "Don't worry about the technical stuff; that's what we are here for."