The nurse is caring for an older adult client who develops a fever, rash over the trunk, and back and complains of feeling achy and very tired. What should the nurse suspect is occurring with this client?
A) A roundworm infection
B) Bacterial meningitis
C) A urinary tract infection
D) An autoimmune response
D
Feedback:
Healthcare providers must carefully assess for symptoms in older adults that may indicate autoimmune responses (i.e., rash, malaise, fever, aching, etc.).
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A client states, "I have come to the conclusion that this disease has not paralyzed me." The nurse recognizes that this client is in which stage of the Psychological Recovery Model as described by Andersen and associates?
1. Moratorium 2. Awareness 3. Preparation 4. Rebuilding
What action would lead a nurse to believe a coworker is not a good critical thinker?
1. Consistently follows the charge nurse's directions without question 2. Asks many questions when confronted with a new situation 3. Freely admits to not knowing the answer to questions 4. Verifies the meaning of communication to improve understanding
When making an initial assessment on a patient with a hearing deficit, the patient reports that he often feels off balance and is dizzy when he stands up. Which diagnosis might explain these symptoms?
a. Sinus infection b. Rubella c. Otalgia d. Presbycusis
The student nurse is caring for a patient who is postoperative day 3 following a colostomy. While changing the dressing, the student nurse notes that the stoma is dusky in color
The student asks his preceptor what this might indicate. What should the nurse preceptor respond? A) This is a normal color postoperatively. B) The patient's oxygen saturation may be low. C) Circulation to the stoma is compromised. D) The stoma is blocked.