The nurse on the medical unit is admitting a client with chronic obstructive pulmonary disease (COPD). Which prescription does the nurse anticipate to decrease this client's risk for developing a respiratory infection?
A) A broad-spectrum antibiotic
B) A bronchodilator
C) A corticosteroid
D) An influenza vaccine
Answer: D
An influenza vaccine may be ordered to reduce the risk of respiratory infections. A broad-spectrum antibiotic may be prescribed if infection is suspected but would not be ordered to reduce the risk of developing an infection. Bronchodilators may be ordered to improve airflow and reduce air trapping, resulting in improved dyspnea and exercise tolerance, but would not be ordered to reduce the risk of developing an infection. Corticosteroid therapy may be used when asthma is a major component of COPD. It improves symptoms and exercise tolerance and may reduce the severity of exacerbations but would not be ordered to reduce the risk of developing an infection.
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A blood clot that travels through the vascular system until it lodges in a distant vessel is:
a. Regional anesthesia b. An embolus c. A thrombus d. Spirometry
Before beginning surgery, a circulating nurse suspects that the wrong patient may be on the operating table. The first thing the nurse should do is
1. Check that the proper surgical site is marked with a permanent marker. 2. Check the signed consent form in the patient's chart. 3. Call a time-out. 4. Confirm the patient's identity and date of birth.
Interpret the given notations
12.5 mL
A patent's laboratory results show an elevated creatinine level. The patient's history reveals no risk factors for kidney disease. Which question does the nurse ask the patient to shed further light on the laboratory result?
a. " How many hours of sleep did you get the night before the test?" b. " How much fluid did you drink before the test?" c. " Did you take any type of antibiotics before taking the test?" d. " When and how much did you last urinate before having the test?"