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Transonic Transonic
wrote...
Posts: 80
Rep: 2 0
6 years ago
Which interventions are health promotions to prevent pneumonia? (Select all that apply.)
 
  a. Position patient on the back to prevent aspiration.
  b. Encourage elder patients to receive influenza and pneumococcal vaccines.
  c. Provide for good health habits (nutrition, hygiene, exercise).
  d. Allow new stroke patients to feed themselves to encourage self-care.
  e. Check for placement before administering tube feedings.

Question 2

A 73-year-old client with a diagnosis of upper respiratory infection has been prescribed antibiotics. The client has inquired about natural remedies to supplement antibiotic therapy and reduce future infections.
 
  Which of the following substances might the nurse encourage the client to explore? A) Echinacea and garlic
  B) Aloe vera and rosemary oil
  C) Ginger and witch hazel
  D) Glucosamine and vitamin D

Question 3

Identify the purposes of chest drainage: (Select all that apply)
 
  a. Drains air, blood and fluid from pleural space
  b. Restores positive pressure in chest cavity
  c. Restores negative intrapleural pressure
  d. Allows lung to collapse and rest
  e. Allows route for medication administration

Question 4

A patient's most recent arterial blood gases reveal pH = 7.5; HCO3- = 29 mEq/L, and PaCO2 = 51 mm Hg. What health problem could account for these findings?
 
  A) Volume depletion from vomiting
  B) Diabetic ketoacidosis (DKA)
  C) Atelectasis
  D) Hyperventilation

Question 5

An older male patient with end-stage renal disease is sad and believes that he will die within a few days. Which interventions should the nurse use to promote hope in the patient? (Select all that apply.)
 
  A) Using humor at the bedside
  B) Facilitating a life review for the client
  C) Helping the client to find pleasure during current life activities
  D) Encouraging the client to focus on a time of life that was more pleasant
  E) Introducing the client to an individual who has a much poorer prognosis and/or health status

Question 6

The nurse assesses the health actions of a group of clients. Which of the following practices best demonstrates appropriate use of antibiotics?
 
  A) An 80-year-old client takes a low dose of a broad-spectrum antibiotic once daily to prevent infection.
  B) A 77-year-old client makes sure to stop taking the antibiotics once signs and symptoms of infection are no longer present.
  C) An 81-year client does not take synthetic antibiotics but rather limits self to natural substitutes.
  D) A 72-year-old client discards leftover antibiotics once the prescribed course is complete.

Question 7

A nurse who provides care on the oncology unit of the hospital is aware of the high incidence of hypercalcemia among patient with cancer. What factors contribute to this fact? Select all that apply.
 
  A) Bone demineralization
  B) Secretion of parathyroid hormone (PTH)-related protein by tumors
  C) Consequences of immobility
  D) Use of artificial nutrition and hydration
  E) Use of chemotherapeutic agents
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Replies
wrote...
6 years ago
Answer to #1

B, C, E
Older adults should receive pneumococcal and influenza vaccines. Good health habits are the basis for preventing disease. Aspiration can occur if the nasogastric tube is not correctly placed in the stomach. New stroke patients should be assisted with eating until the gag reflex is established.

Answer to #2

A
Feedback:
Garlic and Echinacea are noted to have antibiotic properties, while this is not the case with the other cited substances.

Answer to #3

A, B, E
A chest tube or tubes may be inserted for continuous drainage of fluid, blood, or air from the pleural cavity and for medication instillation. To prevent the lung from collapsing, a closed drainage system is used, which maintains the lung cavity's normal negative pressure. The chest tubes are connected to a pleural drainage system with collection, water-seal, and suction control chambers to drain secretions and reestablish negative pressure in the pleural space.
Topic: Pleural effusion or empyema

Answer to #4

A

Answer to #5

A, B, C
Feedback:
The tactful use of humor, facilitation of life review, and aiding clients in finding pleasure in activities are noted to instill hope. Encouraging comparison to someone with a worse situation and encouraging focus on a different time of life are not noted to foster the development of hope.

Answer to #6

D
Feedback:
It is important to discard leftover antibiotics. Taking an antibiotic indefinitely is not a sound practice and a course of antibiotics should be taken for the prescribed length of time, not ceased when signs and symptoms disappear. Categorical rejection of antibiotics in favor of natural substitutes is an individual's right, but does not reflect the fact that antibiotics are appropriate and even invaluable in certain situations.

Answer to #7

A, B, C
Transonic Author
wrote...
6 years ago
This calls for a celebration Person Raising Both Hands in Celebration
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