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The nurse is assigning care of the client with prostatitis to a practical nurse. Which instruction should the nurse provide the p.m. regarding care of this client? A) Restrict oral fluid intake. B) Strain all urine. C) Maintain contact isolation. D) Avoid urinary catheterization. (Ans- D) Avoid urinary catheterization. The nurse observes an unlicensed assistive personnel who is preparing to provide personal care for a client who requires contact precautions. The UAP has applied a gown ...

During an admission assessment a client reports currently using heroin which information is most important for the nurse to consider in the plan of care (Ans- history of suicide attempts A nurse is preparing a discharge teaching plan for a client who has had a liver transplant which instruction is most important to include in this plan (Ans- Avoid crowds for first two months after surgery The nurse is demonstrating correct transfer procedures to the unlicensed assistive personnel workin...

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A 50-year-old female sees you for a routine health maintenance visit. She is asymptomatic and has no known family history of cancer. She underwent breast augmentation surgery 20 years ago. On examination she has a BMI of 22 kg/m2.According to the U.S. Preventive Services Task Force, which one of the following has the best evidence for breast cancer screening for this patient at this time? Monthly breast self-examinations Mammography only A clinical breast examination and mammography Bre...

A 22-year-old male with long-standing asthma develops an asthma exacerbation following an upper respiratory infection. He is seen in the emergency department with severe dyspnea and a fall in peak flow to 270 L/min, which is 45% of his personal best peak flow of 600 L/min. He is hospitalized and aggressively treated with short-acting β-agonists, plus oral prednisone, 40 mg daily. He responds incompletely to therapy, with an increase in his peak flow to 340 L/min (57% of personal best). A...

A 35-year-old male sees you for a routine health maintenance visit. He has gained a few pounds over the past few years. He is 173 cm (68 in) tall and weighs 82 kg (181 lb), giving him a BMI of 27 kg/m2.According to current American Diabetes Association guidelines, which one of the following additional factors would warrant screening him for prediabetes and diabetes? (Ans- E. Physical inactivity 2. An obese 58-year-old male comes to your office with a 2-week history of fatigue associated ...

A 78-year-old male with chronic hypertension presents with a sudden onset of severe chest pain radiating to the back, associated with dyspnea and near-syncope. Which one of the following would suggest a diagnosis other than acute myocardial infarction? A 3/6 holosystolic apical murmur and diffuse ST-segment elevation A 2/6 diastolic murmur and weak radial and femoral pulses Diffuse ST-segment elevation of 1-2 mm A pulsus paradoxus of 10 mm Hg Chest and back pain that was mild initially a...

A 77-year-old female is admitted to the critical care unit for acute respiratory failure and is on a ventilator for more than 48 hours. Stress ulcer prophylaxis is ordered. This prophylaxis should be continued until A) venous thromboembolism prophylaxis is stopped B) the patient is transferred out of the critical care unit C) the patient is discharged from the hospital D) the patient is discharged from a skilled care or rehabilitation care facility E) 30 days after discharge from the ho...

Cardiac conditions that increase the risk of stroke include which of the following? (Mark all that are true.) Endocarditis Mitral stenosis Patent foramen ovale A tissue mitral valve prosthesis 1 year postoperatively A mechanical mitral valve prosthesis 1 year postoperatively (Ans- A, B, C, E Endocarditis may lead to production of emboli (SOR A). Mitral stenosis increases stroke risk because increasing the size of the left atrium, especially if associated with atrial fibrillation, incre...

Which one of the following interventions is recommended by the 2017 American College of Cardiology/American Heart Association guidelines for the nonpharmacologic management of hypertension? Reducing sodium consumption by 1000 mg daily Avoiding isometric exercise Avoiding caffeine consumption Avoiding alcohol use (Ans- A Weight reduction and dietary sodium reduction have been associated with a reduction in systolic blood pressure of 5-20 mm Hg and 2-8 mm Hg, respectively. Although the o...