Inflammation, Infection, Nutrition

A client diagnosed with acalculous cholecystitis asks the nurse how the gallbladder inflammation developed when there is no history of gallstones. What is the nurse's best response?

"This type of gallbladder inflammation is associated with hypovolemia"

A nurse teaches a young female patient who is prescribed amoxicillin (Amoxil) for a urinary tract. infection. Which statement would the nurse include in this patient's teaching?

"Use a second form of burth control while on this medication"

The nurse is instructing a group of overweight clients on the complications of obesity that develop when weight is not controlled through diet and exercise. Which lifestyle changes does the nurse emphasize?

"Foods eaten away from home tend to be higher in fat, cholesterol, and salt and lower in calcium thatn foods prepared at home."; "Engage in moderate physical activity for atleast 30 minutes each day."; "Consume a diet that is moderate in salt and surger and low in fats and cholesterol."; "Eat a variety of foods, especially grain products, vegatables, and fruits."

A client with a bacterial skin infection is being taught home care for treatment of this infection. Which statement by the client indicates a need for further teaching?

"I may stop using the topical antibiotic when the lesions disappear."

Which morbidly obese client is the least likely candidate for bariatric surgery?

A 34-year-old women experiencing mental confusion

A client is placed on orlistat (Xenical) as part of a treatment regimen for morbid obesity. What side effect does the nurse tell the client to expect from using this drug?

Loose stools, abdominal cramps and nausea

Which statement about why multidrug-resistant organisms and other infections are increasing in incidence is correct?

Antibiotics have been given to clients for conditions that do not require antibiotics

A patient is awaiting bariatric surgery in the morning. What action by the nurse is most important?

Beginning venous thromboembolism prophylaxis

The nurse is developing a teaching plan for a client diagnosed with methicillin-resistant Staphylococcus aureus infection. The nurse plans to include which instruction in the client's teaching plan?

Cover the infected area with a clean, dry bandage

The nurse is teaching a client how to prevent vaginal inflammation and itching. What information does the nurse include?

Do not have unprotected sex with multiple partners

The nurse assesses patients for the cardinal signs of inflammation. Which signs/symptoms does this include?

Edema; Redness; Warmth

The nurse reviews a medication hisotry for a patient newly diagnosed with peptic ulcer disease (PUD) who has a history of using ibuprofen (Advil) frequently for chronic knee pain. The nurse anticipates that the primary health care provider will request which medication for this patient?

Misoprostol (Cytotec)

The nurse is caring for a patient with peptic ulcer disease who reports sudden onset of sharp abdominal pain. On palpation, the patient's abdomen is tense and rigid. What action takes priority?

Notify the health care provider immediately

A nurse reviews the laboratory findings of a patient with a urinary tract infection. The laboratory report notes a "Shift to the left" in a patient's white blood cell count. What action would the nurse take?

Notify the provider and start an intravenous line for parenteral antibiotics

The nurse is administering eyedrops to a client with an infection in the right eye. The drops go in both eyes, and two different bottles are used to administer the drops. The nurse accidentally uses the left eye bottle for the right eye. What action by the nurse is best?

Obatain a new bottle of eyedrops

A patient with peptic ulcer disease (PUD) asks the nurse whether licorice and slippery elm might be useful in managing the disease. What is the nurse's best response?

"These herbs could be helpful. However, you should talk with your primary health care provider before adding them to your treatment regimen."

A patient with peptic ulcer disease asks the nurse about taking slippery elm supplements. What response by the nurse is best?

"Slippery elm is often used for this disorder"

The clinic nurse has taught a client about influenza infection control. Which client statement indicates the need for further teaching?

"The intranasal vaccine can be given to everybody in the family."

A nurse assesses a patient with a fungal urinary tract infection (UTI). Which assessments would the nurse complete?

Obtain a current list of medications; Assess the medical hisotry and current medical problems

The nurse obtains assessment data on a client who had bariatric surgery today. Which finding does the nurse report to the surgeon immediately?

Urine output total is 15 mL for the past 2 hours

Which precautions is best for the nurse to take to prevent the transmission of Clostridium difficile infection?

Wear gloves when contact with body secretions or body fluids is expected

The nurse is caring for a client with severe acute respiratory syndrome (SARS). What is the most important infection control precaution that the nurse takes when preparing to suction this client?

Wearing a disposable particulate mask respiratory

The nurse is preparing to perform a dressing change for a client who has methicillin-resistant staphylococcus aureus (MRSA) infection. What precaution will the nurse take while performing this dressing change?

Wearing disposable gloves

The nurse is teaching a patient with peptic ulcer disease (PUD) about the prescribed drug regimen. Which statement made by the patient indicates a need for further teaching before discharge?

"Nizatidine (Axid) needs to be taken three times a day to be effective."

The student nurse learns that the most important function of inflammation and immunity is which purpose?

Providing protection against invading organisms

A client has undergone bariatric surgery. Which nursing intervention is the highest priority in preventing dehydration in this client?

Providing six small feedings daily and offering fluids frequently

The nurse manager for a long-term care facility is in charge of implementing a plan to decrease the spread of infection within the facility. Which part of the plan is most appropriate to delegate to nursing assistants working at the facility?

Reinforcing the need for handwashing after caring for clients

A patient with peptic ulcer disease is in the emergency department and reports the pain has gotten much worse over the last several days. The patient's blood pressure was 122/80 mm Hg and when standing was 98/52 mm Hg. What action by the nurse is most appropriate?

Start a large-bore IV with normal saline

A patient is experiencing bleeding related to peptic ulcer disease (PUD). Which nursing intervention is the highest priority?

Starting a large-bore IV

Which information does the nurse include when teaching a client about antibiotic therapy for infection?

Take all antibiotics as prescribed, unless side effects develop