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A nurse is caring for a client.

Medication Administration Record:

Budesonide 6 mg PO daily.

Laboratory Results:

Hematocrit (Hct): 47% (Normal range: 37% to 52%)

Hemoglobin (Hgb): 16 g/dL (Normal range: 12 to 18 g/dL)

Potassium: 3.6 mEq/L (Normal range: 3.5 to 5.0 mEq/L)

History and Physical:

BMI: 16 (Reference Range:18.5 - 24.9)

History of type 2 diabetes mellitus.

Nonsmoker.

New diagnosis of Crohn's disease.

Click to highlight the findings that increase the client's susceptibility to infection.

To deselect a finding, click on the finding again.

Budesonide 6 mg PO daily

BMI: 16

History of type 2 diabetes mellitus

New diagnosis of Crohn's disease

Hematocrit (Hct): 47%

Hemoglobin (Hgb): 16 g/dL

Potassium: 3.6 mEq/L

Answer and Explanation

The Correct Answer is ["A","B","C","D"]

Findings that Could Increase Susceptibility to Infection:

Budesonide 6 mg PO daily:
- Explanation: Budesonide is a corticosteroid used to reduce inflammation, often prescribed for conditions like Crohn's disease. While it helps manage inflammation, corticosteroids also suppress the immune system. This immunosuppressive effect can increase the client's susceptibility to infections.
BMI of 16:
- Explanation: A BMI of 16 is considered underweight. Malnutrition or being underweight can weaken the immune system, making a person more susceptible to infections because their body lacks the necessary nutrients and energy to support immune function.
History of Type 2 Diabetes Mellitus:
- Explanation: Diabetes, particularly if not well-controlled, can impair the immune system and increase the risk of infections. High blood sugar levels can hinder the function of immune cells, making it easier for infections to develop and harder for the body to fight them.
New Diagnosis of Crohn's Disease:
- Explanation: Crohn's disease is an inflammatory bowel disease that causes inflammation of the digestive tract. This chronic inflammation can affect the body's ability to absorb nutrients, leading to nutritional deficiencies that impair the immune system. Additionally, the disease itself, especially when active, can increase the risk of infection.

Findings That Do Not Increase Susceptibility to Infection:

Hematocrit (Hct) of 47%:
- Explanation: The Hct level is within the normal range of 37% to 52%. It measures the percentage of red blood cells in the blood. Since it's normal, it does not indicate an increased risk of infection.
Hemoglobin (Hgb) of 16 g/dL:
- Explanation: The Hgb level is also within the normal range of 12 to 18 g/dL. Hemoglobin is a protein in red blood cells that carries oxygen. This normal level does not suggest a higher risk of infection.
Potassium level of 3.6 mEq/L:
- Explanation: Potassium levels are within the normal range of 3.5 to 5.0 mEq/L. This electrolyte level is unrelated to infection risk in the context provided.

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Correct Answer is C

Explanation

Choice A rationale:

Tell the APs they are acting immature. Telling the APs that they are acting immature is a judgmental and unhelpful approach. It does not demonstrate conflict resolution but rather exacerbates the conflict. This choice is not appropriate for resolving the situation.

Choice B rationale:

Allow the APs to resolve their issues. While allowing individuals to resolve their issues on their own can sometimes work, it is not always the best approach, especially in a healthcare setting where teamwork and patient care are paramount. In this scenario, the nurse should play an active role in resolving the conflict, making this choice less suitable.

Choice C rationale:

Confront the APs to discuss their argument. Confronting the APs to discuss their argument is a proactive approach to conflict resolution. It allows the nurse to address the issue, mediate the disagreement, and work towards a resolution. This choice is the most appropriate and demonstrates effective conflict resolution.

Choice D rationale:

Report the APs to the charge nurse. Reporting the APs to the charge nurse should be considered when the conflict cannot be resolved at the staff level, and it threatens patient care or safety. However, it should not be the first step in resolving a conflict between two individuals. It is a more formal and escalated approach, and in this case, choice C is a more suitable initial response.

A. A client is scheduled to receive an influenza vaccination. B. A client who has a family history of breast cancer is scheduled for a mammogram. C. A client who is asymptomatic is not scheduled for a series of tests. D. A client who has heart failure is scheduled for an echocardiogram.

Correct Answer is B

Explanation

The correct answer is Choice B: A client who has a family history of breast cancer is scheduled for a mammogram.

Choice A rationale:

Receiving an influenza vaccination is an example of primary prevention, which aims to prevent the onset of disease.

Choice B rationale:

Scheduling a mammogram for a client with a family history of breast cancer is an example of secondary prevention. Secondary prevention involves the early detection and treatment of disease to reduce the impact of the disease. Mammograms help in the early detection of breast cancer, which can significantly improve treatment outcomes.

Choice C rationale:

Not scheduling tests for an asymptomatic client does not relate to secondary prevention. Secondary prevention involves screening and early detection of diseases in at-risk populations.

Choice D rationale:

Scheduling an echocardiogram for a client with heart failure is an example of tertiary prevention. Tertiary prevention aims to reduce the impact of an ongoing illness or injury that has lasting effects by helping patients manage long-term, complex health problems.

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Findings that Could Increase Susceptibility to Infection:

Findings That Do Not Increase Susceptibility to Infection:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse overhears two assistive personnel (APs) disagreeing about client care assignments.Which of the following actions by the nurse demonstrates conflict resolution?

Correct Answer is C

Explanation

A charge nurse is providing an in-service to a group of nurses on the different levels of illness prevention. The nurse should include which of the following as an example of secondary prevention?

Correct Answer is B

Explanation

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