Author Question: The nurse is obtaining a health history on a newly admitted patient. Which information alerts the ... (Read 147 times)

jenna1 · **on:** Jun 25, 2018

The nurse is obtaining a health history on a newly admitted patient. Which information alerts the nurse that the patient is at increased risk for developing an infection? (Select all that apply.)

a. The patient reports having unprotected heterosexual sex in three previous rela-tionships.
b. The patient is employed as a biochemist in a hospital.
c. The patient's income is considered mid-dle-class level.
d. The patient reports getting 4 to 5 hours of sleep per night.
e. The patient is 21 over the suggested normal weight.

Question 2

The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) who has been in the hospital for several days.

The patient complains of shortness of breath and asks the nurse to turn up his oxygen to compensate for his labored breathing. What is the best nursing re-sponse?
a. Turn up the patient's oxygen flow by 1 liter.
b. Call the physician for an order to turn up the oxygen.
c. Assess the patient in an attempt to identify the cause of the shortness of breath.
d. Ask the patient what he usually keeps his oxygen set on at home.

rekilledagain · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A, D, E
This patient's lifestyle habits, insufficient sleep, and being obese increase the chance of devel-oping an infection by the strain placed on the immune system. This patient's occupation and in-come level would not increase the risk for infection.

Answer to Question 2

C
The nurse should assess the patient for possible causes of the shortness of breath before calling the physician. The nurse may be able to implement nursing interventions, or may need to contact the physician for orders based on the assessment findings. Since the COPD patient's respiratory drive is lowering levels of PO2, turning up the oxygen may take away his incentive to breathe. Asking the patient about his home oxygen is not helpful at this point.