2025 How does the community health nurse recognize bias stereotypes and implicit bias within the

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent 2025

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? It may be difficult for nurses to accept that they might be biased against any of their patients, however, it happens, and accepting it and then continually reassessing how they feel and how their approach works are the best approach to correcting implicit bias. A latent human tendency is an implicit bias that therefore interferes with best nursing practices. Recognizing an inherent bias implies recognizing that one might have certain emotions towards a particular population, the presence of an individual or community, or mannerisms that need to be discussed and dealt with in order to provide the best possible treatment. How should the nurse address these concepts to ensure health promotion activities are culturally competent? The following are some of the ways the nurses can address the concepts of bias, stereotypes, and implicit bias to ensure that health promotion activities are culturally competent; Noticing their assumptions-Anything from language differences to work status to regional inflections may lead individuals to conclude that a patient has certain attributes, attitudes, or values with which one might not agree. When trying to describe therapies to a patient, when listening to their wishes, or when working with an extended and active family, it is important to notice the assumptions that might be made. Knowing the patients- A good way to learn more about them is to speak with your patients. Understanding cultural differences will also assist one to become mindful of and begin to resolve any implicit bias. Talking about implicit bias in the work setting also opens the conversation, removes the taboo, and paves the way for better patient care and outcomes. Nurses should also understand the assumptions that trigger in them- A patient’s race, accent, clothing style, or appearance can spark an instant judgment in nurses, therefore, understanding this aspect will help recognize the bias. Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. The following are some of the strategies that can be employed to eliminate cultural dissonance and bias to deliver culturally competent care; Acknowledgment- With acknowledgment comes to the acceptance of responsibility and accountability to make a difference. By facilitating reactions to promote supportive attitudes, such as empathy, nurses and other healthcare professionals must shift to suppress implicit bias. Advocacy- Nurses’ advocacy will help patients in the face of implicit bias to receive the individualized care they need. To serve the needs of patients, nurses must advocate for patients with tact, compassion, and professionalism, and connect and interact with other members of the healthcare team. Education- To raise awareness, acknowledge the presence of implicit bias, and reduce its prevalence, enhanced knowledge is essential. For healthcare professionals and nurses, education may be applied in standardized curricula. Personal awareness- This is the process of inward reflection to accept biases and ideals that can contribute to implicit bias. An internal compass that is used to direct everyday interactions needs gaining personal knowledge. In the face of the constant challenge of implicit bias, this compass will help nurses distinguish acceptable and inappropriate attitudes and actions and remain on the right path. Using 200-300 APA format with references in supporting the discussion. Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue

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2025 I am a nursing student and have a quantitative critique essay due tomorrow using PICO

I have a quantitative critique essay due tomorrow! 2025

I am a nursing student and have a quantitative critique essay due tomorrow using PICO and the John Hopkins appraisal tool. I also have the rubric, the EBP question, and the article I have to use. APA 6th edition must be used and the only source is the article.  Then I have a qualitative due in 2 weeks. Can I get help??

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2025 Practicum Planning Learning Objectives The practicum experience allows you to develop and expand your advanced

Planning Learning Objectives 2025

Practicum: Planning Learning Objectives The practicum experience allows you to develop and expand your advanced nursing knowledge and skills at the aggregate, organizational, or policy level. During week 1 you will submit two to three individual learning objectives that you wish to achieve during this practicum experience. You should prepare a set of measurable learning objectives, using Bloom’s Taxonomy (See attached file). Your practicum objectives should reflect your interest in expanding knowledge. They are not to include activities related to your DNP project. These objectives will be identified during your mentoring course (NURS 8700P, 8700, 8701). Practice experiences should be designed achieve specific learning objectives related to the DNP Essentials and specialty competencies (AACN, 2006). Your practicum objectives should include the following: 1) Three learning objectives using Bloom’s Taxonomy. 2) Description of how these objectives will expand your advanced nursing knowledge and skills at the aggregate, organizational, or policy level. 3) Relationship of the learning objectives to the DNP Essentials. NOTE: Learning objectives must be submitted using APA style. Points may be deducted for lack of references, writing style, and APA format. Refer to the sample attached in the file area ( See attached file >> very important) Submit by tomorrow 8/29/18 before midnight

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2025 A Select one of the following communicable diseases that has had an outbreak across international borders influenza

C228-Task 2 2025

A. Select one of the following communicable diseases that has had an outbreak across international borders: • influenza • measles • respiratory syndrome coronavirus • meningococcal disease • HIV/AIDS • Ebola virus • hepatitis B • hepatitis C • tuberculosis • Zika virus B. Describe the outbreak of the disease selected in part A, including each of the following: • name of the disease • the countries involved • the date the outbreak was discovered • the dates the disease reached each involved country 1. Analyze the epidemiological determinants and risk factors associated with the outbreak. 2. Discuss the route of transmission of the selected disease. 3. Discuss how an outbreak of the selected disease would impact your community at a systems level (e.g., the functioning of schools, local government, businesses, hospitals). 4. Explain what the reporting protocol would be if an outbreak of the selected disease were to occur in your community. 5. Discuss two strategies (e.g., patient education strategies, community education strategies) that you would recommend to prevent an outbreak of the selected disease in your community. C. Submit a PDF of your score summary from Bentonville that includes each of the following completed activities: • Influenza in Bentonville • Community Advocacy • Emergency Response • Communicable Disease Note: For an example of how your score sheet should look, refer to the attached “Sample Final Results Report: Influenza in Bentonville.” D. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized. E. Demonstrate professional communication in the content and presentation of your submission. File Restrictions File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( ) File size limit: 200 MB File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z

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2025 Summary A community is a group of individuals with a shared characteristic or interest living together

PowerPoint presentation sentinel city 2025

Summary A community is a group of individuals with a shared characteristic or interest living together within a larger society. Per Saarloos, D., Kim, J., & Timmermans, over the course of twenty years, the field of health promotion has revealed increased attention for the likely impact of the environment on health. It has become the standard approach to categorizing the various environmental influences on individual health behavior (2009. para. 3). In a community, there are eight subsystems; they are physical, health and social, safety and transportation, education, recreation, politics and government, communication, and economics. In Sentinel City, there are four communities. In this paper, I will continue my window survey and discuss four of the eight subsystems with exploring the different communities. please read the paper below to find some information to complete the assignment. you can also find more information on the internet. Physical Environment The Physical Environment features of communities have been linked to disability, mortality, general health status, chronic conditions, birth outcomes, health behaviors and other risk factors for chronic disease. Along with mental health, injuries, violence, and other important health indicators (Cubbin, Pedregon, Egerter, & Braveman. 2008). Sentinel City’s first community, Nightingale Square the sidewalks and streets have hardly any rubbish on them and are not in bad shape, buildings are mostly big and bright, there may be some graffiti but it is not much, and it is not that obvious. The trees are nicely trimmed, and beautiful cars line the road. Nightingale Square has tennis courts, a basketball court, and parks, large condominiums, beautiful storefronts for clothing, jewelry, and various other shops. There are a grocery store and a gas station located at the end of the community, where it seems to be not as clean, and a small amount of garbage is outside a few buildings. Buildings are not quite as attractive but are still nice, and there is more graffiti on the buildings. There is a large pharmacy, a dentist office and barber shop in the vicinity. Residents are walking, running biking, and walking dogs. Nightingale Square is a community that has “everything” there is a sense of friendliness and openness to other people towards grocer, but in the other areas, there seems to be a feeling of superiorness to the remainder of the community. At and across from the grocer seems to be a place that people like families, couples and others will stop by and watch the entertainment or come to meet people to “hang-out.” The second community is Acer Tech Center the sidewalks and streets are mostly clean, buildings are in good shape, there is more garbage outside buildings, sidewalks are nice, and there is a bit more graffiti than Nightingale Square but not too bad. A few loose dogs and cats are running around, the trees are neatly trimmed, and the cars are in good shape. A large hospital, Sentinel City Healthcare Center is one of the first things to see and then there is Acer Center Business Center next to it. In between the hospital and the business center, there is a large fruit stand and courtyard where people are “hanging -out.” There is a small grocer, but the large one is not too far away clothing shops, a barber shop, and trade shops. City Hall is in Acer Tech Center where there is a bunch of protesters (middle-class?) protesting about taxes. There is a Historic Hotel in Acer which is more than likely a tourist attraction or something like that. People are walking, riding bikes and running. There is another “hang-out” area in a courtyard across from the Affordable Housing Project, where there are a small fruit and vegetable stand with people sitting on benches, standing, or walking around. Acer Tech seems to be friendly, and a more pleasant area to welcome strangers because there is a large mixture of people throughout the community in various classes, races, and ages. The third community Casper Park is unlike the first two communities, the streets are dirty, there is, even more, garbage outside buildings, there is more noticeable graffiti, and the buildings need repair, some of them have windows boarded up and some vacant. Low-Income Housing is available, there are fewer cars, and the are not in top working order. The park is in appalling shape with garbage, and crates all around, homeless people, dogs, cats, and rats running around. The trees and grass are overgrown and need some attention. There is a small fruit and vegetable stand and courtyard across from Low-income Housing; people are sitting on benches and walking around. There is a small grocer, a check cashing store, clothing store, pawn shops, and a barber shop. Casper Park at first seems to be welcoming and friendly but going deeper into the community you get a sense of territoriality. The last community is Industrial Height, the first thing in the community is the school which is nice with a large playground attached. There is a church with a soup kitchen, the streets dirty but not too bad. However, the deeper into the community, the more garbage there is that lines the streets. Graffiti is all over, from the church with signs of tagging in various buildings like the Better Health Clinic and the building next to it, which seems to be a gang’s hang out due to the massive skull sign out front. There are cars broke down, one on fire, garbage can on fire, buildings have large gang related murals painted on the some of the sides. The Department of Transportation is located here, down the street there is a rundown grocery with not much to choose from, there are boarded up store fronts and one store with busted out windows. Construction for re-development housing with burst sewage pipes with more dogs, cats, and rats running free. There are few cars on the road, an occasional motorcycle every so often and some people walking. This community is not welcoming; it has a feeling of being very unsafe, it is very closed-up and territorial areas. Health and Social Services “Access to comprehensive, quality health care services is essential for promoting and maintaining health, preventing, and managing the disease, reducing unnecessary disability and premature death, and achieving health equity for all Americans. This topic area focuses on three components of access to care: insurance coverage, health services, and timeliness of attention. When considering access to health care, it is important also to include oral health care and obtaining necessary prescription drugs” (Access to Health Services. n.d.). Sentinel City Healthcare System has various healthcare and social service facilities in all the diverse communities. There is the main hospital with the Emergency, Inpatient, and ambulatory care. Spread throughout the city are nine primary care clinics with Eighty-two physicians and eight specialty clinics with thirty-three doctors. The dental care there are three orthodontist clinics, one endodontist clinic, three dental hygiene clinics and two pediatric oral surgery clinics which are also spread throughout the city. Mental Health services are also available throughout the city the Mental facilities range from case management service to the State Mental Hospital to have a total of five options. The vision clinics and vision therapy centers are also spread throughout. Depending on the community is the deciding factor to what is available, unfortunately, the communities needing the most healthcare, the poor and impoverished communities have the least available or needs to travel the furthest. Eldercare social services that are available are medical assistance advocates, service animals, Government Entitlement Assistance, Senior Community Centers, Meals on Wheels, and Elder Abuse Prevention Advocates. There are 3472 senior living units, twenty-four Swing bed, thirty-six Long Term Care, and sixty-four Skilled Nursing facilities. More facilities are two hundred forty-eight Assisted Living, 2874 Nursing Home units, and 1048 independent senior living apartments, these are all spread through the city. Healthy food choices are also of importance there is Jo’s Grocery in Nightingale Square that sells organic food for most their sales, there are three fruit and vegetable carts in two of the communities Acer Tech, and Casper Park placed at the courtyards in the community. The fourth community has a Soup Kitchen at the church that feeds the homeless and hungry healthy meals. Besides the large grocery store, there are many small groceries and one that is moderately sized in Industrial Heights. There are numerous fast food restaurants, Italian, donut shops, Sushi, Pizza shops, to name a few. There are a few of restaurants that are sit down dinners with healthy choices available. Safety and Transportation Per the website, County Health Rankings, Community Safety considers not only intentional acts in neighborhoods and homes but also injuries caused accidentally. Many injuries are predictable and preventable. Living in unsafe neighborhoods can accelerate aging and harm health because of the chronic stress associated with it. Neighborhoods that are unsafe causes anxiety, depression, and stress, keeping people indoors, away from neighbors, exercise, and healthy foods due to the fear of violence. Jobs are harder to find because companies may be less willing to invest in unsafe neighborhoods (2017). Sentinel City, has a high rate of violence, depending on the community is greater the risk of being a crime victim, There are Police patrolling in police cars in all communities. The police seem to have the city covered a good as possible, they are at the Grocery Store in Nightingale Square, directing traffic at the hospital in Acer Tech, and the School in Industrial Heights. Other that having an increased amount at City Hall for obvious the obvious reason of the protest there are also increased in Industrial Park for the broken storefront windows and patrolling on foot in Casper Park. Even tough there seems to be somewhat adequate police presence; I feel that it is highly possible for crime to be committed, especially in Industrial Heights and Casper park. Due to gang involvement, low-income and poverty, this makes it a greater chance for there to be crimes and aggravated assault being the top crime. Transportation in Sentinel City appears to be mostly by taking the bus, the next would be by bicycle, and then by car. Traveling on foot seems to be another means used by the residents. The least costly is bicycling/walking, the riding the bus and last would be by car. Another form of transportation ing Sentinel City that would be to travel from city to city is the train systems; it passes above Pine Street behind City Hall in Acer Tech. There is a highway close by because of there is an overpass over Station Road in Nightingale Square. There are fire hydrants throughout Sentinel city, and there is a Fire Department that responds to the car and garbage can fire in Industrial Heights. Conclusion Sentinel City is just like any other city; there are kinds of people with many different situations. These people are rich, poor, or somewhere in between. There are no clear natural boundaries in Sentinel City, but you can see the conditions of the different communities an indication of these limits. The various communities where the people live, work, play, and how they live to affect their health. “Poverty and poor health worldwide are inextricably linked. The causes of poor health for millions globally are rooted in political, social, and economic injustices. Poverty is both a cause and a consequence of poor health” (Key Facts Poverty and Poor Health. n.d.). References: Access to Health Services. (n.d.). Retrieved June 05, 2017, from https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services Community Safety. (n.d.). Retrieved June 06, 2017, from http://www.countyhealthrankings.org/our-approach/health-factors/community-safety Cubbin, Pedregon, Egerter, & Braveman. (2008, September). Where We Live Matters for Our Health: Neighborhoods and Health. Retrieved June 5, 2017, from http://www.commissiononhealth.org/PDF/888f4a18-eb90-45be-a2f8-159e84a55a4c/Issue%20Brief%203%20Sept%2008%20-%20Neighborhoods%20and%20Health.pdf Key Facts Poverty and Poor Health. (n.d.). Retrieved June 05, 2017, from https://www.healthpovertyaction.org/info-and-resources/the-cycle-of-poverty-and-poor-health/key-facts/ Saarloos, D., Kim, J., & Timmermans, H. (2009, June). The Built Environment and Health: Introducing Individual Space-Time Behavior. Retrieved June 05, 2017, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2705214/

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2025 You should take time this week and next to review and compose Part IV

Dietary Analysis Project- Complete_Part IV (130 Points 2025

You should take time this week and next to review and compose Part IV of the Dietary Analysis Project: Final Project Presentation. You will submit the entire Dietary Analysis Project including revisions of Part I through Part III, and Part IV. This should be submitted by Week 7 (July 9th) Sunday at 11:59 p.m., eastern time. Note: If needed, please refer to the full project details attached here – they are the same instructions that were posted in Week 3.

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2025 How healthy is your workplace You may think your current organization operates seamlessly or you may feel it

Workplace Environment Assessment 2025

How healthy is your workplace? You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes. There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility. To Prepare: Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015). Review and complete the Work Environment Assessment Template in the Resources. QUESTION Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

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2025 Practicum Assessing Client Family Progress Learning Objectives Students will Create

Assign 2-WK7(G) 2025

Practicum – Assessing Client Family Progress Learning Objectives Students will: · Create progress notes · Create privileged notes · Justify the inclusion or exclusion of information in progress and privileged notes ( SEE ATTACHED SAMPLE OF PROGRESS AND PRIVILIGED NOTE) · Evaluate preceptor notes To prepare: · Reflect on the client family you selected for the Week 3 Practicum Assignment ( SEE ATTACHED WEEK 3 NOTE), The Assignment Part 1: Progress Note Using the client family from your Week 3 Practicum Assignment address in a progress note (without violating HIPAA regulations) the following: · Treatment modality used and efficacy of approach · Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals) · Modification(s) of the treatment plan that were made based on progress/lack of progress · Clinical impressions regarding diagnosis and or symptoms · Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job) · Safety issues · Clinical emergencies/actions taken · Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them · Treatment compliance/lack of compliance · Clinical consultations · Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists) · The therapist’s recommendations, including whether the client agreed to the recommendations · Referrals made/reasons for making referrals · Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions) · Issues related to consent and/or informed consent for treatment · Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported · Information reflecting the therapist’s exercise of clinical judgment Note: Be sure to exclude any information that should not be found in a discoverable progress note. Part 2: Privileged Note · Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment. (SEE ATTACHED WEEK 3 NOTE), In your progress note, address the following: · Include items that you would not typically include in a note as part of the clinical record. · Explain why the items you included in the privileged note would not be included in the client family’s progress note. · Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

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2025 As their names imply the honeyguide bird and the honey badger both share an

Advocating for the Nursing Role in Program Design and Implementation 2025

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey. Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives. In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs. To Prepare: Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs. Select a healthcare program within your practice and consider the design and implementation of this program. Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. Review the User Guide for Uploading Media in your Blackboard Classroom by accessing the Kaltura Media Uploader on the Left Navigation Bar in preparation to record your narrated video or audio for this Assignment. The Assignment: (2–3 pages) In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions: Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program? Who is your target population? What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design? What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

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2025 Question 1 A 15 year old boy is being carefully monitored for a skin infection and is

Walden NURS6521 Week 8 Quiz 2017 2025

Question 1 A 15-year-old boy is being carefully monitored for a skin infection and is being given ciprofloxacin. The nurse will observe for which of the following? A) Arthropathy B) Colitis C) Hepatitis D) Hypotension Question 2 A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient’s most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient’s blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic? A) Vancomycin B) Penicillin G C) Cefazolin D) Doripenem (Doribax) Question 3 Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds.The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication? A) Apply a layer of silver sulfadiazine that is sufficiently thick to make the wound bed invisible. B) Cleanse the wound of debris prior to applying the silver sulfadiazine C) Apply a thin layer of the drug to Mr. Laird’s wound beds using clean technique. D) Perform thorough wound care immediately after the application of silver sulfadiazine Question 4 A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To help increase bioavailability of the drug, the nurse will encourage the patient to take the medication A) with high-fat meals B) with orange juice C) on an empty stomach D) with high-protein meals Question 5 A patient has endocarditis and is taking gentamicin. The nurse will be sure to monitor which of the following? A) Potassium level B) Creatinine clearance C) Serum albumin level D) Prothrombin time Question 6 A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient’s pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis? A) Ciprofloxacin is safe to use in pregnancy and the patient may use to same dose and route as a nonpregnant patient B) The use of ciprofloxacin is contraindicated in pregnancy C) It is safe for the patient to use topical ciprofloxacin but the oral route is potential teratogenic D) The patient will require a lower dose and longer course of ciprofloxacin than a nonpregnant, adult patient Question 7 A nurse has questioned why a patient’s physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient’s infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible? A) Broad-spectrum antibiotics confound the results of subsequent culture and sensitivity testing. B) Narrow-spectrum antibiotics normally require a shorter duration of treatment C) The efficacy of most narrow-spectrum antibiotics has not been proven D) The use of broad-spectrum antibiotics can create a risk for a superinfection Question 8 A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? A) Lid margin crusting and pruritus B) Cognitive changes C) Nephrotoxicity and neurotoxicity D) Tendon ruptures Question 9 A patient has been prescribed oral tetracycline.The nurse will instruct the patient to take the drug A) on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs. B) with a meal. C) with milk or fruit juice. D) at bedtime only. Question 10 A 20-year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a rash and urticaria along with severe itching where the medication is applied. The nurse will formulate which of the following nursing diagnoses for the patient? A) Diarrhea B) Risk for Injury related to allergic reactions C) Imbalanced Nutrition: Less than Body Requirements D) Risk of Injury related to blood dyscrasia drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results? A) Serum alanine transaminase, aspartate transaminase, and bilirubin B) Red blood count, white blood count, and differential C) Thyroid-stimulating hormone, thyroxine, and triiodothyronine levels D) Fasting blood sugar and 2-hour postprandial blood sugar Question 12 An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug? A) Hang the drug by piggyback with lactated Ringer’s and infuse over several hours to minimize the risk of infusion reaction B) Infuse the drug over 2 to 4 hours into a central line using an infusion pump C) Flush the patient’s central line with normal saline and infuse the amphotericin B by intravenous push over 5 to 7 minutes. D) Place the patient on a constant infusion of amphotericin B at a rate determined by the patient’s body weight. Question 13 A nurse is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity? A) A drug harms microbes without harming human cells B) A drug’s effect on microorganisms is proportionate to dose C) Most microbes may be collected from a host and cultured on an alternative medium D) A drug can be isolated and produced in a controlled manner in a laboratory setting Question 14 An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with A) ciprofloxacin B) clindamycin C) vancomycin D) an antistaphylococcic penicillin Question 15 Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician’s order if the patient has a history of A) osteoporosis or low bone density B) chronic obstructive pulmonary disease (COPD) C) diabetes mellitus D) cardiac arrhythmias Question 16 A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life-threatening infection. Which of the following would be most important for the nurse to monitor? A) Increased heart rate B) Breathlessness C) Infiltration, edema, or phlebitis at the infusion site D) Nausea and vomiting Question 17 A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi’s sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by A) inhibiting tumor growth by enhancing inflammation B) potentiating the effects of phagocytes and macrophages C) causing mutations in the DNA of cancerous cells D) increasing the production of B cells and T cells Question 18 Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent A) once a day B) twice a day C) three times a day D) as needed Question 19 Which of the following is critical to helping prevent development of resistant strains of microbes in patients? A) Limit the exposure of bacteria to an antimicrobial agent B) Keep the antimicrobial drug dosage high C) Maintain the optimum duration of the antimicrobial agent D) Maintain the maximum safe frequency of antimicrobial drug ingestion Question 20 Which of the following nursing actions is most important in achieving successful antimicrobial therapy with vancomycin? A) Provide maximum physical comfort to the patient B) Monitor serum drug level C) Taper down the drug dosage gradually D) Promote adequate intake of fluids and nutrients Question 21 A patient is being treated for Mycoplasma pneumoniae pneumonia. She is allergic to penicillin and is being given azithromycin (Zithromax) in capsule form. The nurse will inform the patient that she will need to take the capsule A) with food B) on an empty stomach C) with or without food D) immediately after she eats Question 22 A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that A) the drug usually causes cardiac arrhythmias B) the drug frequently causes seizure activity C) facial flushing may appear but will go away once therapy is concluded D) body fluids such as urine, saliva, tears, and sputum may become discolored Question 23 A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to A) take the tablets on an empty stomach B) decrease the drug dosage if initial symptoms of nephrotoxicity appear C) stay well hydrated by drinking at least eight 8-oz glasses of water daily D) eat light meals every day Question 24 A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment? A) The importance of vigilant hygiene for the boy and the other members of the family B) The need for the boy to provide serial stool samples for 6 months following treatment C) The need to supplement the anthelminthic drug with prophylactic antibiotics D) The need to use prescription skin cleansers during treatment and for 6 weeks after Question 25 A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? A) Encourage the patient to increase fluid intake B) Use strict aseptic technique for drug administration C) Keep the bed in a low position and the side rails up at all times D) Reduce the drug dosage Question 26 A nurse is providing education to a patient who is taking INH. The nurse will advise the patient to avoid which of the following foods? A) Cheese, dairy products, and bananas B) Potatoes and root vegetables C) Citrus fruits D) Chicken and fish Question 27 A child is taking permethrin for head lice. The nurse will instruct her mother to A) wash her hair daily with a good shampoo B) increase her daily intake of milk C) maximize the child’s fluid intake D) stop using creams, ointments, and oils on the child’s skin and scalp. Question 28 A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will A) monitor the site of injection B) monitor the patient for bleeding gums C) continue therapy until 2 days after symptoms have resolved D) administer the medication with small amounts of food and fluids Question 29 Which of the following would a nurse assess for in a patient who is taking polymyxin B systemically? A) Peripheral neuropathy B) Nephrotoxicity and hepatotoxicity C) Hyperkalemia and hyponatremia D) Endocarditis and hypertension Question 30 A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient’s care to include close monitoring of the drug therapy because A) the process of drug elimination will be faster in this patient B) the therapeutic effect of the drug may be too slow to be effective C) the patient is at greater risk for high serum levels of the drug D) the process of drug metabolism may be faster in this patient Question 31 A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining A) blood glucose levels daily for 1 week B) establishing the patient’s auditory abilities C) a baseline complete blood count D) liver enzymes weekly until the drug therapy is completed Question 32 A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to A) take the vitamins at least 2 hours before or after taking ciprofloxacin B) alternate the dosage of ciprofloxacin and vitamin supplements C) reduce the dosage of vitamin supplements D) reduce the dosage of vitamin supplements and double the dosage of ciprofloxacin Question 33 A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug A) with a sip of water 1 hour before mealtime B) immediately before or with a meal C) with a glass of water 1 hour before or 2 hours after a meal D) intravenously with the assistance of a home health nurse Question 34 A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor A) blood sugar levels daily B) liver enzymes monthly C) plasma concentrations regularly D) urine output daily Question 35 A 49-year-old farmer who normally enjoys good health has become seriously ill in recent days and the results of an extensive diagnostic work up have resulted in a diagnosis of histoplasmosis. The patient has been admitted to the hospital and has begun treatment with amphotericin B. The nurse who is providing care for the patient should prioritize which of the following diagnostic results during his course of treatment? A) Electrolytes, blood urea nitrogen, and creatinine B) Hemoglobin, hematocrit, and red blood cells C) PT, PTT, and platelets D) C-reactive protein d

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