During the postpartum period, the woman should be instructed to report immediately which danger sign to her health care provider?
a. Vaginal discharge persisting over 1 week
b. Leaking of breast milk between feedings
c. Localized pain in the calf or leg
d. Tiring more easily than usual
ANS: C
Localized pain in the calf or leg may indicate thrombophlebitis. The other options are not abnormal.
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A home health nurse is conducting an assessment of a patient who may qualify for Medicare. Consequently, the nurse is utilizing the Outcome and Assessment Instrument Set (OASIS)
When performing an assessment using this instrument, the nurse should assess which of the following domains of the patient's current status? A) Psychiatric status B) Spiritual state C) Compliance with care D) Functional status
When planning to assess a client's temperature, the nurse realizes that the safest, least invasive method of temperature measurement is:
1. Rectal 2. Oral 3. Axillary 4. Tympanic membrane
Which laboratory test will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with acute lymphocytic leukemia who is receiving chemotherapy?
a. Platelet count b. Reticulocyte count c. Total lymphocyte count d. Absolute neutrophil count
What anal, rectal, or prostate disorder best fits his presentation?
A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system complaints. His past medical history is significant for mild arthritis and prior knee surgery in college. He is married and just changed jobs, working for a different trucking company. He smokes one pack of cigarettes a day, drinks less than six beers a week, and denies using any illegal drugs. His mother has high blood pressure and arthritis and his father died of lung cancer in his 60s. On examination, his blood pressure is 130/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal. He has no inguinal hernia, but on his digital rectal examination you palpate a soft, smooth, nontender pedunculated mass on the posterior wall of the rectum. A) Internal hemorrhoid B) Prostate cancer C) Anorectal cancer D) Rectal polyp