A patient who is immunosuppressed asks why so many illnesses are occurring. How should the nurse respond?
A. "You are unable to develop immunity to common bacteria, so you experience more illnesses."
B. "You are under severe stress, which is causing the illnesses."
C. "Your body takes longer to develop an immune response."
D. "Your body thinks everything is foreign matter and responds with an illness."
Answer: A
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Fred, a fit and healthy 44-year-old, was working outside one warm summer afternoon. When he returned home by the end of the day, his lower back felt sore and he felt nauseated. His wife made him dinner, but he was not hungry and chose to go to bed instead
Fred's symptoms progressed, and soon he was rolling on the bed with excruciating pain. He said his back hurt as well as his stomach and groin area. The pain would ease off only to return a short while later, and when it did, Fred would begin to sweat and run to the bathroom to vomit. His wife became concerned and started the car. When his symptoms abated, she helped him into the car and rushed him to the hospital. At the hospital, an abdominal radiograph showed the presence of renal calculi in Fred's right ureter (urolithiasis). What is the mechanism of stone formation in the kidney? What is the role of citrate in the kidneys? Why would the administration of calcium supplements be useful for a patient with calcium oxalate stones? Hydronephrosis can be a complication of renal calculi. What is hydronephrosis? How does back pressure occur in a kidney, and what physiological mechanism is responsible for nephron damage when back pressure is present?
A gerontologic nurse is assessing a patient who has numerous comorbid health problems. What assessment findings should prompt the nurse to suspect a UTI? Select all that apply
A) Food cravings B) Upper abdominal pain C) Insatiable thirst D) Uncharacteristic fatigue E) New onset of confusion
One way that the health care team can differentiate between a myasthenic crisis and a cholinergic crisis is to:
a. ask the patient about occupation and family history. b. assess serum levels of the cholinesterase inhibitor. c. assess the patient for muscle weakness. d. administer edrophonium, and monitor the response.
The causation of schizophrenia is currently understood to be
A. a combination of inherited and nongenetic factors. B. excessive amounts of the neurotransmitter dopamine. C. excessive amounts of the neurotransmitter serotonin. D. stress related.