The nurse has been providing care to a patient with scleroderma for a number of years. As the patient's disease progresses, the nurse monitors for CREST symptomology. For which finding is the nurse assessing?
1. Recurrence of tophi on the ears or fingers
2. Shiny skin over the involved joints.
3. Development of telangiectasia
4. Extremities that are always cool to the touch
3
Rationale 1: The ‘R" of CREST represents Raynaud's -type symptoms.
Rationale 2: The "S" of CREST represents sclerodactyly.
Rationale 3: Development of telangiectasia is represented by the "T" in CREST.
Rationale 4: The "C" in CREST represents calcium deposits.
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Because a sputum specimen must come from deep in the bronchial tree, the nurse will attempt to collect the specimen:
a. at bedtime. b. after lunch. c. in the early morning. d. after breakfast.
The client has frequent drug reactions to, and side effects from, his medications. He is 72 years old and lives alone. He should be assessed for
1. clarity of mind. 2. suicidal wishes. 3. concurrent substance use. 4. using someone else's medications.
A student nurse's coworker has been arriving late to work for several weeks in a row, each time with red eyes and slurred speech. The student nurse should
1. Ask if the coworker is abusing prescription medications. 2. Discuss these observations with other coworkers. 3. Speak confidentially with an instructor. 4. Advise the coworker to get some more sleep.
A patient at 8 weeks' gestation complains to the nurse, "I feel sick almost every morning. And I throw up at least two or three times a week." What is the nurse's best advice to the patient?
a. "Do you like cheese?" b. "Try eating four meals a day instead of three meals a day." c. "Try eating peanut butter on whole wheat bread right before going to bed." d. "If you can eat enough throughout the day, you don't have to worry about being sick."