The nurse is caring for a patient with suspected sinusitis. Which assessment finding supports this diagnosis?
a. Maxillary sinuses nontender on percussion.
b. Generalized pain in the upper teeth.
c. Clear drainage from the ear.
d. Ear pain when lying down
B
Sinusitis is an inflammation of the mucosal lining of the sinuses. Exudate accumulates in the si-nuses and pressure builds, which causes pain. Symptoms include painful upper teeth, tenderness over the sinuses, purulent drainage from the nose, nasal obstruction, and sometimes a nonpro-ductive cough. Drainage from the ear and ear pain when supine are findings likely consistent with an ear infection.
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A male patient was born with only one testis. The nurse realizes that this patient might:
1. need testosterone replacement therapy. 2. be sterile. 3. need estrogen replacement therapy. 4. have a normal level of sperm production.
A client has severe protein malnutrition and is taking a drug that is 99% bound to albumin. Which alteration of drug concentration in the urinary filtrate will occur?
1. An increase in the amount of drug actively secreted across the walls of the renal tubule 2. A decrease in the amount of drug reabsorbed across the walls of the renal tubule 3. An increase in the amount of drug filtered into Bowman's capsule 4. An increase in the amount of drug passively secreted across the walls of the renal tubule
The community leaders in a lesser-developed country decide not to tell the citizens of a small village about a chemical spill at a major industrial facility that could produce harmful effects. Which principle are they violating?
a. Policy b. Advocacy c. Caring d. Virtue
The dominant philosophy underlying quantitative scientific method is:
a. Positivism. b. Interpretivism. c. Constructivism. d. Connectivism.