Local signs and symptoms of Hodgkin disease–related lymphadenopathy are a result of which of the following?
a. Pressure and ischemia
b. Pressure and obstruction
c. Inflammation and ischemia
d. Inflammation and pressure
Answer: b. Pressure and obstruction
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A patient is unable to take a deep breath and doesn't want to get out of bed because his chest tube is causing discomfort. To increase patient compliance with ambulation and deep breathing, the nurse should:
A) Administer pain medication before having the patient deep breathe, cough, or get out of bed. B) Tell the patient the importance of lung expansion. C) Arrange a care schedule to provide rest periods. D) Teach the patient how to use an incentive spirometer.
A 66-year-old female complains of fatigue and a "burning and itching feeling in the legs." Patient reports that the leg problem occurs during sleep and awakens her during the night
Current medications include: ACE inhibitor, Wellbutrin, and Prilosec. Denies use of tobacco or alcohol. History of hypertension, GERD, and depression. On physical examination, vital signs are T 98 degrees, 18 resps/ min, pulse 66, and BP 110/60. Heart: regular rate and rhythm, no murmurs. Lungs are clear to auscultation. Abdomen is non-tender with no organomegaly. Extremities: Skin is pink, cool to touch, and intact bilaterally. + Hallux valgus bilaterally. Left and right quadriceps muscle strength 5/5. DTRs left and right + 3/4. No clonus. Negative Homan's and Babinski's sign. Sensation to pin prick and cotton ball intact in extremities and equal bilaterally. Dorsalis pedis pulses +1/4 bilaterally. No neurological deficits. These signs and symptoms are characteristic of: A. Peripheral vascular disease B. Restless leg syndrome C. Peripheral neuropathy D. All of the above
A woman who professes to be a strict vegetarian voices concerns about her ability to meet the nutritional needs of her fetus. Which concerns should be addressed in this session?
A) Her diet will need to have an increase in fruits and vegetables to meet the nutritional requirements of her baby. B) The supplementation of Vitamin B12 should be addressed. C) There are not special concerns for vegans as they can easily meet the dietary requirements without violating their "no meat" rules. D) She should be advised to forgo her beliefs during the pregnancy to adequately provide the nutritional requirements for her pregnancy.
A client has a deep wound covered with a wet-to-damp dressing. Which intervention does the nurse include on this client's care plan?
a. Change the dressing every 6 hours around the clock. b. Leave the dressing intact until next week. c. Change the dressing when the current dressing is saturated. d. Apply a new dressing when the seal breaks and the dressing leaks.