A middle-aged patient has been diagnosed with an osteoblastoma (primary tumor of osteoblasts) after several months of intractable pain. Among the effects of this disease has been a marked deficit in the normal function of osteoblasts, which is:

A) Hematopoiesis
B) The secretion of bone matrix
C) Resorption of calcium
D) Structural support of cancellous bone


B

Nursing

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A nurse is caring for a patient with chronic angina. The patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication?

A) Diarrhea B) Dizziness C) Bradycardia D) Perspiring skin that is cold to the touch

Nursing

The nurse who is engaged in gerontological rehabilitation nursing has a dual challenge. The gerontological rehabilitation nurse must assess not only the debilitating factors of disease but also which other factor?

a. Advancing age b. Reduced ability to learn c. Limited energy d. Eroded interest level

Nursing

A college student is a patient is on a medical unit for treatment of Guillain-Barré syndrome, a rare disorder that produces ascending paralysis and can be fatal if respiratory function is compromised

She is very anxious and frequently calls for staff. Staff direct her to try to calm down and explain that her sensation of being short of breath is due to her anxiety causing her to hyperventilate. Her family becomes increasingly concerned as the patient moves from being anxious to panic-stricken, saying she cannot breathe. Her resident doctor is called and reinforces the need for the patient to slow and deepen her breathing to control anxiety. Away from the patient, staff talk about how histrionic and whiny she is. Soon afterwards, the patient goes into respiratory arrest. She is left in a permanent vegetative state from hypoxia. The primary cause of this tragic outcome is: a. the paralysis had impaired respiration. b. her disorder was not adequately treated. c. staff stigmatized the patient as a whiner. d. her doctor was negligent in his response.

Nursing

Which statement describes a repository with central storage of a longitudinal record?

a. Patient data are from a single hospital's data for the most current encounters. b. Data from multiple hospitals are kept compact and efficient by deleting "old" data. c. Portions of a patient's lifetime medical record are stored in databases at the facility where the data were collected. d. The information collected by the organization is stored in a single database no matter when or where the patient was seen.

Nursing