The nurse is reviewing data collected during a patient's health history. What information would indicate a disorder of the pituitary gland?
A. Carpal spasms
B. Hyperpigmentation of the skin
C. Enlarged thyroid nodule
D. Dwarfism
Answer: D
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During assessment of the patient admitted to the hospital for dehydration, the nurse notes that he has a barrel chest. Understanding this assessment finding, the nurse asks the patient if he has a history of:
A) Emphysema B) Asthma C) Chronic bronchitis D) Pneumonia
Which nursing diagnosis is written in the correct format when using the NANDA taxonomy?
1) Bowel Obstruction related to recent abdominal surgery A.M.B. nausea, vomiting, and abdominal pain 2) Inability to Ingest Food related to imbalanced nutrition: less than body requirements A.M.B. inadequate food intake, weight less than 20% under ideal body weight 3) Impaired Skin Integrity related to physical immobility A.M.B. skin tear over sacral area 4) Caregiver Role Strain related to alienation from family and friends A.M.B 24-hour care responsibilities
You are caring for a patient who has a bone scan scheduled. What would the nurse teach the patient about the test?
A) The test is brief and requires that you drink an IV contrast solution B) You will not be allowed fluid for 2 hours before and 3 hours after the test C) Fluids will be encouraged after the administration of the radioisotope injection D) There are no contraindications for this test
A patient has been admitted with a diagnosis of confusion. The physician's admission note states that he wants to assess for delirium versus dementia. The nurse knows that the main differences are:
1. delirium usually lasts several years, whereas dementia lasts only a few days. 2. delirium usually has sudden onset and is reversible, whereas dementia is chronic and irreversible. 3. dementia is usually caused by medications, whereas delirium is not. 4. dementia is easily treated with reality orientation, whereas delirium is not.