The patient has been diagnosed with multiple myeloma. What abnormality on a laboratory test would the nurse most expect?
A) Rouleaux formations on peripheral smear
B) Reduced hemoglobin and hematocrit
C) Nucleated red cells on peripheral smear
D) Spherocytes on peripheral smear
A
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The nurse is working with a family who has recently immigrated to this country. The nurse has recently studied Purnell's Model for Cultural Competence (2002) and wants to respond to the family in a culturally acceptable manner
The most appropriate assessment question(s) would be: 1. "In what places have you lived?" and "What do you miss about your native land?" 2. "When I discuss your child's problem with you, how close to you should I stand?" 3. "What is the school system like in your native land?" 4. "What does eye contact indicate?" and "When do you want me to make eye contact?"
During a visit to the clinic, a patient states, "The doctor just told me he thought I ought to stop smoking. He doesn't understand how hard I've tried. I just don't know the best way to do it. What should I do?" The nurse's most appropriate response in this case would be:
a. "I'd quit if I were you. The doctor really knows what he is talking about." b. "Would you like some information about the different ways a person can quit smoking?" c. "Stopping your dependence on cigarettes can be very difficult. I understand how you feel." d. "Why are you confused? Didn't the doctor give you the information about the smoking cessation program we offer?
Humor expressed through laughter has the effect of:
a. dampening perceptions that bring joy b. depressing the immune system c. forestalling the inevitable stress d. lowering serum cortisol levels
Which of the following programs might be the most successful primary prevention in relation to teenage pregnancies?
A. An intense HIV prevention education program with distribution of free condoms B. Group meetings and counseling of new mothers and the grandmothers to help with family coping C. Use of peer counselors to visit pregnant teens D. Volunteers visit pregnant teens and their families to ensure early prenatal care