A nurse is caring for a woman who is positive for hepatitis B. What other screening tests does the nurse facilitate for this patient? (Select all that apply.)
A.
Cytomegalovirus
B.
Hepatitis B for household members
C.
Hepatitis B for intimate contacts
D.
Hepatitis C
E.
Parvovirus
ANS: B, C, D
Women who are positive for hepatitis B should have screening for hepatitis C. Their household contacts and intimate contacts should also be screened for hepatitis B. There is no correlation between hepatitis B and either cytomegalovirus or parvovirus.
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A 12-year-old child with congenital heart block codes in the Emergency Department. The parents witness this and stare at the resuscitation scene unfolding before them. The best nursing intervention in this situation is to:
1. Ask the parents to leave until the child has stabilized. 2. Ask the parents to call the family to come in to watch the resuscitation. 3. Ask the parents to sit near the child's face and hold his hand. 4. Ask the parents to stand at the foot of the cart to watch.
During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, "I'm here for my heart, not my head problems." Which is the nurse's best response?
1. "It's just a routine part of our assessment. All clients are asked these same questions." 2. "Why are you concerned about these types of questions?" 3. "Psychological factors, like excessive stress, have been found to affect medical conditions." 4. "We can skip these questions, if you like. It isn't imperative that we complete this section."
The nurse caring for a patient diagnosed with lung cancer determines that the patient might be experiencing superior vena cava syndrome. What did the nurse assess to make this clinical decision?
1. face and neck swelling 2. hourly urine outputs 250 to 500 mL 3. calcium level of 14.0 mg/dL 4. flat jugular veins
The nurse is observing a child postoperatively following a tonsillectomy. Signs that should be reported immediately include:
a. Frequent swallowing b. Drowsiness c. Stable blood pressure d. No visible blood on examination of the throat