Which patient should a nurse consider as being the most ill?
a. A 25-year-old patient with cystic fibrosis who is attending yoga classes
b. A 13-year-old adolescent with newly diagnosed diabetes who does not want to check blood sugar at school
c. A 43-year-old patient with breast cancer who has recently adopted a vegetarian diet
d. A 77-year-old patient with alcohol hepatitis who attends weekly Alcoholics Anonymous meetings
B
A 13 year old who does not want to check blood sugar is the most ill out of the patients listed because illness is not synonymous with disease; it includes not only the disease, but also the effects on functioning and well-being in all dimensions. Illness is a state in which a person's physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired compared with previous experience. The 25 year old, the 43 year old, and the 77 year old are taking actions to improve their overall health.
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Which step of impulse conduction is most conducive to atrial kick?
a. The firing of the sinoatrial node, which results in atrial depolarization b. The conduction delay at the AV node, allowing time for filling c. Conduction through the bundle of His, enhancing ventricular depolarization d. Conduction to the Purkinje fibers, allowing for ventricular contraction
A primigravida who is eager to feel the baby move asks the nurse when she can expect to feel movement. The nurse replies that first faint movements may be felt during gestational week:
a. 8. b. 10. c. 16. d. 20.
What instructions should be included in the discharge teaching plan to assist the patient in recognizing early signs of complications?
a. Palpate the fundus daily to ensure that it is soft. b. Notify the physician of any increase in the amount of lochia or a return to bright red bleeding. c. Report any decrease in the amount of brownish red lochia. d. The passage of clots as large as an orange can be expected.
While assessing a patient's eyes, the nurse notes a depressed corneal response. In what type of patient would this finding be considered normal?
A) None B) Wearer of contact lenses C) With a history of macular degeneration D) Blind