A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which assessment finding is of most concern to the nurse?
A) White blood count of 10,000 mm3.
B) Serum glucose of 115 mg/dl.
C) Purulent sputum.
D) Excessive hunger.
Answer: C) Purulent sputum.
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Maintaining optimum cash flow is a basic fundamental concept in all businesses. An issue that affects the steady and continuous flow of cash to a health practice is:
a. Billing within 15 days of services. b. Unclean submitted claims. c. Timely processing of denials. d. Identifying payment below contract rate.
A nurse is attempting to assess the skin color of a child with dark skin. The nurse knows the best place to assess the child's skin color is:
1. The nailbeds. 2. Inside the mouth in the cheek area. 3. The eyes. 4. On the chest.
A licensed practical/vocational nurse was caring for a pregnant client who underwent genetic testing and was positive for being a carrier of Huntington's disease (HD)
She has a 50% chance of delivering an infant who will have HD. Symptoms of HD usually don't develop until the person is 35 years or older. The woman wanted help reaching a decision. Her religious beliefs forbid abortion. She also knew that her child could suffer a debilitating neurological disease and die from it. The nurse wishes to use the process of ethical decision making. Based upon the client's view, which step should the nurse take first? A) Is it right to end an unborn life because of 50% chance to develop a debilitating disease and die early in life? Is it wrong to end an unborn life because of the risk for HD when the person will have up to 35 years or more of quality life before developing symptoms of HD? Is it wrong to end the unborn life because 50% will not have HD? B) Action A: End the pregnancy. Advantages: Help prevent potential suffering. Disadvantage: Not allow the person to enjoy several decades of life, or abort an unaffected fetus. Action B: Don't end the pregnancy. Advantage: Provide life to unaffected fetus, or up to several decades of life for the affected fetus and potential for a cure to stop the disease. C) Religious beliefs: sanctity of life; no abortion; personal values—follow teachings of the church and provide the best quality of life for an individual; personal moral principles—it is not right to take a life of an unborn child; laws: not illegal for abortion; society's beliefs—both right to life and right to choose. D) The situation is genetic testing is not 100% accurate and provided that the mother is positive as a carrier, but the father is not a carrier and does not have HD. The mother has firm beliefs in not aborting the fetus, but also wants what is best for her unborn child's future. The mother could receive additional fetus testing to determine if the fetus actually has HD or not to help her make the decision, if she wants.
Some individuals have reported that they felt compelled to cheat to ensure better grades. What is recognized as a motivating factor to cheat?
A) Lack of respect B) Lack of discipline C) Lack of desired grades D) Lack of motivation