After assessing several patients in the clinic, the nurse would be most concerned about which patient's risk of developing cancer?
1. Patient age 51, spouse deceased, downsized from employment, history of back and leg pain
2. Patient age 52, plays tennis twice a week, no alcohol intake, smokes one or two cigarettes a month
3. Patient age 45, premenopausal, not planning to use hormone replacement therapy
4. Patient age 50, employed as a computer technician, uses the fitness center five times a week
1
Rationale 1: This patient is experiencing a great deal of stress. It has been suggested that multiple stressors may contribute to the development of cancer.
Rationale 2: This patient is physically active and does not drink alcohol. The role of very rare tobacco exposure in cancer development has not been established.
Rationale 3: This patient has few documented risks.
Rationale 4: This patient has few documented risks. The nurse would assess the amount of chemical exposure in the patient's workplace.
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A client has received 45% of a 500 mL bag of intravenous (IV) solution. How many mL of IV solution has the client received?
ANS:
A patient recovering from surgery reports a pain level of 6 on a 0–10 pain scale but refuses additional pain medication since he does not want to "become addicted." The nurse's response should focus on which concept?
1. Physical dependence on pain medication is uncommon during the short-term postoperative use. 2. This patient already might have an addiction problem. 3. This patient might benefit from a placebo dose. 4. The physician should be notified to discuss pain management.
On her fourth prenatal visit, a patient asks why urine tests are done on every visit. The most appropriate response is:
a. "Some women have kidney failure during pregnancy." b. "We need to be sure you are not retaining too much fluid." c. "We are testing for diabetes, which sometimes develops during pregnancy." d. "I really don't know. I suggest you ask your care provider why this is repeatedly ordered."
The most likely causative pathogen in a 23-year-old woman with PID is:
A. Escherichia coli. B. Enterobacteriaceae. C. C. trachomatis. D. Pseudomonas.