Which question could the nurse ask regarding possible tuberculosis?
a. Do you have a cough with blood-streaked sputum?
b. Do you smoke?
c. Do you have a productive cough?
d. Have you had a recent chest x-ray?
A
Blood-streaked sputum—frequently with a dry, hacking cough—is a sign of tuberculosis.
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A female client's breast biopsy indicates the presence of malignant cells, and a mastectomy is performed. Which nursing diagnosis would probably have the most significance for the client in relation to her surgery?
A) Risk for deficient fluid balance C) Disturbed body image B) Activity intolerance D) Impaired urinary elimination
When asked by student nurses wishing to learn about correctional nursing, the correctional nurse would characterize the health problems of inmates as:
a. primarily routine infections and minor trauma. b. chronic medical and psychiatric disorders. c. similar to the nonincarcerated population. d. injuries acquired during arrest or incarceration.
A graduate nurse is preparing a care plan for an 88-year-old female admitted with type 2 diabetes mellitus. Which of the following nursing diagnoses would be most appropriate for this patient?
A) Risk for infection B) Risk for fall C) Tissue perfusion, Altered: circulatory D) Tissue integrity, Impaired
A client who has been diagnosed with benign prostatic hypertrophy (BPH) is at the clinic for a follow-up visit and progress check. The nurse is planning care and selects urinary retention as a nursing diagnosis
Which of the following client statements suggested this diagnosis to the nurse? 1. "I know not to take over-the-counter cough medications.". 2. "I need to drink 20 ounces of water at a time.". 3. "I use the double-voiding technique.". 4. "I am aware that no urine output is not a good symptom.".