Three weeks after recovering from a myocardial infarction, a client reports that she is sad every day and unable to sleep. She states she believes she did something wrong because she should be better by now
The physical assessment by the nurse shows that this client has lost weight. These symptoms indicate this client has: a. had another heart attack
b. a normal response to heart disease
c. a major depressive episode
d. mounting anxiety about her illness
C
The indicators for a diagnosis of Major Depressive Disorder in a client include feelings of sadness, guilt, insomnia, weight loss, or any combination of these following a myocardial infarction. Such symptoms cannot solely be explained by the physiologic after-effects of the myocardial infarction.
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A 68-year-old woman has come in for an assessment of her rheumatoid arthritis, and the nurse notices raised, firm, nontender nodules at the olecranon bursa and along the ulna. These nodules are most commonly diagnosed as:
a. Epicondylitis. b. Gouty arthritis. c. Olecranon bursitis. d. Subcutaneous nodules.
The patient's surgery is nearly finished and the surgeon has opted to use tissue adhesives to close the surgical wound. This requires the nurse to prioritize assessments related to what complication?
A) Hypothermia B) Anaphylaxis C) Infection D) Malignant hyperthermia
Genetic testing indicates that a child has DR3 and DR4 antigens on chromosome 6 of the human leukocyte antigen system. Which statement by the parents would indicate the nurse should reinforce teaching about these test results?
1. "Our son has a genetic immunity disorder.". 2. "These results mean our son has diabetes.". 3. "These markers are present in 95% of people with type 1 diabetes.". 4. "These results are associated with increased susceptibility to diabetes.".
What instructions should the nurse give to the client for stoma care at home after a laryn-gectomy?
A. "Gently wash the stoma with soap and water, then apply a water-based lubricant." B. "Use cotton-tipped applicators to clean out the stoma lumen at least twice per day." C. "Use a syringe or Water Pik to irrigate the stoma with a solution of sterile normal saline and peroxide." D. "Gently scrape crusts away from the stoma opening with a tongue blade and ap-ply petroleum jelly to the external stump."