A patient has been diagnosed with cancer of the lung and has metastases to the brain. The family should be aware that which of the following are neurologic signs and symptoms of metastatic brain disease?
A) Bradycardia
B) Temperature greater than 100.5° F
C) Increase in diastolic blood pressure
D) Personality changes
Ans: D
Feedback: Neurologic signs and symptoms include headache, gait disturbances, visual impairment, personality changes, altered mentation (memory loss and confusion), focal weakness, paralysis, aphasia, and seizures. These problems can be devastating to both patient and family.
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You are caring for a patient with sickle cell disease in her home. Over the years, there has been joint damage, and the patient is in chronic pain. The patient has developed a tolerance to pain medication
When does the tolerance to pain medication become a problem? A) When delivering or administering the medication B) When dealing with the withdrawal symptoms from the tolerance C) When having to report the patient's addiction to her physician D) When the family becomes concerned about increasing dosage
A group is working to increase the number of advanced nurse practitioners (ANPs) who have hospital admitting privileges. Which barriers should these nurses address?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. There is no Medicare regulation mandating medical staff membership of APNs. 2. The fees associated with obtaining admitting privileges are prohibitive for ANPs. 3. State laws concerning ANP admitting privileges are confusing and contradictory. 4. Some state laws limit the scope of ANP practice. 5. Some hospitals do not allow non-physicians to admit patients.
A client has been keeping a basal body temperature chart and after recording for a month, the chart shows a menstrual cycle with the lack of ovulation, a lack of a luteal phase and varying degrees of menstrual interval. This is called an:
a. infertility cycle c. ovulatory cycle b. inflammation cycle d. anovulatory cycle
As a patient is admitted to an ICU the nurse documents the skin intact. The patient is in the unit for nearly a month, and a chart audit discovers that no wound care was charted and the wound care nurse consult was not done until the patient was transferred to a med surge unit. At this time, the patients skin is documented as having a stage II pressure ulcer on her coccyx. What does this lack of documentation indicate.
A. appropriate admission assessment B. wound care was not done daily c. medicare reimbursment will be possible d. the nursing role of care planning is not apparent