A patient is diagnosed with histoplasmosis. What element of this patient's history would help explain the reason for the disease?
1. lives in a city with chemical plants
2. drives a vehicle that uses diesel fuel
3. is an electrical engineer
4. works on a chicken farm
Correct Answer: 4
Histoplasmosis, an infectious disease caused by Histoplasma capsulatum, is the most common fungal lung infection in the United States. The organism is found in the soil and is linked to exposure to bird droppings and bats. Infection occurs when the spores are inhaled and reach the alveoli.
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The nurse suspects a client is unwilling to demonstrate self-sufficiency or independence in the therapeutic relationship when the client says, "You are the only person I can talk to or trust
Let's go out to dinner tonight so we can spend more time together." Which one of the following nurse responses is most appropriate in this situation? 1. "I sense we are beginning to make real progress; I think that's a great idea." 2. "Maybe some other time, but right now I'm involved in a significant relationship and don't feel right about meeting you for dinner." 3. "I sense you've become too dependent on this relationship; let's examine your feelings toward me." 4. "You've become too dependent on me, so I will have to terminate our relationship."
Deborah is 56 years old, smokes half a pack of cigarettes a day, and is overweight. Her friend wants her to come to a local women's fitness class she attends to once a week
She knows Deborah's dad had died an acute myocardial infarction when he was 56, and she fears, seeing Deborah's lifestyle, the same fate awaits her friend. What she did not know was that Deborah had also been to her doctor for her annual physical where she was told her LDLs were 180 mg/dL, HDLs were 36 mg/dL, and cholesterol was 239 mg/dL. What are Deborah's known risk factors for coronary heart disease? Deborah's doctor referred her to a dietician for strict dietary therapy, hoping the intervention would raise her HDL and lower her LDL and cholesterol levels. Why is diet modification necessary to control and moderate the lipids indicated? Deborah's doctor also gave her pamphlets describing strategies to stop smoking and a list of exercise ideas she might want to try. How is smoking thought to contribute to atherosclerotic plaque formation? Why would exercise have a positive effect on Deborah's lipid profile? Atherosclerosis is thought to be an inflammatory disorder. What is the role of macrophages in the formation of atherosclerotic plaques? What is the significance of elevated serum hs-CRP levels in at-risk individuals?
The admitting nurse gives the new long-term care facility resident a score of 20 on both the Norton Risk Assessment Scale and the Braden Scale for Predicting Pressure Sore Risk. These scores indicate that the resident has
a. a high probability of developing a pressure ulcer. b. a moderate risk of developing a pressure ulcer. c. a low risk of developing a pressure ulcer. d. at least one pressure ulcer at the time of admission.
A woman who is pregnant for the third time is referred to as a:
a. Nullipara b. Primigravida c. Multigravida d. Grand multipara