Your patient is a 72-year-old male with a history of coronary artery disease and atrial fibrillation. He complains of a sudden onset of blindness in his right eye. He is noncompliant with both his digitalis and coumadin. He is alert and oriented. HR = 112, irregular; BP = 154/94; RR = 16. Which of the following is LEAST likely?
Ans: A. Hemorrhagic stroke
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A patient newly diagnosed with chronic myelocytic leukemia (`) has been prescribed treatment with imatinib. The patient asks the nurse how imatinib works. What would be the nurse's best response?
A) "imatinib alkylates cellular DNA." B) "imatinib inhibits folic acid reductase, leading to inhibition of DNA synthesis and inhibition of cellular replication." C) "imatinib binds to DNA and inhibits DNA synthesis in susceptible cells, causing cell death." D) "imatinib inhibits the enzyme created by the Philadelphia chromosome abnormality in CML."
Although the immune system is affected by the aging process, the elderly are not the only individuals who have autoimmune disorders. These occur in populations of all ages because autoimmune disorders involve:
A) An attack of antibodies on body cells B) An overproduction of T cells in bone marrow C) A decrease in the weight of the thymus gland D) An increase in the amount of lipofuscin in the blood
A client with bipolar disorder is monitored by the community mental health nurse. The client's
mood disorder is under good control when the client takes the prescribed doses of lithium. The client tells the nurse she is pregnant as the result of her boyfriend committing date rape. The nurse makes the following assessments: lithium taken throughout pregnancy may result in a baby born with birth defects; the client is likely to have a relapse of her illness if she stops taking lithium; and the client is a devout Catholic who believes her boyfriend will marry her "even if he did get carried away" and care for their child. Which option would be congruent with the client's values and ethical beliefs? a. Continue lithium; deal with the issue of a baby with birth defects if it occurs. b. Continue lithium and encourage the client to undergo a therapeutic abortion. c. Discontinue lithium, use alternative medication, and prepare for hospitalization prn. d. Arrange for involuntary hospitalization for the duration of the pregnancy.
Which of the following might hinder nursing empowerment?
a. Taking action to address system issues b. Eliminating divergent and conflicting views c. Collaborating and sharing in decision making d. Participating in forming institutional policies