The nurse suspects the older adult patient will require diagnostic testing for possible lung cancer when the patient does which of the following? (Select all that apply.)
a. Reports smoking two packs of cigarettes daily
b. Reports severe chest pain
c. Loses 10 pounds in 1 month
d. Takes several naps daily
e. Locates a palpable lump on the left lateral chest
A, C, D
The classic clinical presentation of lung cancer is a persistent cough, sputum streaked with blood, chest pain, and recurring pneumonia or bronchitis. This constellation of symptoms is also asso-ciated with cigarette smoking, and their significance as indicators of cancer may be overlooked. Other symptoms include more systemic complaints such as anorexia, weight loss, and fatigue. Older persons more often experience dyspnea and weight loss, whereas pain is less frequent.
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A patient is signing a surgical consent. Afterwards, the nurse also signs the form. What is the meaning of the nurse's signature?
1. It means the patient was alert and aware of what was being signed. 2. It means the patient understood the procedure as described by the nurse. 3. It means the surgeon was too busy to wait for the patient to sign the form. 4. It means there is a likelihood of a successful outcome.
The nurse is administrating eardrops that have been refrigerated. Which action by the nurse is correct before administering the drops?
a. Leave the drops in the refrigerator until use. b. Heat the chilled solution for 10 seconds in the microwave. c. Soak the bottle for 60 seconds in a container of very hot water. d. Take the drops out of the refrigerator 1 hour before the dose is due.
In the following situation, which test should be used? Independent variable = pretest vs. posttest measurement; dependent variable = stress measured on a 7-point scale
a. Friedman test b. Mann-Whitney U test c. McNemar test d. Wilcoxon test
A nurse is completing a summative evaluation of a program designed to decrease obesity in school-age children. Which of the following is the most important question for the nurse to ask?
a. Are school-age children satisfied with the program? b. Can parents and guardians support the program requirements? c. Has obesity in school-age children decreased? d. What is the program cost compared with the program benefit?