The nurse is assessing a patient diagnosed with Graves' disease. What physical characteristics of Graves' disease would the nurse expect to find?
A) Hair loss
B) Moon face
C) Bulging eyes
D) Fatigue
Ans: C
Feedback: Clinical manifestations of the endocrine disorder Graves' disease include exophthalmos (bulging eyes) and fine tremor in the hands. Options A, B, and D are not symptoms of Graves' disease.
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When applying an electrode for a 12-lead ECG, the nurse will
A) place the electrode in a skin fold. B) select a site over a bony prominence. C) place the electrode where muscle attaches to bone. D) attach the electrode on a joint area.
As the nurse and the dietitian review a patient's diet plan with her, she becomes very angry, shouting that with her diabetes and now the kidney failure, there is just nothing she can eat
She says she might as well eat what she wants, because these diseases will kill her anyway. Based on the patient's response, which nursing diagnosis does the nurse identify? a. Noncompliance, risk for, related to feelings of anger b. Risk for ineffective health maintenance, related to complexity of therapeutic regimen c. Anticipatory grieving, related to actual and perceived losses d. Ineffective coping, related to emotional liability
A nurse is explaining the use of an IUD to a female client interested in obtaining contraception. Which of the following statements regarding the IUD is correct?
A) The intrauterine device (IUD) is an object that is placed by the client within the uterus to prevent implantation of a fertilized ovum. B) IUDs are small devices made of flexible plastic that provide irreversible birth control. C) IUDs do not prevent fertilization of the egg. D) IUDs seem to affect the way the sperm or egg moves.
The nurse is caring for a patient experiencing a relapse of a schizophrenia spectrum disorder (SSD). As the nurse considers the plan of care, which type of nursing intervention will the nurse give priority?
1. Patient education 2. Direct action 3. Disease prevention 4. Family involvement