The nurse obtains a health history from a 65-year-old patient with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse is most appropriate?
a. "Do you have a history of a heart attack?"
b. "Is there a family history of endocarditis?"
c. "Have you had any recent immunizations?"
d. "Have you had dental work done recently?"
ANS: D
Dental procedures place the patient with a prosthetic mitral valve at risk for infective endocarditis (IE). Myocardial infarction (MI), immunizations, and a family history of endocarditis are not risk factors for IE.
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The nurse is conducting a hearing assessment on an older adult client with impacted cerumen noted in the right ear canal. When performing the Weber test, which would the nurse expect to learn?
1. Air conduction is longer than bone conduction. 2. Bone conduction is longer than air conduction. 3. Sound lateralized to the right ear. 4. The client is unable to maintain balance while standing.
The nurse is giving an educational event to a local men's group about prostate cancer. What nationality should you be sure to tell the attendees of this event should receive information regarding the predisposition of prostate cancer?
A) Native Americans B) Caucasians C) African Americans D) Asian Americans
A client reports not taking any dietary supplements but later says that glucosamine is taken three times a day for arthritis pain. What should the nurse respond to this client?
a. "Other clients have told you how much glucosamine helps pain." b. "Glucosamine is considered a dietary supplement, not a medication." c. "Glucosamine has not received any negative reports so should be OK to use." d. "You should discuss all dietary supplements with your healthcare provider before using them to avoid adverse effects."
W is the eldest son in a family in which the father was an alcoholic and the mother was an enabler. W's grandfather, too, was an alcoholic who lived with a long-suffering wife. W drinks heavily and has married a woman who never complains about his drinking. This scenario suggests a
A. double bind. B. sociocultural issue. C. multigenerational issue. D. stage in the family life cycle.