A client develops a red macule at the site of a deer tick bite, a rash with round rings around the site, headache, neck stiffness, and pain. The nurse should suspect the client has developed which of these conditions?
a. gout c. polymyositis
b. Lyme disease d. rheumatoid arthritis
B
Lyme disease, a spirochetal infection carried by deer ticks, initially creates a red spot that starts at the point of the tick bite and then expands; headache, fever, pain, and stiff neck may also be present. If the disease is untreated, the client develops arthritis, fatigue, and neurological abnormalities.
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A 16-year-old youth has just been diagnosed with schizophrenia. The parents ask the nurse what causes schizophrenia. What would be the nurse's best response?
A) "Schizophrenia is caused by pain that the brain perceives." B) "Schizophrenia is thought to occur due to trauma experienced in childhood." C) "Schizophrenia is thought to reflect a fundamental biochemical abnormality." D) "Schizophrenia is caused by seizure activity in the brain."
A nurse walks into a room and finds a patient to be severely confused. The nurse examines and observes the patient closely and thinks about other situations with severely confused patients be-fore making a nursing diagnosis
Which skill is the nurse using? a. Clinical inferences b. Reflective journaling c. Accountability d. Intuition
The nurse is providing care to an older adult patient who has had knee replacement surgery. Which will the nurse monitor the patient for in response to unrelieved pain?
1) Diarrhea 2) Weight gain 3) Insomnia 4) Hypotension
Mothers should be advised to use different positions during breastfeeding to:
a. Make the infant learn to locate the nipple. b. Vary pressure points on the nipple to avoid nipple soreness. c. Determine which position the infant prefers. d. Encourage the infant to turn his or her head to latch on to the nipple.