During the initial assessment of a very thin patient at the eye clinic, a nurse notes that the patient has very prominent eyes. What medical diagnosis might the nurse find in this patient's history?
a. Diabetes
b. Glomerulonephritis
c. Graves disease
d. Hypertension
C
The appearance of the patient and the prominence of the eye (exophthalmos) would lead the nurse to inquire about a thyroid disorder such as Graves disease or hyperthyroidism.
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The nurse is assessing a client's risk for formation of pressure ulcers. One of the most important risk factors is:
1. Repeated injections in the same area 2. Incorrect application of pressure-relieving devices 3. Poor lifting techniques 4. Immobility
The nurse is delegating a.m. care to unlicensed personnel. Appropriate instructions regarding skin care include: Standard Text: Select all that apply
1. Dry each foot carefully. 2. Wash under the breasts and allow them to air-dry. 3. Retract the prepuce to expose the glans penis for cleaning. 4. Wipe the perinea of males and females from front to back. 5. Trim toenails.
A client has been diagnosed as having blindness related to conversion disorder. She displays
indifference regarding the conversion symptom. The nurse states "I can't understand why the client doesn't seem more anxious about her symptom. ". The understanding that should guide planning is that the a. client is suppressing her true feelings. b. client's anxiety has been relieved through the physical symptom. c. client's needs are met during hospitalization, so she has no need to be anxious. d. client does not wish to display her actual fear.
A 47-year-old patient has been diagnosed with cholesterol gallstones. She has had increased abdominal pain following fatty meals for the past few weeks. The physician orders an x-ray ex-amination, which reveals radiolucent cholesterol gallstones
The physician will likely: 1. start the patient on chenodiol to dissolve the stones. 2. do nothing; the pain will disappear. 3. schedule the patient for emergency surgery. 4. help the patient plan a low-fat diet and schedule her for surgery if the abdominal pain continues.