A client has been diagnosed with anal cancer. Which test does the nurse prepare the client for?
a. Darkfield microscopy
b. Culture of discharge
c. Blood draw for the Venereal Disease Re-search Laboratory (VDRL) test
d. Human papilloma virus (HPV) DNA
D
Human papilloma virus is known to cause cancers of the genitals, anus, and perianal areas. The client needs to undergo testing for HPV DNA. Darkfield microscopy is used to detect syphilis. Discharge is tested for gonorrhea, Chlamydia, and pelvic inflammatory disease. The VDRL is also used for syphilis.
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When explaining the difference between a colostomy and an ileostomy, the nurse explains which of the following about an ileostomy?
a. It is always permanent b. It drains semi-liquid stool c. It has a much larger stoma d. It does not need a pouch
During family counseling a child states, "I just want to surf like other kids. Mom says it's okay, but Dad says I'm too young."
The mother allows surfing when the father is absent. In the structural model of family therapy, what family interactional pattern should the nurse recognize? A. Multigenerational transmission B. Disengagement C. Mother–child subsystem D. Emotional cutoff
An older adult patient is taking digoxin for treatment of heart failure. What is the priority nursing action for this patient related to the medication therapy?
a. Give the medication in conjunction with an antacid. b. Keep the patient on the cardiac monitor and observe for ventricular dysrhythmias. c. Check that the dose is in the lowest possible range for therapeutic effect. d. Advise the patient that there is increased mortality related to toxicity.
The physician has ordered hydrochlorothiazide (HCTZ) for the patient in chronic renal failure. The nurse suspects the patient is experiencing an ineffective response to the medication. Which assessment is a priority for this patient?
1. Reviewing the lab work for hypokalemia and hyponatremia 2. Assessing the vital signs for hypertension 3. Assessing the skin for moisture and turgor 4. Auscultating breath sounds for wheezes