The nurse is caring for an immune compromised patient who complains of itching and tingling from below the shoulder on the back around to the chest area, as well as burning and shooting pain, headache, and low-grade fever
The nurse is aware that this patient is most likely expe-riencing: a. hepatitis C.
b. shingles.
c. a bacterial infection.
d. cryptococcosis.
B
The immune compromised patient may experience opportunistic infections. Hepatitis C, bacterial infections, and cryptococcosis are all opportunistic infections, but the symptoms this patient is experiencing are consistent with shingles.
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Which theme is most likely during family therapy with parents, siblings, and a teen patient with anorexia nervosa who engages in provocative behavior?
a. Stable coalitions between family members b. Interpreting negative messages as positive c. Competition between the patient and father d. Lack of trust in the patient by family members
The nurse has been caring for a primiparous client who is suspected of carrying a macro-somic infant
Pushing appears to have been effective so far; however, as soon as the head is born, it retracts against the perineum much like a turtle's head drawing into its shell. In evaluating the labor progress so far, the nurse is aware that this is normal with large in-fants and extra pushing efforts by the mother may be necessary. Indicate whether the statement is true or false
The daughter of a severely depressed client asks the nurse "What do you think about the relationship
between depression and physical illness? Since my mother has been grieving over my father's death, she has been physically unwell. She has had a series of colds, an outbreak of shingles, and an episode of the flu.". The answer that best reflects the current thinking about psychoimmunology is a. "It is probably a coincidence. Not much evidence is available that the stress of grieving makes one prone to physical illnesses.". b. "Your observation might be explained by the fact you are paying more attention to your mother since your father died and you are noticing things such as minor illnesses.". c. "The literature has not dwelt on the relation between mental state and the body other than to say that one influences the other.". d. "The immune system is thought to respond to changes in brain chemistry by suppressing white blood cell production when the person experiences prolonged stress.".
In assessing a patient's risk for complications of immobility, the nurse should be aware that there are several reasons for a person becoming immobile. A therapeutic reason may be:
1. to reduce the workload of the heart. 2. lack of motivation. 3. bereavement resulting from the loss of a loved one. 4. to decrease flexibility and strength.