During a history the client reports having herpes genitalis. Based on this information, which finding does the nurse anticipate during the assessment?
a. Small vesicles on the genitalia
b. Single, firm, painless, open sore
c. Pain when palpating the cervix
d. Malodorous greenish-yellow vaginal discharge
ANS: A
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A child with leukemia has a granulocyte count of 250/mm3 and a platelet count 150, 000/mm3. Nursing intervention would include which of the following?
1. Strict isolation 2. Good handwashing 3. Fluid restriction 4. Avoidance of mouth care
The nurse is updating a care plan for a 65-year-old patient just admitted to the unit for uncontrolled blood glucose associated with type 2 diabetes. The patient has had diabetes for 5 years
While the nurse is obtaining a health history, the patient confides that he experiences erec-tile dysfunction. Select the best nursing diagnosis to add to the plan of care. a. Noncompliance related to ineffective control of blood glucose, as evidenced by erectile dysfunction and loss of libido b. Activity intolerance related to chronic disease processes secondary to type 2 di-abetes, as evidenced by erectile dysfunction c. Body image disturbance related to erectile dysfunction, as evidenced by the pa-tient's complaints of loss of libido d. Sexual dysfunction related to microvascular changes secondary to type 2 di-abetes, as evidenced by erectile dysfunction
Which symptoms in chronic lung disease require nursing intervention? (Select all that apply.)
a. Clubbed fingers b. Increased residual volume c. Decreased peak flow d. Increased anterior-posterior diameter e. Elevated platelets f. Expiratory wheezing g. Stridor h. Change in sputum color and amount
Who provides physicians with the authority to admit and provide care to clients requiring hospitalization?
A) The health care institution itself B) Board of Healing Arts C) American Medical Association D) State Board of Nursing