A patient presents to the emergency department after sustaining a minor laceration. The patient tells the staff that he may be HIV positive, "but I don't know for certain."
Which information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "You must go to the state health department to be tested.".
2. "We can do a test here if you like.".
3. "There is a test available that will quickly give us an idea of your HIV status.".
4. "If the results of the test we do are positive, additional testing will be necessary.".
5. "It will take at least 5 days for test results to return.".
2,3,4
Rationale 1: Testing is done in many areas, including state health departments.
Rationale 2: The patient must give permission for testing.
Rationale 3: Rapid screening tests provide results within minutes.
Rationale 4: All positive test results must be confirmed with Western blot tests.
Rationale 5: Rapid tests are available for screening.
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A. Elevated serum bilirubin B. Irritability with gentle handing C. Large-for-gestational-age measurements D. Obvious vertebral defects
The nurse uses a diagram to show the physiology of hearing. After sound has entered the external ear, the sound is then conducted through the (arrange the options in sequence):
1. tympanic membrane. 2. sensory receptors. 3. oval window. 4. acoustic nerve to the brain. 5. malleus, incus, and stapes.
The physician prescribes 20 mg of hydrocortisone orally once each day. The nurse should administer the drug at what time?
a. 0800 b. 1200 c. 1600 d. 2100
Which abnormality of the penis does this patient most likely have?
A 20-year-old part-time college student comes to your clinic, complaining of growths on his penile shaft. They have been there for about 6 weeks and haven't gone away. In fact, he thinks there may be more now. He denies any pain with intercourse or urination. He has had three former partners and has been with his current girlfriend for 6 months. He says that because she is on the pill they don't use condoms. He denies any fever, weight loss, or night sweats. His past medical history is unremarkable. In addition to college, he works part-time for his father in construction. He is engaged to be married and has no children. His father is healthy and his mother has hypothyroidism. On examination the young man appears healthy. His vital signs are unremarkable. On visualization of his penis you see several moist papules along all sides of his penile shaft and even two on the corona. He has been circumcised. On palpation of his inguinal region there is no inguinal lymphadenopathy. A) Condylomata acuminata B) Genital herpes C) Syphilitic chancre D) Penile carcinoma