A homeless client comes to an emergency department reporting cough, night sweats, weight loss, and blood-tinged sputum. Which disease, which has recently become more prevalent among the homeless community, should a nurse suspect?
1. Meningitis
2. Tuberculosis
3. Encephalopathy
4. Mononucleosis
2
Rationale: The nurse should suspect that the homeless client has contracted tuberculosis. Tuberculosis is a growing problem among individuals who are homeless, owing to being in crowded shelters, which are ideal conditions for the spread of respiratory tuberculosis. Prevalence of alcoholism, drug addiction, HIV infection, and poor nutrition also impact the increase of contracted cases of tuberculosis.
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The student nurse has delayed the completion of a course project for several days. The student's actions are an example of:
a. delegation c. learning disability b. perfectionism d. procrastination
What should be immediately reported by the nurse caring for a 90-year-old patient with a closed head injury?
a. Blood pressure change from 147/72 to 176/70 mm Hg b. Respiration rate increase from 14 to 18 breaths/min c. Slow pupillary reaction bilaterally d. Temperature decrease from 100.2° F to 97.6° F
Which of the following is the only drug for bulimia approved by the U.S. Food and Drug Administration (FDA)?
a. Sertraline c. Citoprolam b. Fluoxetine d. Imipramine
MC The client is undergoing tests to determine if he has epilepsy. He asks you if he could have something for the pain in his lower back prior to the test. The best response is
A. Pain medications could trigger a seizure during the test; therefore, it cannot be administered. B. Sedatives have no effect on the body's metabolism so could be given. C. A nonaspirin analgesic could be given prior to the test. D. Aspirin could be administered about one hour before the test.