A 45-year-old gay man who lives with a partner of 19 years recently has developed a persistent cough and night sweats from which he wakes up soaked
The nurse who is caring for the man should be most concerned about which of the following conditions? a. Lung cancer
b. Tuberculosis
c. Orthopnea
d. Cardiopulmonary disease
B
Persistent cough and night sweats are symptoms of tuberculosis (TB). Review risk factors for TB and/or HIV infection and assess for symptoms, including persistent cough, hemoptysis, unex-plained weight loss, fatigue, anorexia, night sweats, and fever. Ask the patient about persistent cough (productive or nonproductive), blood-streaked sputum, voice change, chest pain, shortness of breath, orthopnea (must be in upright position to breathe), dyspnea (breathlessness) during exertion or at rest, poor activity tolerance, or recurrent pneumonia or bronchitis. This may reveal cardiopulmonary problems or warning signs for lung cancer (symptoms in italics).
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a. Obtain an order to administer a soap suds cleansing enema. b. Teach the patient how to use the Valsalva maneuver. c. Discontinue medications that can cause constipation. d. Assess the patient's usual pattern of bowel movements.
A nurse is planning a class for school-age children on obesity. Which percentile does the body mass index (BMI) need to exceed for a child to be assessed as obese?
What will be an ideal response?
A nurse who lobbies state legislators to support a change in the scope of practice in nursing is engaging in
a. power sharing. b. setting policy. c. politics. d. legislative power.
A client asks the nurse if it is possible for a vegetarian to consume too much fat. The nurse replies:
1. "Yes, because they often use too much oil or fat while cooking or sautéing vegetables.". 2. "No, because they use complementary proteins which are low in fat.". 3. "Yes, because they may consume non-meat or dairy foods that are high in fat.". 4. "No, because they tend to consume only plant-based, healthy fats.".