A client has groin swelling. The nurse should suspect that the client is experiencing a disturbance in the:
1. White blood cell system.
2. Renal system.
3. Lymphatic system.
4. Cardiovascular system.
Answer: 3
1. A disturbance in the white cell count does not necessarily mean the client will have enlarged lymph nodes.
2. Enlarged lymph nodes are not characteristic of renal failure.
3. The lymphatic system has nodes throughout the body, including the inguinal area.
4. The lymph nodes are not usually enlarged in disorders of the cardiovascular system.
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The nurse providing discharge teaching to a patient admitted with pericarditis informs him that pericarditis can lead to:
A) Scarring of the mitral valve B) Deformity of the valve leaflets C) Inflammation of the endocardium D) Pericardial effusion
A nurse is assessing a patient's stoma on postoperative day 3. The nurse notes that the stoma has a shiny appearance and a bright red color. How should the nurse best respond to this assessment finding?
A) Irrigate the ostomy to clear a possible obstruction. B) Contact the primary care provider to report this finding. C) Document that the stoma appears healthy and well perfused. D) Document a nursing diagnosis of Impaired Skin Integrity.
A patient has taken levodopa [Dopar] for Parkinson's disease for 2 weeks but reports no improvement in the symptoms. Which response by the nurse is correct?
a. "Another agent will be needed to manage your symptoms." b. "Double the dose to see whether an effect occurs." c. "It may take several months for a response to occur." d. "The prescriber may need to change your drug regimen."
What are the general guidelines for collecting specimens?
What will be an ideal response?