The steps of the ethical decision making process are similar to the steps of
a. Healthy People 2010
b. Deontology
c. The nursing process
d. Advocacy
ANS: C
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An adult female client is diagnosed with chronic fatigue syndrome. Which symptom would not be associated with this condition?
A) Feeling unrefreshed after adequate sleep B) Joint pain with swelling C) Mild fever D) Confusion
The nurse clarifies that a connective tissue disease is one that affects:
1. bones, ligaments, cartilage, and tendons. 2. bones, ligaments, and tendons. 3. spurs, ligaments, cartilage, and tendons. 4. tendons, cartilage, and tophi.
What abnormality of the scrotum is most likely the diagnosis?
A 48-year-old policeman comes to your clinic, complaining of a swollen scrotum. He states it began a couple of weeks ago and has steadily worsened. He says the longer he stands up the worse it gets, but when he lies down it improves. He denies any pain with urination. Because he is impotent he doesn't know if intercourse would hurt. He states he has become more tired lately and has also gained 10 pounds in the last month. He denies any fever or weight loss. He has had some shortness of breath with exertion. His past medical history consists of type 2 diabetes for 20 years, high blood pressure, and coronary artery disease. He is on insulin, three high blood pressure pills, and a water pill. He has had his gallbladder removed. He is married and has five children. He is currently on disability because of his health problems. Both of his parents died of complications of diabetes. On examination you see a pleasant male appearing chronically ill. He is afebrile but his blood pressure is 160/100 and his pulse is 90. His head, eyes, ears, nose, throat, and neck examinations are normal. There are some crackles in the bases of each lung. During his cardiac examination there is an extra heart sound. Visualization of his penis shows an uncircumcised prepuce but no lesions or masses. Palpation of his scrotum shows generalized swelling, with no discrete masses. A gloved finger is placed through each inguinal ring, and with bearing down there are no bulges. The prostate is smooth and nontender. A) Hydrocele B) Scrotal hernia C) Scrotal edema D) Varicocele
Which of the following statements is true about asthma?
a. Asthma rarely occurs in children b. Most cases occur after age 5 c. Most asthma is most frequent among the poor d. Asthma is a permanent obstruction of the airways