The nurse is caring for a patient who is receiving radiation therapy for a tumor in the salivary gland. The patient complains of a very dry mouth. Which of the following would best document this finding?
a. "Halitosis noted."
b. "Patient reports xerostomia."
c. "Patient experiencing dysphagia with liquids."
d. "Grade II stomatitis present."
ANS: B
Dry mouth is called xerostomia. Halitosis is bad breath; dysphagia is difficulty swallowing; and stomatitis is an inflammation.
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Which of the following pathophysiological processes would a clinician most likely expect in a client with a diagnosis of dementia rather than delirium?
A) Involvement of cholinergic neurons has caused an accumulation of acetylcholine within synapses. B) Hypothyroidism has contributed to a decrease in metabolic activity manifesting in neural inefficiency. C) Dehydration secondary to diuretic overuse has manifested in changes in perception. D) Plaques have developed between neurons, and neurofibrillary tangles have developed within neurons.
Through the open door of the patient's room, the nurse observes a male patient and his long-term partner in a romantic embrace. The nurse's priority intervention is directed toward
a. reinforcing for the staff the patient's inti-macy needs. b. explaining to the patient the challenges that his relationship poses for the staff. c. offering to discuss the barriers to intimacy that the patient and his partner face. d. quietly closing the door to address the pa-tient's right to privacy.
The World Health Organization sponsored a conference on primary health at Alma Ata, Kazakhstan in 1978. The major aims and goals for global health were
1. The worldwide cure of communicable disease 2. The technological development of all nations 3. The cure of AIDS worldwide 4. The worldwide implementation of primary health care
A nurse had previously heard crackles over both lungs of a patient. As the patient improves, what lung sounds does the nurse expect to hear in the patient's lungs?
a. Vesicular breath sounds heard in peripheral lung fields b. Bronchial breath sounds heard over the bronchi c. Bronchovesicular breath sounds heard over the apices d. Rhonchi heard over the main bronchi