When examining the client's external ear, a nurse palpates painless nodules on the pinna. The nurse should inquire about history of which of the following?
A. An old injury to the external ear
B. Gout, sun or chemical exposure, arthritis
C. Superficial infections of the outer ear
D. Considered to be a normal variant of aging
B
Uric acid crystals from chronic gout or other hyperuricemic conditions can deposit into external ear tissue and be palpated as hard, painless nodules called tophi. Basal cell carcinoma and rheu-matoid arthritis can also cause painless nodules.
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A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states, "I take it as soon as I feel heartburn coming on, but it doesn't seem to help at all." How should the nurse best respond to this patient's statement?
A) "It could be that Prilosec isn't the right drug for you, so it would be best to talk this over with your care provider." B) "Prilosec won't really decrease the sensation of heartburn, but it is still minimizing the damage to your throat and stomach that can be caused by the problem." C) "Prilosec will help your heartburn but it's not designed to provide immediate relief of specific episodes of heartburn." D) "A better strategy is to take a dose of Prilosec 15 to 30 minutes before meals or drinks that cause you to get heartburn."
The nurse is caring for a Mexican American patient. What nursing intervention would best demonstrate cultural sensitivity?
a. Encouraging consultation of male members of the family regarding health care decisions b. Discouraging consultation of male members of the family regarding health care decisions c. Insisting on providing all personal care required by the patient d. Asking only female family members about health care decisions
Psychobiology theory considers the causes of mental illness to be which of the following? (Select all that apply.)
a. Genetics b. Neurotransmitter activity c. Immune system dysfunction d. Social setting e. Unmet needs
The nurse is planning to implement a study to measure the effectiveness of post-operative teaching. For which reason should the nurse obtain informed consent from the study participants?
A) Ensuring that the patient's name remains confidential B) Communicating the patient's participation with the other staff members C) Making sure that the patient does not participate in another research study D) Receiving permission to use information collected while the patient received care