A patient tells the nurse that back in the mid-1980s while visiting Eastern Europe, she had to drink only bottled water because of the potential for radiation exposure. The nurse realizes the patient's precaution is related to the:
1. Chernobyl Nuclear Reactor accident.
2. Ongoing cold war with the former Soviet Union.
3. Potential for contracting anthrax.
4. Possibility of being infected with salmonella.
Chernobyl Nuclear Reactor accident.
Rationale: The Chernobyl Nuclear Reactor accident occurred in 1986 and, even though there is no documentation to support what effects this accident had on the physical body, many avoided drinking the water because of the fear of radiation exposure. There is no evidence to support that the patient needed to drink bottled water because of the cold war with the former Soviet Union. Anthrax and salmonella are biological agents that have been associated with biological terrorism.
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During a well-child visit, the father of a 4-year-old boy tells the nurse that he is not sure if his son is ready for kindergarten. The boy's birthday is close to the cut-off date, and he has not attended preschool. What is the nurse's best recommendation
a. Start kindergarten. b. Talk to other parents about readiness. c. Perform a developmental screening. d. Postpone kindergarten and go to preschool.
A characteristic sign of left-sided heart failure is:
A. ascites. B. leg pain. C. pulmonary edema. D. fever.
What will the nurse review when teaching a patient about therapy with statins? (Select all that apply.)
a. Statins are the most potent antilipemic agents available. b. Statins should be taken with food. c. Statins replace dietary therapy for the control of hyperlipidemia. d. Statins cause mild increases in HDL levels. e. Statins are administered in the morning when cholesterol production is high. f. Statins reduce inflammation, platelet aggregation, and plasma viscosity.
The vasodilator drug Minoxidil differs from Hydralazine in that Minoxidil:
A. is a more potent arteriolar dilator. B. is indicated for patients who respond to triple therapy with other drug combinations. C. seldom produces any serious adverse effects. D. is given in usual doses of 60 to 100 mg per day in combination with a diuretic and beta-blocker.