The 75-year-old patient presents to the emergency department with shortness of breath, fatigue, and a dry cough. When information leads the nurse to suspect that this patient should undergo workup for histoplasmosis?
a. The patient reports drinking pond water.
b. The patient lives on a farm and raises chickens.
c. The patient recently went hunting in a wooded area.
d. The patient owns a landscaping company.
B
Histoplasmosis is caused by a fungus that lives in bird droppings. Contact with chickens coupled with the characteristic signs of dry cough, shortness of breath, and fatigue warrants a workup for histoplasmosis. Legionellosis is a bacterial infection contracted from contaminated drinking water. Rocky Mountain spotted fever and lime disease are transmitted by ticks found in wooded areas. Coccidioidomycosis is contracted by people who engage in desert recreational activities or are working in occupations that require digging in the earth.
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A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse assesses the patient's stool after a bowel movement and notes it to be a tarry-black color. This finding is suggestive of bleeding from what location?
A) Sigmoid colon B) Upper GI tract C) Large intestine D) Anus or rectum
A patient has refused to take the medications brought in by a nurse. The nurse will chart,
1. "Instructed patient that the medications will be taken now or later." 2. "Explained to patient that unless medications are taken, the physician will likely issue a discharge." 3. "Medications refused; physician notified." 4. "Physician notified that patient is uncooperative."
Newborns whose mothers are substance abusers frequently have what behavior?
a. Circumoral cyanosis, hyperactive Babinski reflex, and constipation b. Decreased amounts of sleep, hyperactive Moro (startle) reflex, and difficulty feeding c. Hypothermia, decreased muscle tone, and weak sucking reflex d. Excessive sleep, weak cry, and diminished grasp reflex