The nurse is working in a tertiary care environment. The purpose of tertiary care is to:
a. restore a client to the state that existed before the development of an illness.
b. treat an acute illness.
c. promote wellness.
d. prevent illness or disability.
ANS: A
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An inpatient client is newly diagnosed with dissociative identity disorder (DID) stemming from severe childhood sexual abuse. Which nursing intervention takes priority?
1. Encourage exploration of sexual abuse. 2. Encourage guided imagery. 3. Establish trust and rapport. 4. Administer antianxiety medications.
Postnecrotic liver failure is caused by which of the following?
a. massive exposure to hepatotoxins, viral hepatitis, or infection b. chronic excessive alcohol ingestion c. chronic obstruction and inflammation of the bile ducts and gallbladder d. severe congestion of the liver
After an MI, a patient presents with an increasing frequency of PVCs
The patient's heart rate is 110 beats/min, and ECG indicates a sinus rhythm with up to five unifocal PVCs per minute. Which of the following should be done? The patient is alert and responsive and denies any chest pain or dyspnea. a. Administer lidocaine 100 mg bolus IV push stat. b. Administer Cardizem 20 mg IV push stat. c. Notify the physician and monitor the patient closely. d. Nothing; PVCs are expected in this patient.
Contraction of breast smooth muscle results in:
a. benign breast lumps. b. the emptying of milk ducts. c. nipple inversion. d. nipple tenderness.