Objective assessment of a patient's ears reveals small, painless nodules on the left helix. How would the nurse note this finding in the patient's medical record?
A) Left external ear abnormal; Darwin's tubercle noted at the midpoint of helix
B) Left external ear within normal limits
C) Small nodules on the left helix indicating inflammation of the external ear
D) Small, painless nodules on the left helix; further evaluation for carcinoma indicated
B
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Mrs. Bert is an 84-year-old woman with end-stage liver cancer and bone metastasis. Her family believes she is in considerable pain, but you observe her to be sleeping intermittently. As her nurse, you should
a. Wait for Mrs. Bert to request pain medication; after all, she could not be in too much pain if she sleeps b. Medicate her only at night so she can get some quality sleep c. Medicate every 4 to 6 hours as ordered to provide continuous pain management d. Transfer her to the hospital
The parents of a child with attention deficit hyperactivity disorder (ADHD) ask the nurse about the Ritalin their child is taking. Following a discussion, the nurse recognizes the need for further education when the parents state:
a. "This drug will help, but we must set limits." b. "We expect the symptoms to get worse before they get better." c. "We will give the medication at bedtime." d. "He will pay closer attention to schoolwork."
The nurse is planning care for an anxious patient receiving antidepressant medication. Which alternative therapy could the nurse incorporate in the care plan without being con-cerned about untoward interactions?
a. St. John's wort b. Homeopathy c. Ginseng d. Yoga
Which client would be expected to experience acute pain?
a. A client who had a myocardial infarction 8 hours ago b. A client who has cancer and has been receiving treatment for 4 months c. A client who states that she has lived with severe pain for many years d. A client who has been treated unsuccessfully over the past year for back pain