Several patients call the outpatient clinic and ask to make an appointment as soon as possible. Which patient should the nurse schedule to be seen first?
a. 44-year-old with sickle cell anemia who says "my eyes always look sort of yellow"
b. 23-year-old with no previous health problems who has a nontender lump in the axilla
c. 50-year-old with early-stage chronic lymphocytic leukemia who reports chronic fatigue
d. 19-year-old with hemophilia who wants to learn to self-administer factor VII replacement
ANS: B
The patient's age and presence of a nontender axillary lump suggest possible lymphoma, which needs rapid diagnosis and treatment. The other patients have questions about treatment or symptoms that are consistent with their diagnosis but do not need to be seen urgently.
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A client who abuses alcohol has been placed on naltrexone (Trexan). What information should be included in the client education about the effects of this medication?
1. The client may discontinue its use in alcohol abuse treatment. 2. If alcohol is ingested, the client may experience a lethal reaction. 3. The client needs to avoid use of over-the-counter products that contain alcohol. 4. If alcohol is ingested, the client will feel less "high."
Which is a true statement about nutrition for older adults?
a. The older person should be encouraged to practice strict controls on cholesterol intake to ensure protection against heart disease. b. Transportation can be a critical factor in nutritional insufficiency in elders. c. Soul food is a concern primarily for African American culture. d. There are no government programs to promote congregate dining among elders.
Each of the following patients requires sertraline therapy. Which patient would require the closest monitoring by the nurse?
A) A 32-year-old man who is obese B) A 38-year-old woman who has diabetes C) An 11-year-old child with no other illnesses D) A 45-year-old man with liver impairment
Commonly called "_______ _____", nitrous oxide is a gaseous anesthetic first used in the early 1800s in medicine and surgery.
Fill in the blank(s) with the appropriate word(s).