A variety of symptoms/diseases in migrant farm workers (including skin rashes, conjunctivitis, and even cancer) are highly correlated with
1. Crowded living conditions
2. Poor field sanitation
3. Pesticide exposure
4. Automated machinery
ANS: 3
Cancer would not be caused by crowded living conditions, poor field sanitation, or automated machinery.
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The nurse is working with clients who have connective tissue diseases. Which disorders are correctly paired with their manifestations? (Select all that apply.)
a. Dry, scaly skin rash - Systemic lupus erythematosus (SLE) b. Esophageal dysmotility - Systemic sclerosis c. Excess uric acid excretion - Gout d. Footdrop and paresthesias - Osteoarthritis e. Vasculitis causing organ damage - Rheumatoid arthritis
The student nurse learns about risk factors for gastric cancer. Which factors does this include? (Select all that apply.)
a. Achlorhydria b. Chronic atrophic gastritis c. Helicobacter pylori infection d. Iron deficiency anemia e. Pernicious anemia
A patient who had a hysterectomy yesterday has been NPO. The physician has now ordered the patient's diet to be clear liquids. Before administering the diet, the nurse should check for:
1. feelings of hunger. 2. bowel sounds. 3. positive Homans' sign. 4. gag reflex.
The nurse is concerned that Mrs. D continues to lose weight. This problem started several years ago after she was hospitalized with Crohn's disease. Since then she had one additional exacerbation of the problem
Although she generally feels well, she has lost several pounds a month in the past 6 months. The nurse is concerned that she may not be getting all of the required calories and nutrients for a balanced diet and is at risk for malnutrition. One reason for this may be: 1. Poor nutritional intake can continue even when the disease is not active due to ongoing avoidance of foods that can cause symptoms associated with a disease to flare up. 2. Patients do not understand the physiological basis for inflammatory bowel disease and may avoid foods that could contribute to healing and good health. 3. A low-fat, low-carbohydrate diet along with an increase in exercise is the standard treatment for Crohn's disease so clients naturally lose weight. 4. Migration of bacteria from the gut to other locations in the body increase metabolism and accounts for weight loss with Crohn's disease.