The nurse is aware that the patient is exhibiting a clinical manifestation of combined B cell and T cell deficiencies when she notes the patient to have:
A) Alopecia
B) Uncoordinated muscle movement
C) Vascular lesions caused by dilated blood vessels
D) Urticaria
Ans: C
Feedback: Telangiectasia refers to vascular lesions caused by dilated blood vessels and is a clinical manifestation of combined B cell and T cell deficiencies.
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A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and drug use
When the nurse asks him about tobacco use, he states, "I quit smoking after my wife died 7 years ago." However, the nurse notices an open pack of cigarettes in his shirt pocket. Using confrontation, the nurse could say: a. "Mr. K., I know that you are lying." b. "Mr. K., come on, tell me how much you smoke." c. "Mr. K., I didn't realize your wife had died. It must be difficult for you at this time. Please tell me more about that." d. "Mr. K., you have said that you don't smoke, but I see that you have an open pack of cigarettes in your pocket."
Explanation: 1. Herbs can interact with medications. 2. Because the FDA does not regulate herbal medicines, there is no assurance of standardization of their ingredients, purity, dosage, or potency. 3. It is important for the client to discuss the use of herbal remedies with prescribed medications with the healthcare provider. 4. The Food and Drug administration does not regulate herbal
medicines, and these medicines may have different ingredients, purity, dosage, or potency. 5. For most herbal remedies, there have not been sufficient clinical trials to demonstrate their effectiveness or appropriate dosage. 1. Nonpharmacological approaches can alleviate the pain. 2. Nonpharmacological approaches can delay the need for medication. 3. Nonpharmacological approaches can prevent the need for medication. 4. Nonpharmacological approaches can complement current medication therapy. 5. Nonpharmacological approaches do not cost the client anything to use or implement.
The nurse is developing the postoperative plan of care for a patient recovering from surgery for oral cancer. Which potential problem should the nurse identify as the priority for this patient?
1. airway maintenance 2. communication 3. body image change 4. insufficient oral intake
While your patient is in surgery, you should
A. take a break while you have time. B. care for your other patients and not worry about the surgical patient. C. make the surgical bed and prepare the patient's room. D. call recovery and request the estimated time the patient will return.