The nurse is reviewing the record of a 10-year-old child suspected of having Hodgkin's disease. The nurse anticipates noting which of the following characteristic manifestations documented in the assessment notes?

1. Fever
2. Malaise
3. Painful lymph nodes in the supraclavicular area
4. Painless and movable lymph nodes in the cervical area


4

Rationale: Clinical manifestations specifically associated with Hodgkin's disease include pain-less, firm, and movable adenopathy in the cervical and supraclavicular area. Hepatosplenomegaly is also noted. Although anorexia, weight loss, fever, and malaise are associated with Hodgkin's disease, these manifestations are vague and can be seen in many disorders.

Nursing

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Some elderly patients may exhibit a pattern of behaviors that include insomnia, chain smoking, increased blood pressure, and frequency of voiding. What is one way a nurse can help them?

A) Prepare them for all expected activities. B) Encourage them to enroll in stimulating classes. C) Have barriers installed to prevent their wandering. D) Encourage them to drink wine with dinner.

Nursing

A patient in the progressive stage of shock is receiving medication to manage the symptoms. What is the desired effect of the medication?

a. Increase in cardiac output b. Decrease in blood pressure c. Decrease in urine output d. Lower temperature

Nursing

What is one of the broad goals within nursing?

A) To prevent mental health B) To form broad nursing diagnoses C) To promote self-care D) To treat human responses

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Which actions would assist a family to recover after learning of the death of their family member in the intensive care unit? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. Offer time for the family to be alone in private. 2. Offer to contact the chaplain for the family. 3. Offer time for the family to stay with the patient before being removed from the unit. 4. Asking the family to wait until the mortician has arrived before seeing the patient. 5. Directing the family to the social worker's office.

Nursing