A person comes to the healthcare clinic and reports night sweats and fever. The healthcare professional obtains a chest x-ray which shows a mediastinal mass. What other assessment or diagnostic test does the professional provide as a priority?
a. Listen to heart sounds.
b. Assess the patient’s skin.
c. Arrange for familial DNA testing.
d. Test blood for anemia.
Ans: a. Listen to heart sounds.
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During an assessment of the sclera of a black patient, the nurse would consider which of these an expected finding?
a. Yellow fatty deposits over the cornea b. Pallor near the outer canthus of the lower lid c. Yellow color of the sclera that extends up to the iris d. Presence of small brown macules on the sclera
The nurse is assisting a client who is having a Thomas test performed. When the client's left knee is brought to his chest, the nurse recognizes that a hip flexion contracture is present when:
1. the client complains of pain in his lumbar spine. 2. the client complains of sharp pain radiating down his left leg. 3. the client's right leg externally rotates. 4. the client's right leg rises off the bed.
The nurse is working with a client who will be taking 20 mg of prednisone daily for rheumatoid arthritis. Which precautions does the nurse give the client about taking this medication?
a. "Take this medication at bedtime because it will make you sleepy." b. "Take calcium and vitamin D supplements daily." c. "Eat a high-fiber diet with lots of lean meats." d. "Wash your face twice a day with an an-tibacterial soap."
A patient with schizophrenia begins to talks about "volmers" hiding in the warehouse at work. The term "volmers" should be documented as:
a. neologism b. concrete thinking c. thought insertion d. idea of reference