The nurse is admitting a 40-year-old female patient newly emigrated from Mexico. The patient has hypertension
As this is the initial visit to the clinic, the best approach to assess what, if any, folk medicine the patient may have used is for the nurse to ask:
A.
"What have you been doing to treat your symptoms?"
B.
"Have you been using any remedies that come from Mexico?"
C.
"Would you like to keep wearing that garlic necklace while you are in the hospital?"
D.
"Have you been using herbs to treat your illness?"
ANS: A
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A patient is admitted to the hospital after a head injury. The nurse notes a widening pulse pressure. Which of the following actions is most appropriate?
a. None; this is an expected finding after a head injury. b. Lay the bed flat and check pupil response. c. Raise the head of the bed and notify the RN. d. Give an extra dose of diuretic.
Which of the following statements is true about dysarthria?
a. Does not affect intelligence. b. Stems from severe rheumatoid arthritis. c. Physical therapy can be beneficial. d. Can affect the balance.
What form of involuntary movement does she have?
A 48-year-old grocery store manager comes to your clinic, complaining of her head being “stuck” to one side. She says that today she was doing her normal routine when it suddenly felt like her head was being moved to her left and then it just stuck that way. She says it is somewhat painful because she cannot get it moved back to normal. She denies any recent neck trauma. Her past medical history consists of type 2 diabetes and gastroparesis (slow-moving peristalsis in the digestive tract, seen in diabetes). She is on oral medication for each. She is married and has three children. She denies tobacco, alcohol, or drug use. Her father has diabetes and her mother passed away from breast cancer. Her children are healthy. On examination you see a slightly overweight Hispanic woman appearing her stated age. Her head is twisted grotesquely to her left but otherwise her examination is normal. A) Chorea B) Asbestosis C) Tic D) Dystonia
The nurse is assessing a 36-week gestational age newborn. What assessment findings indicate that a cardiac defect is present? Select all that apply
1. Cyanosis 2. Abdominal bruit 3. Peripheral pulses 4. Signs of heart failure 5. Presence of a heart murmur