During the focused interview, the client confides in the nurse issues with anxiety. During the physical assessment, which findings support the presence of anxiety? Select all that apply
1. The client complains of pain when the tragus is gently manipulated.
2. The client has several small ulcers on her lip.
3. Pale nasal mucosa
4. Small sores are noted within the mouth.
5. Perforated nasal septum
Correct Answer: 1, 2, 4
Pain that occurs with manipulation of the tragus may accompany temporomandibular joint dysfunction that may be associated with jaw clenching. Jaw clenching can accompany psychological stress. Clients who are under a great deal of stress might bite their lips. Clients who are under a great deal of stress might present with ulcers in their mouth. Pale nasal mucosa is associated with cocaine use, infection, hypoxia, and allergies. A perforated nasal septum is associated with cocaine use.
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The nurse educator is teaching a group of nursing students about factors that increase the risk for premature birth. Which statements are appropriate for the educator to include? Select all that apply
A) "Married women are at an increased risk for giving birth to a premature infant." B) "Single women are at an increased risk for giving birth to a premature infant." C) "Lesbians have an increased risk for premature labor." D) "Adolescent clients are at an increased risk for giving birth to a premature infant." E) "Pregnancy after the age of 33 years increases the risk for premature labor."
A patient is scheduled for a breast biopsy in the diagnostic phase of a breast mass. It is important for the nurse to:
A) Acknowledge the fear the patient is experiencing. B) Refer her to Reach for Recovery. C) Set up a consultation with a breast cancer survivor. D) Instruct the patient on prosthetic devices.
A patient being considered for photochemotherapy (PUVA therapy) for severe psoriasis asks what this treatment is. The nurse should give which information?
a. "With PUVA an oral drug is used to sensitize the skin to light therapy used in the treatment." b. "PUVA works by burning superficial layers of skin and then surgically débriding the burns." c. "It would be best to get a second opinion. PUVA is extremely expensive and not very effective." d. "Photochemotherapy is a totally safe option for the treatment of this disease."
Patients taking hormonal contraceptives and hormone replacement therapy need to take the drug daily at the same time to prevent:
1. Nausea 2. Breakthrough bleeding 3. Breast tenderness 4. Pregnancy