Which one of the following questions would be the most important to ask if you suspect that he has lung cancer?

A 67-year-old retired janitor comes to the clinic with his wife. She brought him in because she is concerned about his weight loss. He has a history of smoking 3 packs of cigarettes a day for 30 years, for a total of 90 pack-years. He has noticed a daily cough for the past several years, which he states is productive of sputum. He came into the clinic approximately 1 year ago, and at that time his weight was 140 pounds. Today, his weight is 110 pounds.

A) Have you tried to force yourself to vomit after eating a meal?
B) Do you have heartburn/indigestion and diarrhea?
C) Do you have enough food to eat?
D) Have you tried to lose weight?


D) Have you tried to lose weight?

Nursing

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A nurse observes that a patient appears scared during a.m. assessment. Which of the ABCs of psychiatry is the nurse observing?

1. Affect 2. Attitude 3. Behavior 4. Cognition

Nursing

The charge nurse observes the following actions being taken by a new nurse on the burn unit. Which action by the new nurse would require an intervention by the charge nurse?

a. The new nurse uses clean latex gloves when applying antibacterial cream to a burn wound. b. The new nurse obtains burn cultures when the patient has a temperature of 95.2° F (35.1° C). c. The new nurse administers PRN fentanyl (Sublimaze) IV to a patient 5 minutes before a dressing change. d. The new nurse calls the health care provider for a possible insulin order when a nondiabetic patient's serum glucose is elevated.

Nursing

The sibling of a child with a chronic health condition comes to the attention of the school nurse

The sibling is worried about the child's illness and is experiencing some negative feelings about all the attention that the child who is disabled is receiving. The sibling will likely benefit most from: a. saturation and ongoing attention from the nurse during the school year and beyond b. the caregivers being made aware of the sibling's problems c. a support group there they can gain knowledge, share feelings, and get help in coping d. their minister or priest being notified so the church can provide help to the child

Nursing

A patient is experiencing bilateral hemiparesis, dysphasia, visual changes, and altered level of consciousness, ataxia, and dysphagia. Which artery was most likely affected in this patient's stroke?

a. Carotid b. Middle cerebral c. Posterior cerebral d. Vertebrobasilar/cerebellar

Nursing