A patient presents to the health center with an enlarged thyroid. The nurse practitioner believes the thyroid cells may suffer from hyperplasia. How would the nurse practitioner explain this condition to the patient?
A) Hyperplasia is the abnormal decrease in cell and organ size and is a precursor to cancer.
B) Hyperplasia is an abnormal increase in new cells and is reversible with the stimulus for cell growth removed.
C) Hyperplasia is the change in appearance due to a chronic irritation and will reverse with the stimulus removed.
D) Hyperplasia is a cancerous growth and will be removal surgically.
Ans: B
Feedback: Hyperplasia is an increase in the number of new cells in an organ or tissue. This is due to increased mitotic stimulation from the additional cell division, and this, in turn, enlarges the tissue. Hyperplasia is reversible when the stimulus for cell growth is removed. Options A and C are incorrect; hyperplasia is the increase in the number of new cells, not a change in size or appearance. Option D is incorrect; hyperplasia is the increase in the number of new cells, which may or may not be cancerous growth.
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The nursing student is giving a bath to a client on the first clinical day. The physician arrives and removes a wound dressing, and tells the student to redress the wound. Which of the following actions should the student take?
1. Tell the doctor that wound dressings have not been covered in class yet. 2. Cover the wound with gauze. 3. Perform the dressing change. 4. Seek assistance from the instructor or nurse assigned to the client.
While a woman is being treated for preterm labor with IV magnesium sulfate, it is essential that the nurse frequently assess the patient's:
a. appetite. b. skin turgor. c. capillary refill. d. respirations.
A patient scheduled for a cesarean birth asks if there are any difficulties with breastfeeding after this type of delivery. What should the nurse include when responding to this patient?
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at type of seizure disorder is he most likely to have?
A 28-year-old book editor comes to your clinic, complaining of strange episodes. He states that about once a week for the last 3 months his left hand and arm will stiffen and then start jerking. He says that after a few seconds his whole left arm and then his left leg will also start to jerk. He denies any loss of consciousness or loss of bowel or bladder control. When the symptoms resolve, his arm and leg feel tired but otherwise he feels fine. His past medical history is significant for a cyst in his brain that was removed 6 months ago. He is married and has two children. His parents are both healthy. On examination you see a scar over the right side of his head but otherwise his neurologic examination is unremarkable. A) Generalized tonic–clonic seizure B) Generalized absence seizure C) Simple partial seizure (Jacksonian) D) Complex partial seizure