Which observation seen in a teenage patient supports the suspicion of anabolic steroid abuse?
a. Lack of facial hair
b. Ritualized hand washing
c. Stealing and hiding a magazine belonging to another patient
d. Throwing a chair when told it was time to turn off the television
ANS: D
For all individuals abusing anabolic steroids, extreme mood swings occur, and these may be accompanied by violent behaviors. Obsessive-compulsive behaviors and stealing are not gen-erally associated with this disorder. The increased hormone presence would result not in a lack, but rather an increase, in facial hair.
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An 8-year-old child had a hematopoietic stem cell transplant 10 months ago. The father brings her to the clinic, where the child reports "I just don't feel well." Dad relates that the child has been lethargic and sleeping a lot
The child's vital signs are within normal range for age. What action by the nurse is best? A. Explain that growth spurts can cause fatigue. B. Prepare the family for a "fever" workup. C. Provide reassurance to the father and child. D. Review side effects of immunosuppressants.
To test the corneal reflex of a patient's right eye, you would ask him to open his eyes and look away from you, and then
a. lightly brush the conjunctiva with a cotton-tipped applicator. b. place one drop of warmed sterile saline into his eye. c. shine a bright light onto the cornea from the side. d. lightly stroke the cornea with a slightly moistened cotton wisp.
How should the nurse respond when a patient with coronary artery disease asks why C-reactive protein (CRP) levels are being drawn for laboratory analysis?
A) "An elevated CRP level is a predictor of coronary artery disease." B) "An elevated CRP level means you will have a heart attack." C) "CRP is released from the heart during a heart attack." D) "CRP is released from atherosclerotic plaques."
When should the nurse expect jaundice to be present in a full-term infant with hemolytic disease?
a. At birth b. Within 24 hours after birth c. 25 to 48 hours after birth d. 49 to 72 hours after birth