An elderly client has presented to the clinic with multiple physical complaints. Biologic assessment information must be obtained before any physical illnesses can be ruled out
Which of the following objective measurements would be most helpful? 1. Electroencephalogram (EEG)
2. Standard diagnostic laboratory analyses
3. Lumbar puncture
4. Drug toxicology screening
2
Rationale: Standard diagnostic laboratory analyses including: complete blood chemistry, electrolytes, glucose tolerance, CBC, urinalysis, thyroid levels, BUN, creatinine, and liver function tests would provide the most useful information regarding possible disease processes. A lumbar puncture, drug toxicology screening, and an EEG would not be performed unless standard diagnostic laboratory analyses revealed specific abnormalities warranting these tests.
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The perinatal nurse routinely screens pregnant women for postpartum depression. Which woman does the nurse screen as the priority?
A. Adolescent B. Age 35 years or older C. Ambivalent at first visit D. First pregnancy
The nurse is planning the care of an 8-year-old boy who has been diagnosed with atopic dermatitis. In the boy's plan of nursing care, what nursing diagnosis should the nurse prioritize?
A) Acute pain related to atopic dermatitis B) Risk for delayed development related to atopic dermatitis C) Risk for impaired skin integrity related to atopic dermatitis D) Chronic pain related to atopic dermatitis
What procedure is contraindicated in the care of a child with a minor partial-thickness burn injury wound?
a. Cleaning the affected area with mild soap and water b. Applying antimicrobial ointment to the burn wound c. Changing dressings daily d. Leaving all loose tissue or skin intact
The nurse should anticipate that a client with mechanical obstruction of the esophagus would initially have difficulty swallowing
a. bread. b. carbonated beverages. c. mashed potatoes. d. saliva.