The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the RN or physician?
a. Vaginal discharge
b. Painful urination
c. Sharp pain at the base of the ribs
d. Red conjunctivae
ANS: C
Fitz-Hugh–Curtis syndrome, a surface inflammation of the liver, can also be caused by C. trachomatis. This inflammation may cause nausea, vomiting, and sharp pain at the base of the ribs that sometimes refers to the right shoulder and arm. Vaginal discharge, painful urination, and conjunctivitis are also concerns but are not as health-threatening as liver inflammation.
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During patient education of a 71-year-old who has a recent diagnosis of diabetes, the nurse has emphasized the importance of consistently maintaining blood glucose levels within the normal range rather than simply reacting to high or low levels
Which of the following tests is most likely to gauge the consistency of the patient's blood sugar control over time? A) Random blood glucose B) Triglyceride monitoring C) Hemoglobin A1c D) Glucose tolerance test (GTT)
A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. Which of the following would the nurse include in the child's discharge instructions?
A) "Expect his headache to get worse initially and then disappear." B) "Wake him every 2 hours to check his movement and responses." C) "Call your medical provider if he vomits more than five times." D) "Any watery fluid draining from his ears is normal."
Several specialists are involved in the treatment of the eye. Which of the following would be licensed to perform cataract surgery?
A) Ophthalmologist B) Optometrist C) Optician D) Ophthalmic technician
An 8-year-old girl is scheduled for a renal ultrasound. What would the nurse include in the plan of care when preparing the child for this test?
A) Withholding food and fluids after midnight B) Checking the child for allergies to shellfish C) Ensuring the child has a full bladder D) Informing the child she should feel no discomfort