Ptosis is commonly the first sign of:
A. Stevens-Johnson syndrome
B. Hyperthyroidism
C. Temporal arteritis
D. Myasthenia gravis
ANS: D
Ptosis, or drooping of an eyelid, can be related to simple aging, with natural loss of elasticity and lid drooping, or it can result from a variety of other causes. The causes of ptosis are often categorized as congenital and acquired. Causes occurring after birth include trauma, conditions adding mass to the eyelid, and conditions that affect the nerves or muscles controlling the lid's position. In 75% of the cases, the first manifestation of myasthenia gravis is ptosis.
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The clinic nurse is caring for a 57-year-old client who reports experiencing leg pain whenever she walks several blocks
The patient has type 1 diabetes and has smoked a pack of cigarettes every day for the past 40 years. The physician diagnoses intermittent claudication. The nurse should provide what instruction about long-term care to the client? A) "Be sure to practice meticulous foot care." B) "Consider cutting down on your smoking." C) "Reduce your activity level to accommodate your limitations." D) "Try to make sure you eat enough protein."
Therapeutic communication techniques support effective communication between the client and the nurse. Which group of therapeutic techniques is most likely to be effective when one is conversing with a client?
a. Broad openings, restating, and advising b. Clarification, focusing, and confrontation c. Listening, silence, and reflection d. Humor, informing, and reassuring
The nurse suspects metastasis from left breast cancer to the thoracic spine when the client has which symptom?
A. Vomiting B. Back pain C. Frequent urination D. Cyanosis of the toes
Which of these dietary strategies does not increase iron absorption?
a. Consuming foods containing vitamin C at the same time. b. Cooking foods in cast iron cookware. c. Consuming meat, poultry or fish with non-haem food sources of iron. d. Consuming foods containing calcium at the same time.