A nurse is assessing the skin of a patient who has been diagnosed with bacterial cellulitis on the dorsal portion of the great toe
When reviewing the patient's health history, the nurse should identify what comorbidity as increasing the patient's vulnerability to skin infections?
A) Chronic obstructive pulmonary disease
B) Rheumatoid arthritis
C) Gout
D) Diabetes
Ans: D
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Patients with diabetes are particularly susceptible to skin infections. COPD, RA, and gout are less commonly associated with integumentary manifestations.
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The emergency department nurse cares for a 17-year-old adolescent who is diagnosed with cervical cancer secondary to human papillomavirus
The patient declines treatment, saying, "I don't want my parents to know I have been sexually active, and if they find out about the cancer, they'll figure out the rest of it." The nurse explains the risk of death if the cancer is not treated, but the patient continues to refuse therapy. What conflicting principles is this nurse facing as the result of this patient's choices? a. Autonomy versus nonmaleficence b. Autonomy versus veracity c. Fidelity versus justice d. Veracity versus beneficence
The post-anesthesia care unit nurse is serving a patient after a right knee arthroscopy. As the patient begins to wake up from anesthesia, the nurse assesses rigidity, involuntary movements, hyperthermia, and tachycardia
What would the nurse suspect is causing these effects? A) Neuroleptic malignant syndrome B) Parkinson-like syndrome C) Malignant tachycardia D) Anaphylactic shock
A patient who has endometriosis has been unable to conceive. She asks the nurse about medications to treat the condition. What will the nurse tell the patient?
a. Combination oral contraceptives are ef-fective for improving fertility. b. Gonadotropin-releasing hormone agonists are used for long-term treatment. c. Nonsteroidal anti-inflammatory drugs are second-line agents for treating pain. d. Pharmacologic agents used to treat endo-metriosis do not enhance fertility.
The nurse has just discussed reflexology with an individual. Which of the following statements would the person make that demonstrates that learning has taken place?
a. Reflexology is a therapy that uses upper back massage to control tension and stress. b. Reflexology uses massage of acupressure points to optimize positive energy flow. c. Reflexology uses pressure applied to specific hand and foot areas to relieve tension. d. Reflexology uses a squeezing or stretching motion to hands or feet to restore a positive energy flow.