A client seeks medical attention for lethargy, weight gain, and a mass under the throat. Which question should the nurse ask when assessing this client?
a. "Have you had this mass since birth?"
b. "Do you have a history of thyroid cancer?"
c. "Do you include regular table salt in your diet?"
d. "Does anyone else in your family have this problem?"
c. "Do you include regular table salt in your diet?"
Iodine deficiency can result in lethargy, weight gain, and goiter development. In the U.S., table salt is available fortified with iodine. Seafood is another rich source of dietary iodine. Goiters are not contagious since they develop due to a mineral deficiency and usually occur during adulthood. Goiters are not a form of cancer.
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A nurse is providing discharge teaching to parents of a newborn. The baby had no medical problems and is healthy other than having failed an automated auditory brainstem response (AABR) hearing test conducted in the nursery
What information does the nurse provide? A. AABR tests are conclusive and the baby is deaf. B. Background noise may have interfered with the test. C. The baby's hearing should be retested within 1 month. D. The baby should have another hearing test next week.
Upon graduation, the nurse decides to work in a setting for clients with a higher acuity. The nurse understands that these clients will be:
1. ambulatory, requiring care at home. 2. administered to in a clinic setting. 3. significantly ill and likely hospitalized. 4. cared for in a rehabilitation setting.
A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not heard any bowel sounds. How would this be documented?
A) "Auscultated abdomen for bowel sounds, bowel not functioning." B) "All four abdominal quadrants auscultated. Inaudible bowel sounds." C) "Bowel sounds auscultated. Patient has no bowel sounds." D) "Patient may have bowel sounds, but they can't be heard."
A confused, agitated client was placed in the seclusion room on the psychiatric unit. The client requested to see a doctor. Which of the following actions taken by the nurse manager would be most likely to prevent possible workplace violence?
a. Having a nursing assistant stay with client in the seclusion room b. Placing the client in a semiprivate room c. Trying to orient the client to time and place d. Prohibiting employees from entering the seclusion room alone