The nurse is performing a physical examination on Mrs. D. a 58-year-old client who comes to the clinic today complaining of lethargy, weight gain, and a mass under her throat. The best question the nurse can ask is:

1. "Do you include regular table salt in your diet?"
2. "Does anyone else in your family have this problem?"
3. "Have you had this mass since birth?"
4. "Do you have a history of thyroid cancer?"


1
Rationale: 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.

Nursing

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Large sample sizes are desirable in which types of research? (Select all that apply.)

a. Correlational, using an existent database b. Grounded theory c. Phenomenology d. Pilot interventional research e. Multisite randomized clinical trials f. Survey research g. Model testing h. Case study research

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As the aging population in the United States increases, the nurse knows that the

a. Baby boomer generation accounts for a very small percentage of this group. b. Extension of the average life span has also increased. c. Population segment over age 85 is decreasing. d. Diversity of this age group will certainly decrease.

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The preferred IV fluid for Y-site tubing administration during a blood product transfusion is:

A) normal saline. B) 5% dextrose in water. C) lactated Ringer's. D) 0.45% sodium chloride.

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Complete the following ECG criteria for third-degree AV block:

Rhythm ________________________________________ Rate ________________________________________ P waves ________________________________________ PR interval ________________________________________ QRS duration ________________________________________ Fill in the blanks with correct word

Nursing