A family has been told that their child may have autism spectrum disorder. The nurse explains that this diagnosis is made by which method?
1. A blood test for increased levels of catecholamines
2. Observations of behaviors and developmental patterns
3. CT scan of the brain
4. PET scan of the forebrain
2
Rationale 1: This test is not significant for this diagnosis.
Rationale 2: The diagnosis of ASD is based exclusively on developmental patterns and behavioral observations.
Rationale 3: A CT scan does not provide diagnostic proof of ASD.
Rationale 4: A PET scan does not provide diagnostic proof of ASD.
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You are a home health nurse caring for an oncology patient discharged home 3 days ago after completing therapy. What would you assess the patient for?
A) Tumor lysis syndrome B) Syndrome of inappropriate antiduretic hormone C) Disseminated intravascular coagulation D) Hypercalcemia
The nurse is caring for a patient who is a member of the local Native American community. The patient is refusing medications and treatments in spite of repeated attempts to explain the importance of these interventions. Which is an appropriate nursing action?
a. Ask a family member about traditional healing practices that might be better accepted.
b. Enlist the help of a family member to explain the need for the medications and treatments.
c. Find a hospital staff member who is Native American to help provide teaching for this patient.
d. Suggest a Social Work consult to the patient's provider.
Identify the possible cause of nausea, vomiting, and headache that an alcoholic patient is experiencing while taking disulfiram.
A. The patient may be using OTC products that contain alcohol while taking disulfiram. B. Acetaldehyde is accumulating in the blood, causing these symptoms to occur. C. The patient may be drinking alcoholic beverages while taking disulfiram. D. All of the above are correct.
A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The nurse ensures accurate measurement by avoiding which of the following?
a. Seating the client with arm bared, supported, and at heart level. b. Measuring the blood pressure after the client has been seated quietly for 5 minutes. c. Using a cuff with a rubber bladder that encircles at least 80% of the limb. d. Taking a blood pressure within 15 minutes after nicotine or caffeine ingestion.