Explain how the actions of the drugs Mrs. CL was taking could have caused her problems, particularly with her medical history
The Clinoril and aspirin both could cause irritation of the gastric mucosa along with an increase in HCl secretion, and thus lead to gastritis. Mrs. CL is obese and the added adipose tissue in the abdominal area, along with overeating expanding the stomach, makes her a candidate for esophageal reflux. Add to this the problem of decreased esophageal motility, and she has a frequent influx of high acid content in the esophagus along with a burning stomach.
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The nurse working in a gynecology office recognizes what sexual practice by a patient as a form of sexual expression that is illegal in the United States?
a. Public displays of affection b. Private sexual behavior c. Female circumcision d. Transgender surgery
A patient contacts the office and tells the nurse that she is worried about her 10-year-old daughter having breast cancer. She describes a unilateral enlargement of the right breast with associated tenderness
She is worried because the left breast is not enlarged. What would be the nurse's best response? Tell the mother that: a. Breast development is usually fairly symmetric and that the daughter should be examined right away. b. She should bring in her daughter right away because breast cancer is fairly common in preadolescent girls. c. Although an examination of her daughter would rule out a problem, her breast development is most likely normal. d. It is unusual for breasts that are first developing to feel tender because they haven't developed much fibrous tissue.
The nursing staff has been using the SBAR format to structure communication for the past few months. Successful implementation of this system would be present if the nurse manager made which statement?
a. "There are fewer omissions in patient care than before implementing this system.". b. "Fewer nurses are coming in late when they are scheduled to work.". c. "The medications are given on time now.". d. "The patient length of stay has decreased since last year.".
A patient being seen for diabetes at an outpatient clinic has a hemoglobin A1c level of 14%. On what conclusion should the nurse base further assessment?
a. The patient has not been following the treatment regimen at home. b. The patient's blood glucose levels have been elevated for the last 2 to 3 months. c. The patient may have had numerous hypoglycemic episodes during the last month. d. The patient generally adheres to the treatment regimen but has had increased carbohydrate intake in the last 3 months.