Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin's disease?
a. Protuberant, firm abdomen
b. Enlarged painless, firm cervical lymph nodes
c. Soft tissue swelling
d. Soft to hard, nontender mass in the pelvic area
B
Painless, firm, movable adenopathy (enlarged lymph nodes) palpated in the cervical region is an expected assessment finding in Hodgkin's disease. Other systemic symptoms include unexplained fevers, weight loss, and night sweats. A protuberant, firm abdomen is present in many cases of neuroblastoma. Soft tissue swelling around the affected bone is a manifestation of Ewing's sarcoma. A soft to hard, nontender mass can be palpated when rhabdomyosarcoma is present.
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A woman is brought to the hospital after having been badly beaten. She is withdrawn and does not want to talk with anyone. She is thought to have a schizoid personality disorder
Which response(s) would likely be most useful for working with this patient? (Select all that apply.) a. To establish a therapeutic relationship, be especially friendly and nice. b. Explain clearly what to expect while assessing, and treat any injuries per routine. c. Address their delusional thinking or paranoia as you would in schizophrenia. d. Try to inject a bit of humor into the situation to relieve tension and anxiety. e. Connect the patient with her support system to help her deal with the trauma. f. Anticipate a somewhat detached response to the trauma and responders.
Place the steps of assisting the client with combing and brushing of the hair in the appropriate order. Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list
Response 1. Brush or comb from the scalp toward the hair ends. Response 2. Move fingers through hair to loosen any larger tangles Response 3. Use a wide-tooth comb, start on either side of the head, and insert the comb with the teeth upward to the hair near the scalp. Comb through the hair in a circular motion by turning the wrist while lifting up and out. Continue until all hair is combed through, and then comb into place to shape and style. Response 4. Moisten hair lightly with water, conditioner, or an alcohol-free detangle product before combing. Response 5. Part the hair into two sections, then separate hair into two more sections.
Nausea, vomiting, and an irregular heart rate develop in a patient who takes oral digoxin every morning. What is your best action?
a. Give prescribed promethazine (Phenergan) as needed. b. Check the patient's cardiac monitor strip. c. Assess the apical pulse for a full minute. d. Check laboratory results for a digoxin level.
A home health client participates in cultural health practices that the nurse feels may be detrimental to his health. In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing care, the nurse should:
1. Explain the right and wrong of the client's treatment and try to persuade him to follow the scientific perspective. 2. Have the client's physician explain the care to the client in a firm but gentle manner. 3. Validate the client's practices and understand that for this client, it may be beneficial to continue with his preferences. 4. Try to negotiate with the client by exploring his views and then provide relevant scientific information.