While reviewing the health history of a 72-year-old patient experiencing hearing loss, the nurse notes the patient has had no trauma or loss of balance. What factor is likely to be linked to the patient's hearing deficit?
A) Recent completion of radiation therapy for treatment of thyroid cancer
B) Routine use of quinine for management of leg cramps
C) Allergy to hair coloring and hair spray
D) Recent psychological stressors
B
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When a patient has full-thickness loss but the depth is unknown, how should the nurse classify this pressure ulcer?
a. Stage/Category III b. Unstageable c. Suspected deep tissue injury d. Stage/Category IV
The nurse is caring for a client prescribed enalapril (Vasotec). The nurse educates the client that which side effect of this medication is potentially life-threatening?
1. Hypokalemia 2. Supraventricular tachycardia 3. Ventricular fibrillation 4. Angioedema
A 32-year-old client suffers from dissociative identity disorder. The client has 22 known personalities. What should a nurse expect to find during the assessment of this client?
A) History of alcohol abuse B) History of physical, psychological, or sexual abuse C) Frequent backaches D) ECG abnormalities
A sexual history of a female client reveals that the client has a normal sex drive and reports of orgasm through means other than intercourse. The client also has a history of being raped several years ago
The client reports spasms of the perineal and outer vaginal muscles when vaginal intercourse is attempted. The nurse interprets these findings as suggesting which of the following? A) Priapism B) Dyspareunia C) Sexual aversion disorder D) Vaginismus