Secondary health care is becoming increasingly common in community-based settings. Examples of this are
1. Alcohol counseling for a homeless veteran and cardiac testing for an overweight bank executive.
2. Care for a terminally ill elder and rehabilitation for a client with a spinal cord injury.
3. Home-based infusion therapy for a man with osteomyelitis and outpatient cholecystectomy for a middle-aged woman.
4. Prenatal care for a pregnant teen and diagnostic testing for a man with chronic back pain.
ANS: 3
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A patient began antiretroviral therapy several weeks ago for the treatment of HIV, and he has now presented to the clinic for a scheduled follow-up appointment
He states to the nurse, "I've been pretty good about taking all my pills on time, though it was a bit hit and miss over the holiday weekend." How should the nurse best respond to this patient's statement? A) "Remember that if you miss a dose, you need to take a double dose at the next scheduled time." B) "It's acceptable to miss an occasional dose as long as your symptoms don't get worse, but it's not really recommended." C) "Remember that your antiretroviral drugs will only be effective if you take them very consistently." D) "If you're not consistent with taking your medications, you're likely to develop more side effects."
A 9-month-old patient presents with fever and large areas of redness and bullae over the trunk, palms, legs, and sole of the feet. There is redness and swelling of the conjunctiva and lips. The clinician should recognize this condition as:
A. Giant cell arteritis B. Stevens-Johnson syndrome C. Botulism D. Myasthenia gravis
The nurse is percussing the client's anterior chest and notes a dull sound over an area where lung tissue is normally found. Which of the following would the nurse associate with this finding?
1. This is a normal finding. 2. The client's heart may be enlarged. 3. The client has developed a murmur. 4. The client has a pulse deficit.
A nurse prepares to administer melarsoprol intravenously to a patient with trypanosomiasis. The dosage is 3 mg/kg, and the patient weighs 154 pounds. The nurse will administer _____ milli-grams
Fill in the blank(s) with correct word