The Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health highlights the value that nurses bring to healthcare in which of the following ways?
A. Prevention of illness
B. Managing chronic illnesses
C. Direct interfaces with patients along the continuum of care
D. All of the above
ANS: D
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A patient presents at the clinic complaining of pain and weakness in her hands. On assessment, the nurse notes diminished reflexes in the upper extremities bilaterally and bilateral loss of sensation
The nurse knows that these findings are indicative of what? A) Guillain-Barré syndrome B) Myasthenia gravis C) Trigeminal neuralgia D) Peripheral nerve disorder
The nurse recognizes that the patient is displaying symptoms associated with which of the following?
An 82-year-old woman was brought to the emergency department by her granddaughter. She is a widow and lives alone, although her granddaughter checks on her daily. She has been vomiting for 2 days and has not been able to eat or drink anything during this time. She has not urinated for 12 hours. Physical examination reveals the following: T = 99.6°F (37.6°C) orally; P = 110 weak and thready; BP = 80/52. Her skin and mucous membranes are dry, and there is decreased skin turgor. The patient states that she feels very weak. The following are her laboratory results: Sodium 138 mEq/l Potassium 3.7 mEq/l Calcium 9.2 mg/dl Magnesium 1.8 mg/dl Chloride 99 mEq/l BUN 29 mg/dl 1) Hypovolemia 2) Hypervolemia 3) Hypernatremia 4) Hyponatremia
A nonpregnant client reports a fishy-smelling, thin, white, watery vaginal discharge. She is diagnosed with bacterial vaginosis (BV). The nurse would be expecting to administer:
1. Penicillin G (Bicillin) 2 million units IM one time. 2. Zithromax (Azithromycin) 1 mg p.o. b.i.d. for 2 weeks. 3. Doxycycline (Vibramycin) 100 mg p.o. b.i.d. for a week. 4. Metronidazole (Flagyl) 500 mg p.o. b.i.d. for a week.
A young adult patient who is in the rehabilitation phase after having deep partial-thickness face and neck burns has a nursing diagnosis of disturbed body image. Which statement by the patient indicates that the problem is resolving?
a. "I'm glad the scars are only temporary." b. "I will avoid using a pillow, so my neck will be OK." c. "I bet my boyfriend won't even want to look at me anymore." d. "Do you think dark beige makeup foundation would cover this scar on my cheek?"