A 30-year-old female presents to her primary care provider with fever, cardiac murmur, and pe-techial skin lesions and is diagnosed with infective endocarditis. The most likely cause of the disease is:
a. bacteria.
b. viruses.
c. fungi.
d. parasites.
ANS: A
Infective endocarditis is due to a bacterial infection, not a viral, fungal, or parasitic infection.
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A patient who has migraine headaches is prescribed sumatriptan [Imitrex] 5 mg unit-dose nasal spray. The patient has administered two sprays at 1400, 1600, and 1800 and calls to report little relief from headache pain
What will the nurse instruct the patient to do? a. Administer 2 sprays at 2000 and call the provider if no relief. b. Continue using 2 sprays every 2 hours as needed to relieve discomfort. c. Contact the provider to ask about using an ergot alkaloid medication. d. Use 3 sprays at the next dose to increase the dose.
A school-age child is diagnosed with a life-threatening illness. The parents want to protect their child from knowing the seriousness of the illness. The nurse should explain that
a. This will help the child cope effectively by denial. b. This attitude is helpful to give parents time to cope. c. Terminally ill children know when they are seriously ill. d. Terminally ill children usually choose not to discuss the seriousness of their illness.
The patient states, "This dark spot on my arm is getting bigger, and it bleeds occasionally." Which health information is most important relative to this report?
Select all that apply. 1. The patient's father had chronic obstructive pulmonary disease. 2. The patient plays golf three or four times a week. 3. The patient is male. 4. There is a history of cardiac disease in the patient's family. 5. The patient is a blue-eyed blonde.
An older adult patient has been approached to participate in a research study. The nurse best advocates for the patient's right of self-determination by
a. evaluating the patient's cognitive ability to understand the consequence of the study. b. determining what risks to the patient are involved. c. discussing the importance of the study with the patient and his family. d. encouraging the patient to discuss the de-cision with trusted family or friends.