The nurse is caring for a 76-year-old retired man who is undergoing evaluation for dementia. Which of the following would be an important part of the man's history to report to the physician?
a. The patient has a history of syphilis.
b. The patient was exposed to Chlamydia.
c. The patient has a history of hepatitis B.
d. The patient has a history of genital warts.
ANS: A
Untreated syphilis can lead to neurosyphilis and neurological changes. B, C, and D do not cause neurological changes.
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A patient is experiencing impaired circulation secondary to increased systemic arterial pressure. Which of the following statements is the most relevant phenomenon?
A) Increased preload due to vascular resistance B) High afterload because of backpressure against the left ventricle C) Impaired contractility due to aortic resistance D) Systolic impairment because of arterial stenosis
A nurse is admitting a patient to the postsurgical unit following a gastrostomy. When planning assessments, the nurse should be aware of what potential postoperative complication of a gastrostomy?
A) Premature removal of the G tube B) Bowel perforation C) Constipation D) Development of peptic ulcer disease (PUD)
A patient has a history of allergic reactions to bee stings. Which actions should the nurse teach to avoid an anaphylactic reaction to bee stings?
a. Limit intake of sweets to reduce attraction of bees. b. Carry a dose of aminophylline at all times. c. Take extra precautionary actions when outdoors where bees may be present. d. Wear a Medic-Alert tag that states the patient is allergic to bee stings.
In general, a cancer cell that is more tissue-specific differentiated is ____ (more/less) likely to be aggressive.
Fill in the blank(s) with the appropriate word(s).