A client asks the nurse about the abnormal growth changes related to acromegaly. The best response by the nurse would be:
1. "These changes are irreversible."
2. "These changes lead to severe disability and death, if untreated."
3. "These changes gradually will diminish with proper treatment."
4. "These changes are minimal and will cause little discomfort."
Answer: 1
1. The increased growth of bone and connective tissue occurs gradually and is not reversible.
2. The changes can cause discomfort.
3. Treatment of the hypersecretion might stop growth but will not reverse growth that has occurred.
4. The changes can cause discomfort.
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A woman refuses to have an epidural block because she does not want to have a spinal headache after delivery. Which of the following would be your best response?
A) "The anesthesiologist will do her best to avoid this." B) "The pain relief offered will compensate for the discomfort afterward." C) "Spinal headache is not a usual complication of epidural blocks." D) "Your doctor knows what is best for you."
Which STD should the nurse suspect when an adolescent girl comes to the clinic because she has a vaginal discharge that is white with a fishy smell?
a. Human papillomavirus b. Bacterial vaginosis c. Trichomonas d. Chlamydia
A 21-year-old client informs the nurse that he is not sleeping. The nurse learns that the client's girlfriend was killed in a car accident 1 month ago. Which statement would be of most concern to the nurse?
a. "I am moving on and plan to start dating again." b. "It's my fault. I shouldn't have let her go out that night." c. "I wish I died in the car accident instead of her." d. "I cannot sleep because I keep reliving the car accident."
The nurse is caring for a client in the immediate postoperative period (PACU). Which intervention should the nurse implement to reduce the risk of thrombophlebitis?
1. Leg exercises 2. Coughing every 2 hours 3. Ambulating every 2 hours 4. Oxygen by mask