What is the priority nursing diagnosis for a catatonic patient?
a. Ineffective coping
b. Impaired physical mobility
c. Impaired social interaction
d. Risk for deficient fluid volume
ANS: D
The highest priority for the patient is maintenance of basic physiologic needs, such as hydra-tion. Mobility is of lesser physiological importance than fluid volume. The remaining options do not have priority over a physiological need.
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The cause of a patient's cough may be determined after careful assessment of the characteristics of the cough. A "brassy cough" may be caused by which of the following conditions?
A) Bronchogenic carcinoma B) Tracheal lesions C) Sinusitis D) A side effect of ACE inhibitor therapy
What is the anal disorder that best describes her symptoms?
A 36-year-old married bank teller comes to your office, complaining of pain with defecation and occasional blood on the toilet paper. She states that last week she had food poisoning with nausea, vomiting, and diarrhea. She had runny stools but no black or bloody stools. Ever since her illness, she has continued to have severe pain with bowel movements. She now tries to put off defecation as long as possible. Although she is having constipation she denies any further diarrhea or leakage of stool. She has a past medical history of hypothyroidism and two spontaneous vaginal deliveries. She has had no other chronic illnesses or surgeries. She does not smoke and rarely drinks. She has two children. There is no family history of breast or colon cancer. She has had no weight gain, weight loss, fever, or night sweats. On examination she is afebrile, with a blood pressure of 115/70 and a pulse of 80. On abdominal examination she has active bowel sounds, is nontender in all quadrants, and has no hepatosplenomegaly. Inspection of the anus reveals inflammation on the posterior side with erythema. Digital rectal examination is painful for the patient but no abnormalities are palpated. Anoscopic examination reveals no inflammation or bleeding. A) Anorectal fistula B) External hemorrhoids C) Anal fissure D) Anorectal cancer
The emergence of modern nursing is usually attributed to the influence of
a. Florence Nightingale. b. Clara Barton. c. Lillian Wald. d. Sairy Gamp.
The primary care NP sees a female patient and makes a diagnosis of Trichomonas vaginalis. The patient does not want to tell her partner she has it because she thinks she may have contracted it from someone else. The NP will tell her:
a. as long as she takes the antibiotic for 7 days, the infection will be cured. b. she and all of her partners must be treated, or the infection will not be cured. c. she can be treated, but if the infection recurs, she will have to tell both partners. d. she and the person who infected her will need one-time doses of metronidazole.