The nurse is caring for a 14-year-old child with systemic lupus erythematous (SLE). What clinical manifestations should the nurse expect to observe? (Select all that apply.)
a. Arthralgia
b. Weight gain
c. Polycythemia
d. Abdominal pain
e. Glomerulonephritis
ANS: A, D, E
Clinical manifestations of SLE include arthralgia, abdominal pain, and glomerulonephritis. Weight loss, not gain, and anemia, not polycythemia, are manifestations of SLE.
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A patient has a left temporal brain tumor. He smells an odor of ammonia prior to experiencing rapid rhythmic jerking movements. What is the odor of ammonia classified as?
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The nurse is preparing to complete the admission assessment for a client who is being admitted for pain management due to severe pain
The nurse is preparing to plan care for this client. Organize the nursing actions in the order in which they should occur. Select the correct choice from the list. Response 1. Contact the healthcare provider. Response 2. Discuss the unit routine with the client and family. Response 3. Ask the client when the pain first began. Response 4. Ask the client what helps to relieve the pain. Response 5. Assess the client's past coping methods for pain throughout her life.
A nurse on an inpatient psychiatric unit implements care by scheduling client activities, interacting with clients, and maintaining a safe therapeutic environment. These actions reflect which role of the nurse?
1. Health teacher 2. Case manager 3. Milieu manager 4. Psychotherapist
The unit manager discusses absenteeism with the unit clerk. She indicates that it is a serious problem on the unit. Which of the following points would they have likely discussed? (Select all that apply.)
a. Employee morale is at a high level. b. Care will suffer and standards will be lo-wered. c. Existing staff have experienced little ef-fect from the absenteeism. d. Replacement staff usually needs little su-pervision. e. Unit costs have increased because of staff replacements and overtime.