A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger. During the assessment, the finding that leads the nurse to suspect that this may not be a cancerous thyroid nodule
is that the lump (nodule):
a.
Is tender.
b.
Is mobile and not hard.
c.
Disappears when the patient smiles.
d.
Is hard and fixed to the surrounding structures.
ANS: B
Painless, rapidly growing nodules may be cancerous, especially the appearance of a single nodule in a young person. However, cancerous nodules tend to be hard and fixed to surrounding structures, not mobile.
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A nurse is caring for a client who is being prescribed phenazopyridine. The client is distressed on seeing that the urine is exhibiting a reddish-orange discoloration. Which response by the nurse would be most appropriate?
A) "We will have to get a specimen for a urinalysis." B) "I will have to notify the primary health care provider immediately." C) "You will need to increase your fluid intake." D) "This discoloration is a normal result of the medication. Nothing is wrong."
Public health care is responsible for the protecting the health care needs of the public through a variety of ways
With the increase in technology, which of the following statements is true about information technology and public health protection? 1. Information technology provides the ability to access Center for Disease Control (CDC) updates on outbreaks of communicable disease. 2. Information technology diminishes the ability to make rapid decisions during crisis management. 3. Information technology controls communication during a crisis. 4. Information technology is unnecessary during a crisis.
How are anticoagulants and fibrinolytic agents different?
A. Fibrinolytics and anticoagulants both thin the blood to prevent clot formation. B. Fibrinolytics are taken orally and anticoagulants can only be given parenterally. C. Anticoagulants inhibit blood clot formation and fibrinolytics degrade existing clots. D. Anticoagulants work by interfering with clotting factor synthesis and fibrinolytics work by disrupting platelet aggregation.
A way of controlling the birth of the fetal head with a vertex presentation is with:
1. the Ritgen maneuver. 2. fundal pressure. 3. the lithotomy position. 4. the De Lee apparatus.