Which of the following assessment findings of a newly admitted 30-year-old male client would be most likely to cause his physician to suspect polyarteritis nodosa?
A)
The man's blood work indicates polycythemia (elevated red cell levels) and leukocytosis (elevated white cells).
B)
The man's blood pressure is 178/102, and he has abnormal liver function tests.
C)
The man is acutely short of breath, and his oxygen saturation is 87%.
D)
The man's temperature is 101.9 °F, and he is diaphoretic (heavily sweating).
Ans:
B
Feedback:
Polyarteritis nodosa is associated with abnormal liver function and acute hypertension. Anemia, not elevated red cells, is a manifestation, while respiratory symptoms, diaphoresis, and fever are not noted to be accompaniments.
You might also like to view...
After a normal labor and birth, a client is discharged from the hospital 12 hours later. When the community health nurse made a home visit 2 days later, which finding would alert the nurse to the need for further intervention?
A) Presence of lochia serosa C) Fundus firm, below umbilicus B) Frequent, scant voidings D) Milk filling in both breasts
The client asks the nurse to assist in the selection of complementary therapy. Which of the following should guide the nurse in this process?
A) Comfort zone of the nurse B) First do no harm C) Reason for the treatment D) Knowledge of all nontraditional options
Which of the following statements indicates that more discharge teaching is needed for the patient receiving traditional treatment in the emergency department for a sprained ankle?
A) "I should stay off my foot and rest my ankle." B) "Wrapping my ankle with a compression bandage will reduce swelling." C) "I will keep my ankle elevated." D) "I will apply heat to my ankle."
An adult patient assaults another patient and is restrained. One hour later, which statement by this restrained patient necessitates the nurse's immediate attention?
a. "I hate all of you!" b. "My fingers are tingly." c. "You wait until I tell my lawyer." d. "It was not my fault. The other patient started it."