A patient complains of right ear pain. What findings does the nurse anticipate on inspecting the patient's ears?
a. Redness and edema of the pinna of the right ear
b. Report of pain when the nurse manipulates the right ear
c. Bulging and red tympanic membrane in the right ear
d. Increased cerumen in the right ear canal
ANS: C
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The nurse is teaching a group of women to perform breast self-examination. The nurse should explain that the purpose of performing the examination is to discover:
A) Cancerous lumps B) Areas of thickness or fullness C) Changes from previous self-examinations D) Fibrocystic masses
A patient with a patent ductus arteriosis or aortic regurgitation would most likely have which of the following?
a. pulsus aternans c. pulsus paradoxus b. pulsus bisferiens d. water-hammer pulse
Which of the following interventions would the emergency department nurse anticipate in a patient being treated for a non-ST-segment elevation myocardial infarction (NSTEMI)?
A) Sublingual nitroglycerin for up to three doses 5 minute apart B) Intravenous nitroglycerin, if the patient has recently used a phosphodiesterase inhibitor drug C) Enteric-coated aspirin D) Intravenous beta blocker
Despite being admitted to the hospital yesterday for the treatment of complications of anorexia nervosa, a 19-year-old client continues to take food or fluids. Which of the following nursing diagnoses is paramount in this client's care?
A) Deficient fluid volume related to refusal to drink B) Impaired social interaction related to aggressive behavior C) Anxiety related to inadequate coping mechanisms D) Imbalanced nutrition less than body requirements related to refusal to eat