A patient pregnant with a fetus diagnosed with Down syndrome is weighing the consequences of carrying the baby to term. Which information should the nurse consider regarding the possible concerns for a child with Down syndrome?
A) Suffer from severe retardation
B) Higher risk of developing leukemia than those in the general population
C) Are cognitively impaired and often threatens the safety of others in their homes and neighborhoods
D) Have many needs and there are so many demands on the family that the family structure rarely holds up
Ans: B
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A patient has edema of the lower extremities with crackles in the lung bases. The patient is prescribed furosemide 40 mg two times per day orally. What is the recommended weight loss per day?
A) 1 pound per day B) 2 pounds per day C) 5 pounds per day D) 10 pounds per day
A 52-year-old female patient is seeing the nurse on the oncology unit for pain control related to breast cancer that has metastasized to her lungs and liver. The nurse wants to prevent further pain and is aware that:
A) Cancer pain is often related to the stress of the patient knowing he or she has cancer and requires a very low dose of pain medications along with a high dose of anti-anxiety medications. B) Cancer pain is always chronic and difficult to treat so distraction is often the best intervention. C) Cancer pain can be acute or chronic; it may even be the result of the cancer treatment and usually requires high doses of pain medications. D) Cancer patients often misreport pain because of confusion related to their disease process.
The nurse is reviewing the Healthy People 2020 primary goals. Which plan should the nurse realize is in alignment with one of the goals?
1. Providing free screening to schoolchildren 2. Opening a wellness clinic 3. Developing better insurance controls 4. Developing new pharmacological treatments
The Joint Commission (TJC) documented that patient education was deficient on several medical-surgical units of a local hospital. A nursing committee was formed to address this problem and focused on what likely nursing intervention?
1. Providing educational pamphlets about medications to the patients. 2. Asking the physicians to provide medication education to the patients. 3. Discussing medications each time they are administered to patients. 4. Requesting more frequent pharmacy consults for the patients.