A client being seen in an ambulatory clinic for an unrelated complaint has a butterfly rash noted across the nose. The nurse interprets that this finding is consistent with early manifestations of which of the following disorders?
1. Hyperthyroidism
2. Pernicious anemia
3. Cardiopulmonary disorders
4. Systemic lupus erythematosus (SLE)
4
Rationale: An early sign of SLE is the appearance of a butterfly rash across the nose. Hyperthyroidism often leads to moist skin and increased perspiration. Pernicious anemia is exhibited by pale skin. Severe cardiopulmonary disorders may lead to clubbing of the fingers.
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The patient, age 43, has cancer of the urinary bladder. He has received a cystectomy with an ileal conduit. Which characteristics would be considered normal for his urine?
a. Hematuria b. Clear amber with mucus shreds c. Dark bile-colored d. Dark amber
The nurse is concerned that a patient's privacy could be breached according to the Health Insurance Portability and Accountability Act (HIPAA) standards. Which situation would be a breach of the HIPAA standards?
1. Copies of the patient's diagnostic test results are shredded before being discarded. 2. A nurse discusses the patient's condition with a relative without the patient's permission. 3. A physician who is not a caregiver of the patient is restricted from access to the patient's chart. 4. The patient's chart is stored in the secured office of the radiology office while the patient is having a diagnostic examination done.
The nurse is obtaining a health history from a client with laryngitis. Which causative factor, stated by the client, is least likely?
A) "I have environmental allergies." B) "I smoke a pack of cigarettes a day." C) "I used my voice in excess over the weekend." D) "I was chewing ice chips all day long."
The nurse is caring for a 19-year-old male client with a fractured left femur whose leg was pinned 36 hours ago and is now in traction. Which of the following stressors is mostly likely the cause of this client's difficulty related to starting urine flow?
1. Pain related to the fracture and its repair 2. Anxiety regarding the serious nature of the injury 3. The inability to stand in order to facilitate urination 4. Poor fluid intake in the accident and ensuing surgery