A client has cancer and a pacemaker, and suffers from claustrophobia. Which diagnostic test is the best indicator of the client's bone metastasis?
a. Magnetic resonance imaging (MRI)
b. Arthrogram
c. Ultrasound
d. Thallium bone scan
D
Because the client has a pacemaker and claustrophobia, MRI would not be an option as a diag-nostic test. The arthrogram is an x-ray used to visualize bone chips and torn ligaments within a joint. Ultrasound is used to assess soft tissue disorders, traumatic joint injuries, and osteomyelitis. The thallium bone scan is ideal for obtaining information about the extent of bone cancer such as osteosarcoma or bony metastases.
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The nurse is reviewing safety concerns throughout the lifespan. List the following in order of appropriate age, from youngest to oldest. Standard Text: Click and drag the options below to move them up or down. Choice
1. Encourage counseling for issues with addiction coping Choice 2. Teach about stranger danger Choice 3. Reinforce importance of safety restraints in the vehicle Choice 4. Make certain walkways, stairways are well lighted, uncluttered Choice 5. Teach safety rules for recreational and sports activities Choice 6.
The nurse is preparing to give an injection to a 4-year-old child. Which intervention is age appropriate for this child?
a. Give the injection without any advanced preparation. b. Give the injection, and then explain the reason for the procedure afterward. c. Offer a brief, concrete explanation of the procedure at the patient's level and with the parent or caregiver present. d. Prepare the child in advance with details about the procedure without the parent or caregiver present.
A new graduate nurse is concerned about the ability to communicate effectively with patients and families. An experienced nurse explains to the new nurse that a good rule of thumb is for the new nurse to
a. avoid using silence until comfortable with patients. b. find and use metaphors that are easily understood. c. mirror patients in actions and depth of conversation. d. use personal stories to encourage bonding with patients.
A mother is concerned that her 3-year-old often stutters when he is speaking. What should the nurse explain to the mother about this concern?
A) "Stuttering is common in young children because they are not physically capable of forming all the sounds." B) "Stuttering is usually indicative of a hearing loss." C) "Difficulties with speaking generally indicate that the adults in the child's life are not reading to the child enough." D) "Children of this age may stutter while they search for just the right word."