The nurse explains that in autoimmune diseases, the body identifies its own proteins as foreign matter and sets out to destroy itself. Such diseases are (select all that apply):
1. lupus erythematosus.
2. type 1 diabetes mellitus.
3. rheumatoid arthritis.
4. osteoarthritis.
5. pancreatitis.
1, 2, 3
The autoimmune diseases are SLE, type 1 DM, and RA.
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During an assessment, a patient begins to cough. How would the nurse evaluate this finding?
1. The patient has a cold. 2. The patient is nervous. 3. Something other than air was entering the larynx. 4. The patient is not fully conscious.
A female coach walks into your office and shares that one student concerns her. The student won't change into her gym clothes and doesn't seem to "move right." What do you do?
a. Call the student into your office and discuss the importance of physical education to one's health b. Meet with the student and ask directly about sexual or physical abuse c. Offer to attend the next physical education class and talk to the student d. Point out how female adolescents are very concerned over body image and are usually embarrassed by their own lack of perfection, and suggest the coach be more understanding
Money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple?
a. Assist them to develop strategies that are congruent with their values. b. Allow each of them to defend his or her own values. c. Focus on outcomes that each wants to accomplish. d. Divert their attention to areas in which they are successful.
The patient comes to the emergency department after suffering a bilateral traumatic amputation of his lower extremities. The physician orders normal serum albumin (Albuminar). The patient goes into shock. What will the best nursing assessment of this patient reveal?
1. B/P: 140/90 mmHg, P: 46, weak and irregular, R: 24, and shallow. 2. B/P: 50/0 mmHg, P: 126, weak and thready, R: 14, and shallow. 3. B/P: 80/20 mmHg, P: 122, weak and thready, R: 28, and shallow. 4. B/P: 130/88 mmHg, P: 90, bounding, R: 32, and shallow.