An older patient is brought to the emergency department with a suspected fractured hip. For which diagnostic test will the nurse prepare the patient to confirm the diagnosis?
1. Bone scan
2. X-ray of the hip
3. Bone mineral density (BMD)
4. Magnetic resonance imaging (MRI) of the hip
2
Rationale: A bone scan detects skeletal trauma and disease by determining the degree to which the matrix of the bone "takes up" a bone-seeking radioactive isotope. A bone scan may help to diagnose a stress fracture in the older person who continues to experience pain after a skeletal x-ray has negative findings.
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A patient has been diagnosed with Parkinson's disease (PD) and begins treatment with levodopa/carbidopa [Sinemet]. After several months of therapy, the patient reports no change in symptoms. The nurse will expect the provider to:
a. add a dopamine agonist. b. discuss the "on-off" phenomenon. c. increase the dose of Sinemet. d. re-evaluate the diagnosis.
An infant is diagnosed with transposition of the great vessels. Prostaglandin E1 is given intravenously
The parents ask how long the child will remain on the prostaglandin E1. What is the appropriate response by the nurse? a. Prostaglandin E1 will be given intermittently until corrective surgery is performed. b. Prostaglandin E1 will be given continuously until corrective surgery is performed. c. Prostaglandin E1 will be given continuously throughout the preoperative and postoperative periods until the child is stable. d. Prostaglandin E1 will be given intermittently throughout the preoperative and postoperative periods until the child is stable.
A patient comes to the clinic to be seen for a burn that appears moist with blisters. The nurse realizes that this patient most likely has sustained which type of burn?
1. superficial 2. superficial partial-thickness 3. deep partial-thickness 4. full thickness
The 94-year-old woman has come to the health assessment interview with her 70-year-old daughter, who answers all the interview questions for her mother. What response by the nurse would be the most effective?
a. Say, "I'm speaking to your mother. Please let her answer for herself." b. Continue to interact with the daughter to facilitate completion of the interview. c. Look directly at the patient and say, "Mrs. Smith, now I'd like to hear from you about your health." d. Document that all answers to the interview came from a third party.