A patient with congestive heart failure complains of waking up often during the night to urinate. A nurse identifies this condition as ____________________
Fill in the blank with correct word.
ANS:
nocturia
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A catatonic patient admitted in a stuporous condition begins to demonstrate increased motor activity. During his assessment, the psychiatrist raises the patient's arm above his head and releases it
The patient maintains the position his arm was placed in, immobile in that position for 15 minutes, moving only when the nurse gently lowers his arm. What symptom is demonstrated by this assessment technique? a. Echopraxia b. Waxy flexibility c. Depersonalization d. Thought withdrawal
A 59 year-old female is being evaluated for presence of a connective tissue disease. The erythrocyte sedimentation rate (ESR) result is reported as 26 mm/hour. How would the nurse evaluate this result?
1. The ESR is very low, indicating that the patient has an autoimmune disorder rather than a connective tissue disorder. 2. This is a normal finding, so no connective tissue disease is present. 3. The ESR is high, so inflammatory disease is present. 4. The ESR is normal and other testing is indicated.
Patients started on interferon should be told that the most common adverse effect is:
1. anxiety and agitation. 2. vomiting. 3. hirsutism. 4. a flulike syndrome.
A 42-year-old client has a rectal temperature reading of 39.2°C (102.6°F). Her blood pressure has decreased from 124/76 to 118/70 since taken 4 hours earlier. Her pulse rate has increased from 68 to 78 . The nurse's initial best action is to:
a. Document the vital signs and continue with her assessment b. Contact the provider immediately due to the alarming changes in the vital signs c. Obtain a pulmonary artery temperature reading before initiating any type of treatment d. Ask the NAP to obtain another set of vital signs in 4 hours