The nurse is assessing a child with suspected thalassemia. Which of the following physical findings would the nurse expect to find during the course of the examination?
A) Dactylitis
B) Frontal bossing
C) Presence of clubbing
D) Presence of spooning
B
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You have been assigned to visit Lola Gilbert, 69 years old, in her home. The physician is concerned that she is unable to care for herself adequately
She was admitted to the hospital for dehydration last week and refused to be transferred to a long-term care facility. Which of the following would be a concern for Mrs. Gilbert's self-care ability? a. Ambulates with a cane during the day and a walker at night b. Walks to the bathroom to void but frequently has incontinent episodes; the bedroom and bathroom smell of urine c. Eats one meal a day during the week that is delivered by the local community center d. Wears nightgown and robe all day
When you ask your patient whether he wants his pain medication, he says to you, "I don't know, whatever you think is best." You realize that this is a maladaptive coping mechanism called:
1. powerlessness. 2. helplessness. 3. denial. 4. depression.
A nurse is doing preoperative teaching for an African American man before he has abdominal surgery. What topic should be included in the teaching?
A) the possibility of developing a keloid over the healed incision B) the increased risk of developing an infection in the incision C) his racial characteristics that will slow healing D) cultural influences on his response to surgery
A person attempts suicide by overdose, is treated in the emergency department, and is then hospitalized. What is the best initial outcome? The patient will:
a. verbalize a will to live by the end of the second hospital day. b. describe two new coping mechanisms by the end of the third hospital day. c. accurately delineate personal strengths by the end of first week of hospitalization. d. exercise suicide self-restraint by refraining from gestures or attempts to kill self for 24 hours.