A client is admitted with the diagnosis of fever of unknown origin. Which diagnostic tests does the nurse anticipate for this client?
Select all that apply.
A) CT scan of the abdomen
B) Chest x-ray
C) Urinalysis
D) Complete blood count
E) Bone scan
Answer: B, C, D
The diagnostic tests will focus on trying to find the cause of the elevated body temperature. The complete blood count will be done to see if there is an elevation in white blood cells. The urinalysis will be done to see if the client has a urinary tract infection. The chest x-ray will be done to see if the client has a lung infection. A bone scan and CT scan of the abdomen may or may not be indicated for this client.
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A psychiatric nurse intern states, "This client's use of defense mechanisms should be eliminated." Which is a correct evaluation of this nurse's statement?
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated. 2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and should always be eliminated. 3. Defense mechanisms, used by individuals with weak ego integrity, should be discouraged and not eliminated. 4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
A nurse discussing birth control options for a Roman Catholic patient should encourage:
a. abstinence. b. vasectomy. c. tubal ligation. d. oral contraceptives.
A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. Which is the best explanation?
a. "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient." b. "The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented." c. "The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared." d. "The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other."
Which vaccine is initially administered in the scheduled series of vaccinations?
A. Hepatitis B B. Meningococcal conjugate C. Diphtheria, tetanus, and pertussis D. Measles, mumps, and rubella