A patient has an elevated acid phosphatase. The nurse realizes this patient most likely has:
a. diabetes c. nephrotic syndrome
b. acute myocardial infarction d. metastatic prostate cancer
D
An elevated PSA level is seen in prostate disease. An elevated fasting blood glucose level or hemoglobin A1c level is associated with diabetes. An elevated ESR level is seen in nephrotic syndrome. An elevated MB-CPK or troponin levels are seen in patients with an acute myocardial infarction.
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The wife of a patient with end-stage chronic obstructive pulmonary disease (COPD) tells the nurse that she wishes her husband were eligible for hospice care but she thinks that hospice is only available for cancer patients
She is also concerned that, even if he were eligible for hospice care, they couldn't afford it, they'd have medical personnel constantly underfoot, and her husband would have to switch healthcare providers. Which responses by the nurse are appropriate? Select all that apply. A) Inform her that a diagnosis of cancer is not required for hospice care. B) Inform her that hospice care is very expensive. C) Tell her that, even if her husband receives hospice care, he can remain under the care of his current physician. D) Tell her that, even though her husband has end-stage COPD, he is not eligible for hospice care. E) Inform her that all hospice programs provide 24/7 care.
The spouse of an older adult patient is concerned that the patient has recently experienced memory lapses, is unusually aggressive, and has had three traffic accidents in the past month. Which will the nurse include as part of the assessment?
Select all that apply. 1. Depression screening 2. Substance abuse assessment 3. Nutrition screening 4. Mental status examination 5. Anxiety screening
The wife of an alcoholic tells the nurse, "My husband only drinks on the weekends to relax. He has a very stressful job." The nurse recognizes the defense mechanism of:
a. repression. b. denial. c. rationalization. d. identification.
Chemical changes to drugs, which occur primarily in the liver, are the result of the process of ________.
What will be an ideal response?