A 54-year-old male complains of loss of appetite, weakness, fatigue, and unintentional weight loss of 10 pounds over the last month. His wife recommended that he get a physical examination

On physical examination, you do not find significant signs of a specific disorder. The CBC with differential shows anemia. A serum metabolic panel has all normal findings. Which diagnostic test(s) would you recommend to obtain more information?
A. Cystoscopy
B. Digital rectal exam
C. Colonoscopy
D. B and C


ANS: A
Patients with mild renal dysfunction are generally asymptomatic, but as the disease progresses, vague symptoms appear. Fatigue and weakness are early signs, as are decreased cognitive functioning and irritability. Patients may complain of nocturia, which is due to the kidney not concentrating the urine at night. Many of these early signs are nonspecific, and patients often pass them off as a normal part of aging. GI complaints, such as nausea, vomiting, and anorexia, are common and contribute to the muscle wasting and fatigue. Patients may complain of a metallic taste in the mouth. Hypertension may develop from fluid overload and can result in CHF. Pericarditis may develop, producing a friction rub. Neurological symptoms include muscle cramps and twitching, peripheral neuropathy, difficulty concentrating, and sleep disturbances.

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The pediatric nurse describes the effects of cystic fibrosis on the body systems to the parents of a child recently diagnosed with the disease. Which statements does the nurse include to the parents? (Select all that apply.)

A. Altered protein and vitamin metabolism causes a type of dementia in older children. B. Increased mucus obstructs the airways, and stasis of fluid causes infections. C. Pancreatic ducts are often blocked by mucus, leading to poor nutrition. D. Reproduction is affected, as ovarian ducts and the vas deferens are occluded. E. Thick mucus affects several body systems, preventing some organs from working.

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Being-in-the-world is a concept that is of relevance in case study research

A) True B) False

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A pregnant client is diagnosed with chlamydia. The nurse should ask if the client has an allergy to:

1. Doxycycline. 2. Azithromycin. 3. Penicillin. 4. Erythromycin.

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Read the following statement and answer the question: "Structured preoperative support is more effective in reducing surgical patients' perception of pain and request for analgesics than structured postoperative support."

What type of variable is "Request for analgesics"? a. Attribute b. Dependent c. Extraneous d. Independent

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