The nurse is reviewing data collected on several patients. Which patient should the nurse identify as being most likely to exhibit signs and symptoms of systemic lupus erythematosus?
a. A 16-year-old Caucasian man
b. A 20-year-old Hispanic woman
c. A 45-year-old Caucasian woman
d. A 42-year-old Asian American man
ANS: B
Systemic lupus erythematosus tends to develop in young women of child-bearing years and occurs in the African American and Hispanic populations more frequently. A. C. D. These individuals are less likely to develop manifestations of systemic lupus erythematosus.
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A student nurse is providing tracheostomy care. What action by the student requires intervention by the instructor?
a. Holding the device securely when changing ties b. Suctioning the client first if secretions are present c. Tying a square knot at the back of the neck d. Using half-strength peroxide for cleansing
At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. It would now be best to:
a. Arrange another meeting in a week's time so as to allow a cooling-off period. b. Turn the dispute over to the director of nursing. c. Insist that participants continue to talk un-til a resolution has been reached. d. Back the unit manager's actions and end the dispute.
A female patient is prescribed tretinoin (Retin-A). What should the nurse instruct the patient about this medication?
Select all that apply. 1. Wear protective clothing when out of doors. 2. Avoid the use of vitamin A supplements. 3. Use caution when driving at night. 4. Apply to clean, dry skin. 5. Use a reliable form of contraception one month prior to and during use of the medication.
The newly hired nurse notices that co-workers routinely pray with clients and their families. The nurse has never been particularly religious or spiritual, and is unaccustomed to praying, but holds no strong feeling against prayer
What is the best strategy for the nurse to plan for such situations? A) Memorize two or three short, formal prayers to use when prayer is requested. B) Arrange to have a co-worker substitute for the nurse in these prayer situations. C) Try to ensure assignment to clients who are unlikely to request prayer. D) Just stand silently at the bedside and let others in the room do the praying.