When a client's superficial lymph nodes are found to be enlarged, tender, and freely movable, the nurse investigates for other signs of:
a. Anemia.
b. Inflammation.
c. Cancer.
d. Lymphedema.
ANS: B
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A son brought his 73-year-old widowed father into the emergency room. The client has congestive heart failure but is under the care of a physician and has been in good health
The son was called in by the fire department after they put out a small cooking fire at the client's home. The firefighters reported that they found the client sitting in a chair mumbling incoherently, unaware of the fire and smoke. The client now appears to be drifting in and out of consciousness and is having problems keeping his attention on any one task. In this situation, the client is probably suffering from: 1. Dementia. 2. Cerebrovascular accident. 3. Delirium. 4. Depression.
When a patient comes to an outpatient appointment, a nurse smells alcohol. The nurse should:
a. explore the patient's reasons for drinking today. b. arrange admission to an inpatient psychiatric unit. c. coordinate emergency admission to a detoxification unit. d. tell the patient, "We cannot see you today because you have been drinking.".
Nurses would conclude that grieving parents had progressed to the reorganization/recovery phase during a follow-up visit a year later:
1. when they say they feel no pain. 2. when they are discussing sex and a future pregnancy, even if they haven't sorted out their feelings yet. 3. if they have abandoned those moments of bittersweet grief. 4. if their questions have progressed from "Why?" to "Why us?"
Which of the following individuals observed that noise, food, rest, light, fresh air, and cleanliness were instrumental in health and illness patterns?
a. W. Edwards Deming c. Isabel Hampton Robb b. Florence Nightingale d. Dorothea Dix