A nurse is performing an admission assessment on a patient with suspected tuberculosis. What assessment findings by the nurse are consistent with tuberculosis?
a. Hemoptysis
b. Weight gain
c. Night terrors
d. Hypothermia
ANS: A
Suspicious symptoms consistent with tuberculosis include fatigue, unexplained weight loss, dyspnea, fever, night sweats, and hemoptysis (a cough that can be productive of blood).
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Ben does not want to leave his partner's bedside. He hasn't eaten for 24 hours and has only slept briefly during the last three days. The nurse asks Ben to go home to eat and rest because he
A) is not helping the nurses by fasting and foregoing sleep. B) is getting in the way of his partner's care. C) will be called if his help is needed. D) will need his own strength to help his partner later in the recovery.
The nurse is reviewing care that a non-English speaking client is going to need over the next shift. What impact of touch should the nurse consider before caring for this client? (Select all that apply.)
1. The client's reaction to touch must be understood. 2. It should be used in a deliberate empathetic manner. 3. It is considered a form of non-verbal communication. 4. The meaning of touch to the client must be understood. 5. It can be used to communicate caring and understanding.
You are caring for a patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. Your patient has specific gravities ordered every 4 hours. What does this test detect?
A) Nutritional deficit B) Hyperkalemia C) Hypercalcemia D) Fluid volume status
A child with croup has an increased PaCO2, a decreased pH, and a normal H2CO3 blood-gas value. The nurse interprets this as uncompensated:
1. Respiratory acidosis. 2. Respiratory alkalosis. 3. Metabolic acidosis. 4. Metabolic alkalosis.