The nurse cares for a client with tuberous sclerosis. In addition to renal impairment, which findings does the nurse expect in this client? Select all that apply.
A) Early-onset gout
B) Skin tumors
C) Cognitive impairment
D) Visual impairment
E) Seizures
B) Skin tumors
C) Cognitive impairment
E) Seizures
Explanation: A) Early-onset gout is associated with medullary cystic kidney/autosomal dominant interstitial kidney disease, not tuberous sclerosis.
B) Tuberous sclerosis is an inherited renal disease that also causes skin tumors, cognitive impairment, and seizures.
C) Tuberous sclerosis is an inherited renal disease that also causes skin tumors, cognitive impairment, and seizures.
D) Visual impairment may occur with Alport syndrome, not tuberous sclerosis.
E) Tuberous sclerosis is an inherited renal disease that also causes skin tumors, cognitive impairment, and seizures.
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The nurse is admitting a patient for uncontrolled diabetes mellitus. The nurse suspects that the patient could benefit from diabetic teaching. To corroborate her suspicion, during the patient interview the nurse: (Select all that apply.)
a. determines the patient's cognitive ability and potential language barriers. b. gathers information about what the patient already knows about diabetes. c. Attempts to determine the need for referrals and education. d. Formulates the patient's plan of care using a standard protocol. e. Prepares to teach the patient using materials written at a third-grade level.
A 26-year-old female is resting after a one-minute episode during which she lost consciousness while her muscles contracted and extremities extended
This was followed by rhythmic contraction and relaxation of her extremities. On regaining consciousness, she found herself to have been incontinent of urine. What has the woman most likely experienced? A) A myoclonic seizure B) A tonic-clonic seizure C) An absence seizure D) A complex partial seizure
When preparing a room to receive a newly admitted patient, which of the following should the nursing assistive personnel (NAP) do?
1) Mop the floor with an approved disinfecting solution. 2) Fold the top bed linens back to "open" the bed. 3) Hook up the suction machine and check to see that it is working. 4) Position the bed in its lowest position.
A drug is ordered to be given Stat. The nurse should administer this drug:
a. in the subcutaneous tissue. b. immediately. c. at hour of sleep. d. in a suspension.