Mark Smith, a 35-year-old African-American male, is observed to have skin that is ashen gray in color; he is oliguric and restless. You might suspect that Mr. Smith may be experiencing:
A.
Iron deficiency anemia.
B.
Pernicious anemia.
C.
Hyperglycemia.
D.
Renal failure.
ANS: D
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The older man in a long-term care facility consistently wakes at 3 AM and does not return to sleep. The nurse records this behavior as _____ insomnia
a. sleep initiation b. sleep maintenance c. terminal d. undifferentiated
During her childbearing experience, an African-American woman will most likely:
1. seek prenatal care early in her pregnancy. 2. avoid self-treatment of pregnancy-related discomfort. 3. request liver in the postpartum period to prevent anemia. 4. arrive at the hospital in advanced labor.
Each state has criteria defining the level of collaboration required between the advanced practice nurse (APN) and an oversight physician. Which is among the questions an APN should seek when selecting a practice setting?
a. List of practice limitations as an APN b. Standard hourly salary rate as office staff c. Expectation for net revenue generation d. Standard benefit package offered office staff
An advanced practice nurse wishes to initiate treatment with an antipsychotic medication which, although very likely to benefit the patient, in a small percentage of patients may cause a dangerous side effect. The nurse explains the purpose, expected benefits, and possible risks of the medication. The patient readily signs a form accepting the medication, stating, "These pills will poison the demons inside of me." Although he has been informed of the risk of side effects, he is unable to state what these are and simply reports that he "won't have side effects because I am iron and cannot be killed." Which of the following responses would be most appropriate under these circumstances?
1. Begin administration of the medications based on his signed permission, because he has legally consented to treatment. 2. Petition the court to appoint a guardian to substitute for the patient's being unable to comprehend the proposed treatment. 3. Administer the medications even though consent is unclear, because the patient is clearly psychotic and in need of the medications. 4. Withhold the medication until the patient is able to identify the benefits and risks of both consenting and refusing consent to the medications.