The nurse recognizes a need for instruction when the patient with a simple goiter says:
a. "The lump on my throat is my enlarged thyroid."
b. "Treatment will stop the enlargement of the goiter."
c. "I am aware this goiter could develop into cancer."
d. "I'm glad my treatment will make this thing go away."
D
Treatment usually arrests the growth of the goiter but usually does not diminish the size of the growth unless diagnosis is made early in the disease before growth has become excessive.
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A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods. The nurse's most appropriate reply is:
1. "They are not very effective, and it is very likely that you will get pregnant.". 2. "They can be effective for many couples, but require motivation.". 3. "There are few advantages to these methods and several health risks.". 4. "You would be much safer going on the pill and not having to worry.".
When the nurse is monitoring a patient who is undergoing exercise (stress) testing on a treadmill, which assessment finding requires the most rapid action by the nurse?
a. Patient complaint of feeling tired b. Pulse change from 87 to 101 beats/minute c. Blood pressure (BP) increase from 134/68 to 150/80 mm Hg d. Newly inverted T waves on the electro-cardiogram
A client has been recovering after an injury that left him partially paralyzed. The client is a young adult and intent on living independently, as before the injury. The best referral for this client would be to which of the following?
1. Paramedical technologist 2. Physical therapist 3. Occupational therapist 4. Case manager
A community coalition monitors the increasing obesity rate of children in their schools. Based on this data, they consider a variety of programming options which may possibly help decrease this trend. What was the purpose of conducting this surveillance?
a. Protect the children from diseases that affect obese children. b. Teach parents that obesity will not be tolerated in this community. c. Educate children on surveillance techniques. d. Demonstrate that new clinical and effective protocols need to be developed.