In reviewing the physical assessments of several patients, the nurse recognizes that the patient most likely to have gallstones would be the:
a. 37-year-old white man of normal weight on long-term corticosteroids for asthma.
b. 42-year-old African American man of normal weight who has smoked for 25 years.
c. 46-year-old Indonesian woman who is under normal weight and has recently had radiation treatments.
d. 50-year-old obese Mexican American woman who has type 1 diabetes.
D
Obesity, diabetes mellitus, rapid weight loss, and Crohn's disease increase the risk for the de-velopment of gallstones. Native Americans and Mexican Americans have an ethnic predisposition to gallstones.
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The nurse is performing an assessment of the patient's sleep patterns. Which question will elicit the best response?
a. "Do you feel rested when you awaken?" b. "What is your normal eating pattern?" c. "Do you awaken during the night?" d. "Do you drink beverages with caffeine?"
What is the family pattern in which the male usually assumes the dominant role and functions in the work role, controls the finances, and makes most of the decisions?
a. Autocratic family pattern b. Patriarchal family pattern c. Matriarchal family pattern d. Democratic family pattern
Treatment planning for a patient with grandiose thinking associated with acute mania will focus on:
a. developing an optimistic outlook. b. distorted thought self-control. c. interest in the environment. d. body image.
The nurse is conducting a physical examination of a child with a brachial plexus injury. Which finding would lead the nurse to be highly suspicious of Erb palsy?
A) The child is unable to close one of his eyes. B) The involved extremity is adducted, prone, and internally rotated. C) Asymmetry of the face occurs when the child is crying. D) The mouth is drawn to the noninvolved side.