A 66-year-old patient is suspected of having cervical cancer. Which of the following signs and symptoms would be considered indicative of the disease? (Select all that apply.)
A) Vaginal bleeding
B) White vaginal discharge
C) Perineal herniation
D) Pain
E) Fever
A, B
Feedback:
Vaginal bleeding and leukorrhea are indicative of cervical cancer, while herniation, pain, and fever are not noted to be associated with the disease.
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A nurse is assessing a client with glioblastoma. What assessment is most important?
a. Abdominal palpation b. Abdominal percussion c. Lung auscultation d. Neurologic examination
Which of the following should the nurse use to document medication administration?
1. Erase each medication from the MAR immediately after administration. 2. Record time administered and nurse's name at once after administration. 3. Record medication administration time, route, and dosage at end of shift. 4. Delegate recording administration time and the nurse's name in the MAR.
A family struggles with clear communication, and members of the family often seek the help of other systems for personal validation and gratification. What should the nurse identify as an appropriate nursing diagnosis for this family?
1. Altered Family Processes related to communication patterns 2. Impaired Verbal Communication related to inability to communicate 3. Ineffective Family Coping evidenced by assistance from outside sources 4. Knowledge Deficiency (communication patterns) related to dysfunctional patterns of communication
Members of a nursing student organization volunteer to serve lunch at a homeless shelter used by many individuals who are severely and persistently mentally ill
Because many have dual diagnoses, the students should expect to comply with shelter policies and set limits by refusing services to individuals who are: 1. Developmentally disabled 2. Intoxicated 3. Disheveled 4. Disaffiliated