A patient is found to have small, raised lesions on the rim of the ear. The nurse realizes that this finding is consistent with which health problem?
1. hypertension
2. gout
3. heart disease
4. kidney failure
Correct Answer: 2
Small, raised lesions on the rim of the ear are known as tophi and may indicate gout. Tophi are the result of uric acid crystal buildup. These lesions are not associated with hypertension, heart disease, or kidney failure.
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A patient has been extremely fatigued for the past 2 months and is having difficulty lifting even light objects at work. The physician suspects myasthenia gravis (MG) and asks the nurse to assist with a Tensilon test
What patient response to the Tensilon test leads the nurse to suspect myasthenia gravis? a. The patient's ptosis is temporarily improved. b. The patient becomes dyspneic. c. The patient's muscles become very weak. d. The patient develops muscle cramps.
The nurse reassures the patient recovering from acute glomerulonephritis that after all other signs and symptoms of the disease subside, it is normal to have some residual (select all that apply):
a. proteinuria b. oliguria c. hematuria d. anasarca e. oliguria
In aldosterone insufficiency, the nurse would expect which finding?
a. Hypernatremia b. Alkalosis c. Fluid overload d. Hyperkalemia
A patient asks a primary care nurse practitioner (NP) about using over-the-counter medications to treat an upper respiratory infection with symptoms of cough, fever, and nasal congestion. The NP should:
a. recommend a cough preparation that also contains acetaminophen. b. suggest using single-ingredient products to treat each symptom separately. c. recommend a product containing antitussive, antipyretic, and decongestant ingredients. d. tell the patient that over-the-counter medications are usually not effective in manufacturer-recommended doses.