The patient, newly diagnosed with African sleeping sickness, asked what caused the disease. What is the nurse's best response?
A) Trypanosoma brucei gambiense
B) Giardia lamblia
C) Promastigote
D) Trypanosoma cruzi
A
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African sleeping sickness, which is caused by Trypanosoma brucei gambiense, is transmitted by the tsetse fly. After the pathogenic organism has lived and grown in human blood, it eventually invades the central nervous system, leading to acute inflammation resulting in lethargy, prolonged sleep, and even death. G. lamblia causes giardiasis; T. cruzi causes Chagas' disease. A promastigote is a flagellated protozoan that causes leishmaniasis.
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The nurse is teaching a family member about various types of complementary therapies that might be effective for relieving the dying client's anxiety and restlessness
Which statement made by the family member indicates understanding of the nurse's teaching? a. "Maybe we should just hire an around-the-clock sitter to stay with Grandmother." b. "I have some of her favorite hymns on a CD that I could bring for music therapy." c. "I don't think that she'll need pain medication along with her herbal treatments." d. "I will burn therapeutic incense in the room so we can stop the anxiety pills."
Which are signs and symptoms of approaching death? (Select all that apply.)
a. Mottled extremities b. Significant increase in urine output c. Increased restlessness and pulling at bed linens d. Alteration in rhythmic respiration e. Increased pulse rate
The client refuses a scheduled medication. Documentation on the client's medication administration record (MAR) should be completed:
a. by circling the dosage time and initialing it b. by circling the dosage time, citing the exact reason for withholding the medication, and initialing the entry c. by drawing a diagonal line through the time and initialing it d. by leaving the dosage time blank on the MAR
The nurse is caring for a female client who has just undergone excision of a parotid gland tumor. The client tells the nurse that she is experiencing facial weakness on the operative side. Which is the nurse's best response?
a. "You may be experiencing a slight stroke, and I will notify the doctor." b. "This is a temporary condition that will resolve once radiation treatment is begun." c. "You are experiencing weakness because the facial nerve was irritated during the surgery." d. "You probably have a pinched nerve after lying on the operating room table for so long."