A patient comes to the clinic with complaints of blurred vision and muscle spasms that come and go, which have been occurring over the past several months
The patient is scheduled for an MRI and lumbar puncture with examination of the CSF. Which important patient history information is important for the nurse to note?
Select all that apply.
1. The patient is a 22-year-old woman from Canada.
2. The patient is Caucasian and lives in the United States.
3. The patient has a family history of epilepsy.
4. The patient has been depressed.
5. The patient's father had Parkinson disease.
Correct Answer: 1, 2
Women are affected by MS two times more often than men. Onset is typically between the ages of 20 and 40. High rates of multiple sclerosis occur in regions of northern Europe, the United States, and Canada. Family history of epilepsy, Parkinson disease, and depression are important items of the patient's history but do not support a diagnosis of MS.
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A nurse is caring for a laboring woman from an unfamiliar culture who has limited English skills. Which nursing actions are important to provide nursing care to this patient? (Select all that apply.)
A. Allow artifacts that have religious or cultural significance to remain with the woman. B. Assess the woman's beliefs about childbirth, breastfeeding, and postpartum nutrition. C. Communicate with the woman and family using a professional interpreter. D. Identify community resources that are culturally appropriate and acceptable. E. Restrict visitors to one person who can then communicate with the other family members.
A patient has just been told that her cancer has metastasized to her right kidney. An interferon (Aldesleukin) has been prescribed to treat this metastasis. The patient asks why this interferon is ordered. What is the nurse's best response?
A) "Aldesleukin has been shown to protect autologous tumor cells." B) "Aldesleukin has been shown to inhibit tumor growth." C) "Aldesleukin has been shown to enhance allogeneic stem-cell transplantation." D) "Aldesleukin has been shown to have a direct proliferative effect on renal tumors."
Sarah, RN, complains to you that a male nurse from a different culture sits very close during charting and leans toward her when speaking. In responding to Sarah, you consider that differences across cultures that are relevant to this situation include:
a. Eye contact. b. Personal space. c. Harassment. d. Expressions of feeling.
The urinal should be stored
A. on the overbed table so the patient can reach it. B. on the back of the toilet in the bathroom. C. by hanging it on the side rail. D. in the bedside stand.