A 39-year-old patient with a history of IV drug use is seen at a community clinic. The patient reports difficulty walking, stating "I don't know where my feet are."
Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FTA-Abs) tests. Based on the patient history, what will the nurse assess (select all that apply)?
a. Heart sounds
b. Genitalia for lesions
c. Joints for swelling and inflammation
d. Mental state for judgment and orientation
e. Skin and mucous membranes for gummas
ANS: A, D, E
The patient's clinical manifestations and laboratory tests are consistent with tertiary syphilis. Valvular insufficiency, gummas, and changes in mentation are other clinical manifestations of this stage.
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Which statement, made by a new mother, would indicate to the nurse that there is potential for lowered self-esteem due to role ambiguity?
A) "I haven't even finished the baby's room." B) "My husband will be a stay-at-home dad while I work." C) "I don't know if I know how to be a mom." D) "I'm so disappointed that this baby is not a girl."
A nursing dean wishes to establish a center to study the feasibility of creating a curriculum based on community-based nursing. To acquire funding, the dean would most likely apply to the
a. National Institutes of Health. b. Pew Charitable Trusts. c. state board of nursing. d. Surgeon General's office.
A client is experiencing a circular lesion with an advancing, red, scaly border on the abdomen. The nurse recognizes this lesion as being:
1. tinea capitis. 2. tinea corporis. 3. tinea cruris. 4. tinea pedis.
The interpretation of touch has little to do with culture and family
Indicate whether the statement is true or false