Mr. Frank, a 32-year-old patient, presents to your office with a complaint of urinary frequency. On examination you note a painless lesion with a clear base and indurated borders that is located on the glans penis. Which of the following best describes this clinical finding?
A. Syphilitic chancre
B. Lymphogranuloma
C. Genital warts
D. Herpes simplex
Answer: A. Syphilitic chancre
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When a patient with paranoid schizophrenia has a recurrence of positive symptoms after stopping his antipsychotic medication because of its postural hypotension (orthostasis) side effect, he is readmitted to the mental health unit
What measure should the nurse suggest to help the patient address this side effect? a. Ask the doctor to prescribe an anticholinergic drug like trihexyphenidyl (Artane). b. Chew sugarless gum or use sugarless hard candy to moisten your mouth. c. Increase the amount of sleep you get, and try to take frequent rest breaks. d. Wear elastic support hose, drink adequate fluids, and change position slowly.
Genetic testing has revealed that a family has a strong predisposition to a disease that occurs late in life. What ethical dilemmas does the nurse recognize as resulting from this information?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Should the children be screened for this disease? 2. Should the children be allowed to make their own decision about testing? 3. Should the testing be considered reliable? 4. Should other adult members of the family be informed? 5. Should testing be repeated?
When caring for clients, it is important for the nurse to understand that
a. treatment plans should be tailored around personal family goals. b. meaningful involvement in the client's care will be consistent among family members. c. the nurse should listen to only immediate family members when considering implications for family involvement. d. individual family members have different perspectives.
The nurse teaches a patient who is alert and oriented to use a cane for left leg weakness. Which does the nurse include in patient teaching?
a. Use a firm grip to grasp the cane with the right hand. b. Place the cane about 30.5 cm (12 inches) in front of the right leg. c. Distribute weight evenly between the cane and the left leg. d. Move the right leg forward first, the cane next, and left leg last.