A nurse documents which finding of a pregnant client as abnormal?
a. Facial swelling in a woman who is 20 weeks pregnant
b. 1+ pitting ankle edema in a woman who is 26 weeks pregnant
c. Pinkish-red blotches of the hands in a woman at 32 weeks gestation
d. Blotchy, brownish pigmentation of the face in a woman at 36 weeks gestation
ANS: A
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After teaching a client with renal cancer who is prescribed temsirolimus (Torisel), the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?
a. "I will take this medication with food and plenty of water." b. "I shall keep my appointment at the infusion center each week." c. "I'll limit my intake of green leafy vegetables while on this medication." d. "I must not take this medication if I have an infection or am feeling ill."
A client is admitted to a hospital for secondary health care services. An example of secondary health care services would be the client who:
a. goes to the public health clinic for family planning services. b. requires physical therapy to regain function after experiencing a stroke. c. undergoes an appendectomy for a ruptured appendix. d. attends a support group for smoking cessation.
In an observational study of manifestations of various categories of sundowning behavior in hospitalized super-elders, which of the following are true? (Select all that apply.)
a. Checklists based on a rating scale would be helpful ways to record behaviors. b. Rating scales of 1-absent, 2-slight, 3-moderate, and 4-severe could be used. c. A category system should be developed before the study begins. d. The patient's assessment of whether or not he is sundowning is valuable. e. There should be no overlap of the categories "confused, placid" and "confused, agitated." f. Research assistants observing the patients should be given similar training. g. Observations should be made under similar circumstances.
What further abnormality of the liver was likely found on examination?
A 77-year-old retired bus driver comes to your clinic for a physical examination at his wife's request. He has recently been losing weight and has felt very fatigued. He has had no chest pain, shortness of breath, nausea, vomiting, or fever. His past medical history includes colon cancer, for which he had surgery, and arthritis. He has been married for over 40 years. He denies any tobacco or drug use and has not drunk alcohol in over 40 years. His parents both died of cancer in their 60s. On examination his vital signs are normal. His head, cardiac, and pulmonary examinations are unremarkable. On abdominal examination you hear normal bowel sounds, but when you palpate his liver it is abnormal. His rectal examination is positive for occult blood. A) Smooth, large, nontender liver B) Irregular, large liver C) Smooth, large, tender liver