Which clinical manifestation would alert the nurse to the possibility of metastatic disease in a client with oral cancer?
A. Thickening of the buccal mucosa
B. The presence of fixed cervical lymph nodes
C. Red or white patches appearing on the tongue
D. The presence of a sore on the lip that fails to heal
B
Cervical lymph nodes that become hardened, enlarged, and fixed in position are indications of metastatic disease.
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The physician has explained to the patient that he has developed diabetic neuropathy in his right foot. Later that day the patient calls the nurse and asks what causes diabetic neuropathy. What would be the nurse's best response?
A) "Research has shown that diabetic neuropathy is caused by hyperglycemia that has gone on for years." B) "The cause is not known for sure but it is thought to have something to do with ketoacidosis." C) "The cause is not known for sure but it is thought to involve elevated blood glucose levels over a period of years." D) "Research has shown that diabetic neuropathy is caused by a combination of elevated glucose levels and elevated ketone levels."
A nurse is assessing a female high school student who is overly-concerned about her appearance and is stressed because her parents cannot afford to buy "the right clothes"
What should the nurse identify as the most likely reason for this client's stress? A) It is endangering her well-being. B) It is personally relevant to her. C) It is developmentally inappropriate. D) It is exceeding her capacity to cope.
Which activity is more likely to be performed by a nurse practitioner than by an advanced public health nurse?
a. Disease prevention activities b. Deciding on a treatment plan c. Identifying needs of populations at risk d. Identifying health needs of the community
A nurse is reading a client's medical record and notes that the client's cardiac output (CO) is listed as 5 L/min. Which calculation was used to determine the CO?
1. Heart rate (beats/min) / stroke volume (mL/beat). 2. Systolic blood pressure × heart rate (beats/min). 3. Systolic blood pressure – diastolic blood pressure. 4. Stroke volume (mL/beat) × heart rate (beats/min).