What instructions should be included in the discharge instructions for a 47-year-old patient with hypothyroidism?
a. Taking medication whenever symptoms cause discomfort
b. Decreasing fluid and fiber intake
c. Consuming foods rich in iron
d. Seeing the physician regularly for follow-up care
ANS: D
Regular checkups are essential, because drug dosage may have to be adjusted from time to time.
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In the nephrotic syndrome, the glomeruli are damaged by inflammation and allow small _______ to pass through into the urine
ANS:
During a clinical assessment of a 68-year-old client who has suffered a head injury, a neurologist suspects that a client has a sustained damage to her vagus (CN X) nerve
Which of the following assessment findings is most likely to lead the physician to this conclusion? A) The client has difficulty swallowing and has had recent constipation and hypoactive bowel sounds. B) The client is unable to turn her head from side to side, and her tongue is flaccid. C) The client has a unilateral facial droop, dry eyes, and decreased salivary production. D) The client is unable to perform any fine motor movements of her tongue.
When interviewing a patient, there are long pauses of silence. The patient does not respond to the nurse's questions. All of the following are appropriate responses by the nurse to the patient's silence EXCEPT
a. sitting quietly and observing the patient's behavior b. the nurse should control his/her own discomfort during quiet periods or conversational lulls c. using appropriate eye contact d. asking the patient to answer the question at hand
Concerning dental care during pregnancy, maternity nurses should be aware that:
1. dental care can be dropped on the priority list because the woman has enough to worry about and is getting a lot of calcium anyway. 2. dental surgery in particular is contraindicated because of the psychologic stress it engenders. 3. if dental treatment is necessary, the woman will be most comfortable with it in the second trimester. 4. dental care will interfere with the expectant mother's need to practice conscious relaxation.