Your patient has just returned from a 6-month missionary trip to Southeast Asia. He reports unremitting cough, hemoptysis, and an unintentional weight loss of 10 pounds over the last month. These symptoms should prompt the clinician to suspect:
A. Legionaire's disease
B. Malaria
C. Tuberculosis
D. Pneumonia
ANS: C
Many times, patients with active tuberculosis are essentially symptom free. Some complain of malaise and/or fevers but have no significantly disruptive complaints. When respiratory symptoms occur with tuberculosis, cough is common; the cough is nonproductive at first and is later associated with sputum production. Additionally, patients with tuberculosis may experience progressive dyspnea, night sweats, weight loss, and hemoptysis. It is important to suspect tuberculosis when the patient has travelled to a country where TB is endemic, such as Asia.
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The nurse is instructing a pregnant patient on the importance of taking a folic acid supplement. Folic acid has been documented to decrease the occurrence of:
A) Trisomy 21 B) Fragile X C) Down syndrome D) Neural tube defects
The patient complains of recurrent, multiple physical ailments for which there is no organic cause. The nurse assesses this behavior as:
a. obsessive-compulsive disorder. b. phobia anxiety disorder. c. somatoform disorder. d. delusional disorder.
Which methods would help alleviate the problems associated with access to health care for the maternity patient? Choose all that apply
a. Provide transportation to prenatal visits. b. Provide child care so that a pregnant woman may keep prenatal visits. c. Mandate that physicians make house calls. d. Provide low-cost or no-cost health care insurance. e. Provide job training.
A client injured in military combat has returned to the family home
The family finds the illness is disrupting routines because the client is having problems with memory and has forgotten several times to meet the children after school to walk them home. By suggesting lists and utilizing sticky-notes for the client, the nurse teaches: A) The client how to interact with family. B) The client and family about past mistakes. C) How to trigger memory. D) The client to embrace the future.