A client's laboratory findings reveal an elevated serum acid phosphatase level and a high-normal prostate-specific antigen level. How does the nurse interpret this information?
a. The client shows evidence of renal disease and should be evaluated further.
b. These results may indicate prostate cancer. He should be further evaluated.
c. These results are not abnormal. He does not need to be evaluated further.
d. These results may indicate an infection. He should be evaluated further.
B
Both serum acid phosphatase and prostate-specific antigen levels will be elevated when the client has prostate cancer. The results are not indicative of renal disease or infection, but they are ab-normal, may indicate prostate cancer, and should be further evaluated.
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The patient's wound is being treated with vacuum-assisted wound closure (negative pressure therapy, or VAC)
The nurse notices that the edge of the dressing is loose and torn, the foam in the wound has expanded, and wound drainage is leaking through the loose edge. What is the best nursing action? A) Reinforce dressing with additional foam packing. B) Reinforce transparent adhesive dressing. C) Discontinue suction on the wound to prevent maceration. D) Completely redress the wound with new materials.
A patient planning to have genetic testing prior to having children tells the nurse that she is fearful that too many people will learn about the test. How should the nurse respond to this patient?
1. "The results of the tests are confidential and no one can have the results without your permission." 2. "Most insurance companies will want the results before paying for the tests." 3. "The results will be available to anyone who reviews your medical record." 4. "The doctor will most likely use the results when planning care and treatment for other patients with the same genetic disorder."
A client is prescribed multiple medications for hypertension. The client asks the nurse which of the medications prescribed is an ACE inhibitor. Which response by the nurse is appropriate?
1. Furosemide (Lasix) 2. Amlodipine (Norvasc) 3. Ramipril (Altace) 4. Metoprolol (Lopressor)
Practice guidelines are formulated to:
a. establish evidence of appropriate psychiatric care based on anecdotal data collected only on the unit where you are using the practice guidelines. b. promote consistency of patient care for all patients with a particular need regardless of age or DSM-IV-TR diagnosis. c. identify treatments that are safe and effective for a particular psychiatric disorder based on collected data. d. minimize the need for nurses to continuously update the guidelines after they have been established.