The nurse is caring for a patient who is suspected of having hepatitis. Which of the following assessment findings would support this medical diagnosis?
1. nausea, vomiting, hypothermia
2. abdominal pain, diarrhea, thirst
3. elevated blood pressure, epigastric pain, nausea
4. flu like symptoms, dark urine, clay colored stool
4
Rationale: The manifestations of hepatitis during the prodromal period include flu like symptoms. Manifestations of hepatitis during the jaundice phase include dark urine and clay colored stools. From these assessment findings, the nurse should suspect that the patient has hepatitis. The other choices of nausea, vomiting, hypothermia, abdominal pain, diarrhea, and thirst would be too vague to suspect hepatitis. An elevated blood pressure, epigastric pain, and nausea are more closely related to a gastrointestinal disorder than hepatitis.
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You are answering questions of a 92-year-old man's family who has been admitted for the treatment of pneumonia. His 32-year-old granddaughter asks you why her grandfather became so sick so quickly with the disease
She further states that she had pneumonia last winter and was never even hospitalized. Your best response to her questions would include A) your grandfather must have chronic illnesses that put him at risk. B) all elderly have decreases in the ability to restore balance to the body systems when challenged by trauma or infection. C) there are some differences between men and women and illness. D) I don't think you can compare your grandfather to yourself.
A staff nurse asks a student, "Why in the world are you studying nursing theory?" How would the student best respond?
A) "Our school requires we take it before we can graduate." B) "We do it so we know more than your generation did." C) "I think it explains how we should collaborate with others." D) "It helps explain how nursing is different from medicine."
A nurse is educating a group of students about the structure and function of the cardiovascular system and its components. The nurse is educating the nursing students about the layers within arteries and veins of the heart
What does the nurse tell the students is the function of the tunica media layer? A) This layer is composed of connective tissues and nerve cells, as well as nutrient capillaries in larger vessels. B) This layer contains the thickest elastic fibers, as well as connective tissue composed of polysaccharides. C) This layer protects the outside of the vessel. D) This layer is the thinnest—a single layer of simple squamous endothelium held together by an intercellular matrix.
The nurse may incorporate similarities of nutritional needs into the plan of care for clients who are Mormon and Buddhist. Which of the following is common to members of these two reli-gions?
a. They follow vegetarian diets. b. They avoid alcohol and tobacco. c. They avoid dairy products. d. They fast on Fridays.