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A client is diagnosed with Hodgkin disease. Which lymph nodes does the nurse expect to be affected first?
Painless enlargement of the cervical lymph nodes often is the first sign of Hodgkin disease, a malignant lymphoma of unknown etiology.
A nurse has difficulty palpating the pedal pulse of a client with venous insufficiency. What action should the nurse take next?
Clients with venous insufficiency often have edema, which may make palpation of an arterial pulse difficult. A Doppler uses sound waves so that the pulse can be heard.
A nurse is caring for a client who had a splenectomy. For which complication should the nurse specifically assess in the immediate postoperative period?
Because the spleen is highly vascular, hemorrhage may occur and abdominal distention results
A client has a splenectomy after a motor vehicle collision. What is a postoperative nursing concern specifically related to this type of surgery?
Postoperative pain will cause splinting, shallow breathing, and under aeration of the lung’s left lower lobe because of close proximity of the spleen to the diaphragm.
During an annual physical assessment a client reports not being able to smell coffee and most foods. Which cranial nerve function should the nurse assess?
Cranial nerve I is the olfactory nerve that concerns the sense of smell; the ability to sense odors usually is affected when an intracranial lesion is present.
A client experiences a traumatic brain injury. Which finding identified by the nurse indicates damage to the upper motor neurons?
A Babinski response (dorsiflexion of the first toe and fanning of the other toes) is a reaction to stroking the lateral sole of the foot with a blunt object; it is indicative of damage to the corticospinal tract when seen in adults.
A nurse is caring for an anxious, fearful client. Which client response indicates sympathetic nervous system control?
The sympathetic nervous system constricts the smooth muscle of blood vessels in the skin when a person is under stress
A client has a craniotomy for a meningioma. For what response should the nurse assess the client in the post-anesthesia care unit?
This is a sign of increasing intracranial pressure, which may follow a craniotomy.
What clinical indicator does the nurse expect to identify when assessing a client with a brain tumor in the occipital lobe?
The occipital lobe is involved with visual interpretation.
A client is diagnosed with trigeminal neuralgia. Which medication should the nurse anticipate will be prescribed for this client?
Carbamazepine (Tegretol) is a nonnarcotic analgesic, an anticonvulsant drug used to control pain in trigeminal neuralgia and to prevent future attacks. It sometimes eliminates the need for surgery.
What is the nurse’s primary consideration when caring for a client with rheumatoid arthritis?
Because pain is an all-encompassing and often demoralizing experience, the client should be kept as pain-free as possible.
Which test result should a nurse review to determine if the antibiotic prescribed for the client will be effective?
Infected body fluids are tested to determine the antibiotics to which the organism is particularly sensitive or resistant (sensitivity).
Vesicovaginal fistula is a false passage created between?
Vesicovaginal fistula is an abnormal fistulous tract extending between bladder and vagina that allows the continuous involuntary discharge of urine into the vaginal vault
Which among the following is a cardio-protective fatty acid?
Coliform present in the water indicates?
According to common water quality standards drinking water must be completely free from any coliform colony, bathing and swimming pool water can have about 200 colonies/100 ml, and recreational (fishing and boating) water about 1000 colonies/100 ml.
Which vitamin should be replaced in alcoholism or alcoholic withdrawal syndrome?
Chronic alcoholism leads to thiamine deficiency and thus reduced enzyme activity through several mechanisms, including inadequate dietary intake, malabsorption of thiamine from the gastrointestinal tract, and impaired utilization of thiamine in the cells
Nocturnal diarrhea is associated with?
Diabetic neuropathy most often damages nerves in legs and feet. Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in legs & feet; to problems with the digestive system, urinary tract, blood vessels, and heart
Very severe elevation of mood is termed as?
Urine Bile Salt test is?
Smith's test: To identify bile pigments in urine Benedict's test: To identify reducing sugar in the urine Hay test: To identify bile salts in urine Rothera's test: To identify ketones in urine
Birth height triples at the age of?
Height: Height of the infant doubles at the age of 4 years and triples at the age of 12 years Weight: Weight of the infant doubles at the age of 5 months and triples at the age of 1 year
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