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Which of the following clinical manifestations will NOT be a complaint from Sarah's condition?
- A. Edema of the extremities
- B. Poor wound healing
- C. Decrease libido
- D. Absence of growth in the pubic area
Correct Answer: C
Rationale: Sarah's condition seems to be related to growth and wound healing issues, based on the provided clinical manifestations. Decrease libido is typically unrelated to conditions like edema, poor wound healing, and absence of growth in the pubic area. Therefore, it would not be a complaint stemming from Sarah's condition.
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Patients like Emmy who have experienced delayed hypersensivity to latex FREQUENTLY complains of ______.
- A. flushing, bronchospasm
- B. urticaria, laryngeal edema
- C. rhinitis, conjunctivitis, blisters
- D. papules, vesicles, pruritus
Correct Answer: C
Rationale: Patients like Emmy who have experienced delayed hypersensitivity to latex typically present with symptoms such as rhinitis (runny or stuffy nose) and conjunctivitis (inflammation of the eyes). In addition, delayed hypersensitivity reactions often involve skin manifestations, such as blisters. These symptoms are reflective of the inflammatory response triggered by exposure to latex in individuals with delayed hypersensitivity. Symptoms like flushing, bronchospasm, urticaria, laryngeal edema, papules, vesicles, and pruritus are more commonly associated with immediate-type hypersensitivity reactions rather than delayed hypersensitivity reactions in latex-sensitive individuals.
A postpartum client presents with persistent, severe headache, visual disturbances, and epigastric pain. Which nursing action is most appropriate?
- A. Encouraging the client to rest in a dark, quiet room
- B. Providing acetaminophen for headache relief
- C. Notifying the healthcare provider immediately
- D. Offering a massage to relieve muscle tension
Correct Answer: C
Rationale: The presentation of persistent, severe headache, visual disturbances, and epigastric pain in a postpartum client could indicate the development of postpartum preeclampsia or eclampsia, which are serious conditions that require immediate medical attention. Prompt notification of the healthcare provider is essential to ensure timely assessment, diagnosis, and treatment to prevent potential complications for both the mother and baby. Encouraging rest, providing acetaminophen, or offering a massage are not appropriate interventions for addressing these symptoms, as they do not address the underlying cause and urgency of the situation.
The nurse is developing a plan of care for the client with multiple myeloma. The nurse includes which priority intervention in the plan of care?
- A. Encourage fluid
- B. Coughing and deep breathing
- C. Providing frequent oral care
- D. Monitoring red blood cell coun
Correct Answer: B
Rationale: A priority intervention for a client with multiple myeloma is to include coughing and deep breathing exercises in the plan of care. Multiple myeloma can affect the bone marrow's ability to produce healthy blood cells, including red blood cells, which can lead to anemia. Anemia can cause fatigue and shortness of breath. By encouraging coughing and deep breathing exercises, the nurse can help improve lung function, enhance oxygenation, and prevent potential respiratory complications in the client with multiple myeloma. This intervention is crucial in promoting respiratory health and overall well-being for the client.
Ms. Ruby 28 year old also a patient of Nurse Gladys is suffering from Rheumatic fever due to a previous streptococcal infection. In monitoring patient's status, the nurse should document which of the following TYPICAL manifestation EXCEPT ______.
- A. Increase body temperature
- B. Voluntary muscle spasm
- C. Non-pruritic rashes
- D. Migratory joint pains
Correct Answer: B
Rationale: In patients with Rheumatic fever, typical manifestations include an increase in body temperature, non-pruritic rashes, and migratory joint pains. Voluntary muscle spasm is not a typical manifestation of Rheumatic fever. The main clinical features of Rheumatic fever are related to the inflammation of the heart, joints, skin, and central nervous system. Muscle spasms are not a prominent feature of this condition. It is important for the nurse to be aware of these typical manifestations to effectively monitor and manage the patient's condition.
Which among the members of the multidisciplinary team that the nurse BEST to collaborate with when the patient can benefit the use of leg prosthesis?
- A. Occupationa l therapist
- B. Podiatrist
- C. Physical therapist
- D. Pharmacist
Correct Answer: C
Rationale: A physical therapist would be the best member of the multidisciplinary team to collaborate with when a patient can benefit from using a leg prosthesis. Physical therapists specialize in assessing and treating movement disorders, including those related to amputation and prosthetic use. They can help the patient improve their mobility, strength, balance, and overall functional abilities with the prosthesis. Physical therapists can provide training on how to use the prosthesis effectively, reduce the risk of falls, and optimize the patient's independence and quality of life. Collaborating with a physical therapist ensures that the patient receives comprehensive care tailored to their specific needs and goals related to using a leg prosthesis.