An immunosuppressed older adult patient reports symptoms of fatigue, facial rash, intermittent low-grade fever, and painfully swollen finger joints. The nurse anticipates that diagnosis will be confirmed by
a. the presence of subcutaneous nodules on the hands.
b. a positive antinuclear antibody (ANA) blood serum test.
c. a liver biopsy that confirms cirrhosis.
d. the presence of bilateral ocular scleritis.
Question 2The patient who recently had a radical prostatectomy has the nursing diagnosis of ineffective sexuality patterns. What assessment by the nurse best indicates that the goals for this diagnosis have been met?
a. Patient states he can live without sex.
b. Patient says that impotence is temporary.
c. Patient states his needs are being met.
d. Patient asks about medication for ED.
Question 3A diabetic is struggling with the carbohydrate-controlled diet as a result of having a large extended family with many get-togethers. What action by the nurse is best?
a. Remind the patient of the consequences of poor control of diabetes.
b. Tell the patient that once a month he or she can eat as desired.
c. Help the patient make priorities so some favorite foods can be eaten.
d. Tell the patient to increase the insulin dose on get-together days.
Question 4The student asks the nurse why ground beef and other ground meat products are more likely to be contaminated and cause food-borne illness. What response by the nurse is best?
a. It's because they are handled more.
b. They are from cheaper cuts of meat.
c. They are not kept cold during shipping.
d. They are made from leftover meats.
Question 5The nurse is assessing patients diagnosed with chronic disease processes for the probability of hospitalization because of the exacerbation of related symptoms. The nurse recognizes that the patient with the highest probability is a(n)
a. 72-year-old male with congestive heart failure (CHF).
b. 82-year-old male with type 2 diabetes.
c. 72-year-old female with chronic bronchi-tis.
d. 82-year-old female with osteoporosis.
Question 6The nurse is discussing pain control with an older patient who has been prescribed an opiate. When the patient expresses concerns about the diminishing effect that the medication has had on the pain, the nurse responds
a. It appears that the dosage you take needs to be adjusted upward.
b. We need to be concerned about you de-veloping a drug tolerance.
c. This drug category is well known for its low ceiling effect.
d. Opiate addiction is a concern when to-lerance occurs.
Question 7What actions by the nursing staff in a long-term care facility display an awareness of resident rights? (Select all that apply.)
a. Getting informed consent for the use of an antipsychotic medication
b. Reminding the unhappy resident and fam-ily about grievance processes
c. Ensuring that all residents are asked if they wish to vote in an election
d. Giving residents information on the om-budsman's name and address
e. Assessing residents for their ability to safely administer their medications