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Question 26
A client has had type 1 diabetes for several years and asks the nurse what symptoms they should be worried about that would suggest they have peripheral neuropathy. The nurse knows that which of the following are symptoms of peripheral neuropathy? (Select all that apply)
Question 26 options:
|
Burning |
|
Bowel incontinence |
|
Sensitivity to touch |
|
Feeling of fullness after eating |
|
Decreased libido |
|
Pain |
|
Numbness and tingling |
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- Question 61 The nurse is planning to use distraction as part of a cancer client's pain management. Which is an example of distraction to provide pain relief? Select all that apply. Question 61 options: Exercise Playing a game Listening to music Using a transcutaneous electrical nerve stimulation (TENS) device Watching a movieQuestion 63 A nurse is assessing a client who has been diagnosed with sciatica. The client states that the pain usually starts in the back and then goes to the buttocks, posterior thigh, posterior leg, and the foot. The nurse should document these findings as which description? Question 63 options: Referred pain Radiating pain Persistent pain Breakthrough painQuestion 28 Amy is being seen in the Emergency department because of rectal bleeding secondary to ulcerative colitis. What additional question is MOST important for the nurse to ask Amy? Question 28 options: Do you feel fatigued or light-headed? Do you have trouble remembering events? Do you experience tremors or headaches? Do you ever hear ringing in your ears?
- Question 65 The nurse administers 0.25 L of 500 mg/L paracetamol to a pediatric patient through intravenous route. Calculate the prescribed dose. Record your answer in a whole number. mg/LQuestion 4 A 54-year-old man with a medical history significant for bipolar disease presents to his physician with complaints of polyuria. He states that he must get up three or four times each night to urinate. He also notes frequent thirst. He denies polyphagia, urinary urgency, difficulty initiating urination, and postvoid dribbling. His medical history is notable only for bipolar disease. He has a long-standing history of noncompliance with medications for this disease, with frequent hospitalizations for both mania and depression, but has been stable on lithium for the past 6 months. He denies any symptoms of mania or depression at this time. He takes no other medications. Family history is notable for depression and substance abuse but is otherwise negative. The patient has a history of polysubstance abuse but has been “clean and sober” for the past 6 months. On examination, the patient’s vital signs are within normal limits. Head-neck examination reveals slightly dry mucous…Question 75SavedA 48-year-old client presents to the clinic with complaints of persistent, but vague muscle aches. After conducting a thorough history, they are diagnosed with a depressive disorder. What is the best explanation for the client’s complaints of somatic pain? Question 75 options: the client’s sleep-wake cycle is likely reversed, leading to muscle fatigue the client misinterprets their emotional pain as physical pain the client’s low neurotransmitter levels negatively affect endorphin release the client likely has fibromyalgia, a common cause of depression
- Question 69SavedA client is having electroconvulsive therapy for the first time. What potential risk exists with this type of therapy? Question 69 options: hearing impairment generalized seizure activity retrograde amnesia frontal lobe atrophyQuestion 68 An 80-year-old client with arthritis in both hips is rating her pain as 3 out of 10 while ambulating. Which of the following ordered medications would be BEST for the pain? Question 68 options: Ibuprofen (Advil) 50 mg PO Meperidine (Demerol) 300 mg PO Hydromorphone (Dilaudid) 2mg PO Acetaminophen (Tylenol) 650 mg POQuestion 38 Ms. LW is on hydroxychloroquine (Plaquenil) for rheumatoid arthritis. Certain tests are recommended before a patient starts this medication. Which of the following is NOT recommended before starting Hydroxychloroquine (Plaquenil)? Comprehensive Eye Exam CBC (Complete Blood Count) Liver Function profile 24-hour urine
- Question 16 A mother is asking which treatment will be most effective for her 15 year old daughter who is experiencing depression. The nurse explains which of the following treatments have been effective for individuals with depression. Question 16 options: Tricyclic Antidepressants and Electroconvulsive Therapy Selective Serotonin Reuptake Inhibitors and Cognitive Behavioural Therapy Monoamine Oxidase Inhibitors and Exercise Therapy Benzodiazepines and Problem Solving TherapyQuestion 2 A 35 year old male presents to your office complaining of right sided neck pain that has recently started sending pain into his arm and 1st and 2nd digits. He describes the pain as "sharp, zingy, and electrical." He reported a long history of athletics, including a 15 year history of high school and collegiate wrestling: Please walk through the differential diagnosis process and describe: 1) Questions that you would ask the patient 2) Any physical examination procedures or imaging studies that you would do. 3) Then provide a list of structures that could cause his symptoms (DDX) as well as your ultimate diagnosis with a brief justification of why you believe that is his condition. (We have not covered all the possible questions, physical exam procedures or imaging studies that you could perform. I really want to see how you can put the anatomy of this region in a clinical context). Please use bullets as opposed to one long block of text.QUESTION 23 Pain is considered a common for many conditions. Sign Symptorm Risk factor Differential diagnosis