• You are caring for bill, a 50 year old man who has been hospitalised with a
possible diagnosis of pancreatitis
• Which of the following symptoms would you anticipate observing in bill - ANS
Left upper quadrant abdominal pain, nausea, and vomiting
•
• The initial diagnosis of pancreatitis would be confirmed if bills blood test
showed a significant elevation in serum - ANS Trypsin
•
• Pain control is an important nursing goal. Which of the following medications
would be the drug of choice - ANS Morphine
•
• You monitor bills vital signs frequently, observing for the signs of shock.
Shock is extremely difficult to manage in pancreatitis primarily because of the
- ANS Frequency and severity of gastrointestinal haemorrhage
•
• While helping bill change position in bed, you note bill has muscle twitching
in his bands and forearms. These symptoms are significant because clients
who suffer from pancreatitis are at risk of - ANS Hypocalcaemia
•
• Bill does not drink alcohol because of his religious beliefs. When the
physician persists in asking him about his alcohol intake, bill becomes
annoyed. You explain the reasoning behind the questioning by telling bill that
- ANS Alcoholism is a major health problem and all hospitalised clients are
asked about their alcohol intake
•
• A home care nurse begins caring for a 25 year old female called Lydia who
has just been diagnosed with human immunodeficiency virus (HIV)
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• Lydia asks the nurse, 'how could this have happened?" the nurse responds to
the question based on the most frequent mode of HIV transmission, which is
- ANS Sexual intercourse with an HIV positive person without using a condom
•
• The physician prescribes zidovudine (AZT) a drug that acts to help - ANS Slow
replication of the virus
•
• Lydia acquires herpes genitalis and is counselled by the nurse concerning
follow up care. Women who have this disease are at risk of developing - ANS
Cervical cancer
•
• Which of the following nursing diagnosis categories would most likely be a
priority for a client with herpes genitalis - ANS Alteration in comfort pain
•
• The primary reason that a herpes simplex infection is a serious concern to a
client with HIV infection is that herpes simplex - ANS Can lead to cervical
cancer
•
• In providing education to Lydia, the nurse should take into account the fact
that the most effective method known to control the spread to HIV infection
is - ANS Ongoing sex education about preventive behaviours
•
• Lydia becomes depressed about her diagnosis and tells the nurse "I have
nothing worth living for now." Which of the following statements would be
the best response by the nurse - ANS Tell me more about how you are feeling
at being HIV positive
•
• James, a 34 year old man attending a sexual health clinic, is diagnosed with
syphilis. The organism responsible for causing syphilis is classified as a - ANS
Spirochete
•
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• The typical chancre of syphilis appears as - ANS A painless moist ulcer
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•
• When interviewing james, the nurse should anticipate that the most difficult
problem is likely to be - ANS Obtaining a list of the clients sexual contacts
•
• Probenecid is prescribed in conjunction with penicillin as treatment for
syphilis because probenecid helps - ANS Inhibit excretion of penicillin
•
• A priority nursing diagnosis for a james would likely be - ANS High risk for
infection transmission related to lack of knowledge about mode of spread
•
• An 18 year old female college student is seen at the university health centre.
She undergoes a pelvic examination and is diagnosed with gonorrhoea
• Which of the following responses by the nurse would be best when the client
says that she is nervous about the upcoming pelvic examination - ANS can
you tell me more about how you're feeling
•
• In education this client, the nurse should emphasise that in women
gonorrhoea - ANS may not cause symptoms until complications occur
•
• The client informs the nurse that she has had sexual intercourse with her
boyfriend and asks the nurse 'would he have any symptoms?' the nurse
responds that in males, symptoms of gonorrhoea include - ANS dysuria
•
• A 24 year old female client, who is on her honeymoon, comes to an
ambulatory care clinic in moderate distress with a probable diagnosis of
acute cystitis
• • which of the following symptoms would the nurse expect the client to
report during the assessment - ANS frequency and burning on urination
•
• The client asks the nurse, 'how did i get this infection?' the nurse should
explain that in most instances, cystitis is caused by - ANS an ascending