Question # 124A 52-year-old woman comes to the emergency department for rectal pain that started 2 hours ago. Thepain is described as severe, burning, and exacerbated while sitting. Medical history is significant forchronic idiopathic constipation, for which she takes a fiber supplement. The patient has 4 children, allof whom were vaginally delivered. Family history is unremarkable. She does not use tobacco, alcohol,or illicit drugs. Temperature is 37.2 (99 F), blood pressure is 138/84 mm Hg, and pulse is 90/min. Onphysical examination, the patient appears in moderate distress due to pain. The abdomen is soft,nondistended, and nontender. Bowel sounds are normoactive. Anal examination reveals a small,exquisitely tender, bluish lesion at the anal verge. Which of the following is the most likely diagnosis?ACondyloma acuminataBCrohn diseasePerianal abscessProlapsed internal hemorrhoidERectal prolapseFThrombosed external hemorrhoid

Hemorrhoids are blood vessel which are located in the smooth muscles of a rectal wall and anal wall.…

Answered: A 52-year-old woman comes to the…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question 25 When providing post operative health teaching to the client who has a new ostomy on how to prevent parastomal hernias, the nurse should include the following: Question 25 options: Wear firm supportive abdominal binders 1 week after surgery Perform abdominal strengthening exercises as soon as possible Avoid any heavy lifting up to 6 weeks after surgery Routinely irrigate the stoma if stool appears firm
Question 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 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 2A client at the women's health clinic tells the nurse she has endometriosis. What factors associated with endometriosis does the nurse anticipate the client will report? Question 2 options: a) Pelvic infections b) Abdominal pain c) Insomnia d) Skipped periods
Question 32 Ms. TW is a 47 year old female with known rheumatoid arthritis (RA). She was s placed on prednisone 5 mg PO qd. In teaching the patient about her medication, it would be important for the nurse practitioner to include what information? When the symptoms of arthritis subside, she will be able to quit taking her medication. Increase fluid intake is important to prevent renal damage by the steroids The medication should be taken about 30 minutes before eating It is important to take the medication as prescribed, even after the redness and swelling decrease
Question 51 A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects breast cancer. cancerous breast tenderness. pain in the heart. PMS.
Question 70 Sakura complains of rectal pressure and the desire to push. After assessment the RN indicates that Sakura is now fully dilated. Nursing interventions for Sakura during the second stage of labour include: Question 70 options: Encouraging the client to ambulate Providing information about fetal monitoring equipment Checking the fundus level and position Instructing Sakura to 'listen' to and trust her body to push when she feels the urge to do so
Question 29 During the initial postoperative assessment of a client’s stoma following an ileostomy, the nurse finds it to be deep pink with moderate edema and a small amount of bleeding. Which of the following actions should the nurse take based upon these findings? Question 29 options: Notify the surgeon with concerns of the stoma appearance Monitor the stoma every 30 minutes Clean the area and apply an ice pack for swelling Document the stoma assessment
Question 47 The nurse would anticipate routine therapy for a child with gastroenteritis to include: Question 47 options: Acetaminophen to treat abdominal pain Antidiarrheal medication to treat diarrhea Oral antibiotics to treat intestinal infection Corticosteroids to treat intestinal inflammation
Question 4 Your 35-year-old client is 40 weeks, 6 days pregnant. She presents to labour and delivery triage with a 5 hour history of painful contractions. Her pregnancy has been complicated by gestational diabetes and a 45 lb weight gain in pregnancy (BMI = 24). A recent ultrasound performed at 38 weeks estimated the fetal weight at 3900 g. The patient is admitted to labor and delivery for expectant management. Which of the following factors places the patient at greatest risk for shoulder dystocia? Question 4 options: a) 45 lb weight gain in pregnancy b) Gestational diabetes c) A history of hypertension d) Suspected fetal macrosomia
Question 72 Elective caesarean births are recommended to prevent urinary or fecal incontinence later in a woman's life. Question 72 options: True False
Question 75 The RN is caring for a client G1T0P0A0L0 in the first stage of labor. The RN assesses that her client's contractions are painful yet uncoordinated which are ineffective in dilating the cervix. The RN understands this means (Select all that apply) Question 75 options: This is described as dystocia Labor is in the latent phase Contractions would be categorized as hypotonic Contractions would be categorized as hypertonic

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