Question 94 A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought, often in an emergency setting, is known as which of the following? A Korsakoff’s syndrome B Snyder’s syndrome C Munchausen syndrome D Munchausen syndrome by proxy
A nurse is caring for an anorexic client with a nursing diagnosis of Imbalanced nutrition less than body requirements related to dysfunctional eating patterns. Which interventions would be supportive for this client? Select all that apply.
A. Provide small frequent meals
B. Monitor weight gain
C. Allow the client to determine food choices from a menu
D. Encourage the client to keep a journal
E. Monitor the client during meals and for 1 hour after meals
F. Encourage the client to eat three substantial meals per day
The patient, an elderly man, had an acute onset of swelling, erythema, and tenderness in the left anterior neck. He was admitted for evaluation and IV antibiotic therapy with a provisional diagnosis of thyroiditis and cellulitis. The radiological finding showed a large, mixed density, soft tissue mass in the left lower neck compatible with cellulitis. The mass appeared to involve the soft tissue of the neck and the thyroid gland. He shows the typical clinical picture of hyperthyroidism. His infection responded well to antibiotic therapy.
Discharge Diagnosis:
(1)Cellulitis (2) Possible abscess (3) Hyperthyroidism
Identify as many medical terms and abbreviations as you can from the passage above and rewrite the passage using your own words.
Introduction to mental health. List 3 social factors that may act as a risk factor for mental illness.
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
1_________________________________________________________________________________2_________________________________________________________________________________3_________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________
Describe 2 things you will do as a nurse to implement this plan.
1_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________2_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
1________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Responding to Distress
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
1_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________2_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Prescription for doxycycline hyclate
A female client who is taking a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?
Credibility of a nursing research study
How do I identify the credibility of believability of a nursing research study article?
. What are some of the significant clinical findings that would lead to the diagnosis of an STD?
2. What are some of the significant laboratory findings that would lead to the
diagnosis of an STD?
CASE STUDY 15.3
A 20-year-old woman presents to her family practice physician for a routine pelvic examination. It has been several years since her last visit to this clinic when she was diagnosed and treated for a nongonococcal sexually transmitted disease (STD). She is sexually active with her fiancé and has had sexual encounters with others in the past. She is currently considering the potential for becoming pregnant. There are no apparent physical abnormalities, but the physician decides to culture the cervical discharge for gonorrhea and to perform a DNA test (Gen probe) for chlamydia and gonorrhea. A serum sample is also collected for HIV testing. All laboratory tests are normal, with the exception of the test for chlamydia, which is positive.
NOTE: Symptoms of chlamydial infections include dysuria and vaginal/urethral discharge, symptoms similar to those of gonorrhea. Many infected patients exhibit no symptoms of chlamydial infection.
Multiple Choice Questions
1. Which of the following is the test of choice for the laboratory diagnosis of chlamydial infections?
a. Nucleic acid amplification
b. Immunofluorescent antibody test
c. Enzyme immunoassay (EIA)
d. Culture
ANS: a. Nucleic acid amplification
2. If the patient is experiencing no symptoms, what would be the concern for the physician to order the laboratory tests in this case?
a. To prevent unwanted transmission of the organism to the fiancé.
b. The organism present could lead to future infertility.
c. The patient could develop more serious infection prior to symptoms.
d. All of the above statements are valid concerns in this case.
ANS: d. All of the above statements are valid concerns in this case.
Critical Discussion Questions
1. What are some of the significant clinical findings that would lead to the diagnosis of an STD?
2. What are some of the significant laboratory findings that would lead to the
diagnosis of an STD?
Community Teaching Plan: Community Presentation I’m confused on delivery method if the presentation was verbal
