You are caring for bill, a 50 year old man Left upper quadrant abdominal pain, nausea, and vomiting
who has been hospitalised with a possible
diagnosis of pancreatitis
Which of the following symptoms would
you anticipate observing in bill
The initial diagnosis of pancreatitis would Trypsin
be confirmed if bills blood test showed a
significant elevation in serum
Pain control is an important nursing goal. Morphine
Which of the following medications would
be the drug of choice
You monitor bills vital signs frequently, Frequency and severity of gastrointestinal haemorrhage
observing for the signs of shock. Shock is
extremely difficult to manage in
pancreatitis primarily because of the
While helping bill change position in bed, Hypocalcaemia
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
Bill does not drink alcohol because of his Alcoholism is a major health problem and all hospitalised clients are asked about
religious beliefs. When the physician their alcohol intake
persists in asking him about his alcohol
intake, bill becomes annoyed. You explain
the reasoning behind the questioning by
telling bill that
1/10
, A home care nurse begins caring for a 25 Sexual intercourse with an HIV positive person without using a condom
year old female called Lydia who has just
been diagnosed with human
immunodeficiency virus (HIV)
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
The physician prescribes zidovudine (AZT) Slow replication of the virus
a drug that acts to help
Lydia acquires herpes genitalis and is Cervical cancer
counselled by the nurse concerning follow
up care. Women who have this disease are
at risk of developing
Which of the following nursing diagnosis Alteration in comfort pain
categories would most likely be a priority
for a client with herpes genitalis
The primary reason that a herpes simplex Can lead to cervical cancer
infection is a serious concern to a client
with HIV infection is that herpes simplex
In providing education to Lydia, the nurse Ongoing sex education about preventive behaviours
should take into account the fact that the
most effective method known to control
the spread to HIV infection is
Lydia becomes depressed about her Tell me more about how you are feeling at being HIV positive
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
James, a 34 year old man attending a Spirochete
sexual health clinic, is diagnosed with
syphilis. The organism responsible for
causing syphilis is classified as a
The typical chancre of syphilis appears as A painless moist ulcer
When interviewing james, the nurse should Obtaining a list of the clients sexual contacts
anticipate that the most difficult problem is
likely to be
Probenecid is prescribed in conjunction Inhibit excretion of penicillin
with penicillin as treatment for syphilis
because probenecid helps
A priority nursing diagnosis for a james High risk for infection transmission related to lack of knowledge about mode of
would likely be spread
An 18 year old female college student is can you tell me more about how you're feeling
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
2/10
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