A client with metastatic breast cancer experiences severe nausea following each administration of chemotherapy. Which action should the nurse take to help this client avoid nausea?
a. Schedule chemotherapy administration for bedtime
b. Provide full meals with liquids when nausea is not present
c. Administer prescribed antiemetics 1 hour before the treatments
d. Offer dry crackers and carbonated fluids immediately following the treatments
c. Administer prescribed antiemetics 1 hour before the treatments
Administration of a prescribed antiemetic is an appropriate nursing intervention. When given prior to the chemotherapy treatment it may lessen the nausea experienced. The nurse does not have the authority to schedule chemotherapy administration, nor will this eliminate the nausea. Small frequent meals and avoiding liquids with meals are appropriate interventions. Large meals may cause distention and bloating resulting in nausea. Offering dry crackers and carbonated fluids may be helpful but are not the most important intervention.
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The determination of a nursing care model or system of care delivery depends on (select all that apply):
a. patient care processes. b. health care provider roles. c. government reimbursement. d. the organization's philosophy. e. the identification of organizational struc-tures.
The nurse examining the conjunctivae of a healthy young adult would document a normal finding when recording that the color of the conjunctivae is
a. dark red. b. pale. c. pink. d. yellow tinged.
Planned change is a well-thought-out effort designed to make something happen; all efforts are directed and targeted to produce change. According to Reinkemeyer's stages of planned change, when does implementation of a community health program occur?
A) Stage 3: Clarification or diagnosis of the community's problem, need, or objective B) Stage 4: Examination of alternative routes and tentative goals and intention of actions C) Stage 5: Transformation of intentions into actual change D) Stage 6: Stabilization and evaluation
A nurse is caring for a cancer patient who presents with anorexia, blood pressure 100/60, and elevated white blood cell count. Which primary purpose for starting total parenteral nutrition (TPN) will the nurse add to the care plan?
a. Stimulate the patient's appetite to eat. b. Deliver antibiotics to fight off infection. c. Replace fluid, electrolytes, and nutrients. d. Provide medication to raise blood pressure.