The nurse is teaching a 17-year old client and the client's family about what to expect with high-dose chemotherapy and the effects of neutropenia. What should the nurse teach as the most reliable early indicator of infection in a neutropenic client?
A. Fever
B. Chills
C. Tachycardia
D. Dyspnea
Answer: A
Explanation: Fever is an early sign requiring clinical intervention to identify potential causes. Chills and dyspnea may or may not be observed. Tachycardia can be an indicator in a variety of clinical situations when associated with infection; it usually occurs in response to an elevated temperature or change in cardiac function.
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When handling cytotoxic agents the nurse should:
a. wear gloves at all times when handling these agents. b. mop up spills or leaks with absorbable paper towels. c. call housekeeping to clean up any spills. d. notify the health care provider immediately if spills occur.
Which of the following terms is used to describe aggregates who are at high risk for having poor health outcomes because of limited resources?
a. Disadvantaged families b. Multi-problem families c. Resilient populations d. Vulnerable populations
The nurse is conducting a physical examination of a toddler with suspected lead poisoning. Lab results indicate blood lead level 52 mcg/dL. Which action would the nurse expect to happen next?
A) Repeat testing within 2 days and prepare to begin chelation therapy as ordered. B) Repeat testing within 1 week with education to decrease lead exposure. C) Confirm with repeat testing in 1 month and referral to local health department. D) Prepare to admit child to begin chelation therapy.
Which interventions can you delegate to the nursing assistive personnel (NAP)? Select all
that apply. a. Obtaining N.T.'s weight b. Assisting N.T. in repositioning every 2 hours c. Initiating oxygen therapy by nasal cannula d. Performing N.T.'s neurologic checks every hour e. Obtaining a manual BP per protocol