A nurse in an acute care setting is planning the care of a 61-year-old man who has recently been diagnosed with chronic renal failure. When planning this patient's care, what goal should the nurse prioritize?
A) Helping the man to return to the roles that he has in his life
B) Helping the man understand the benefits of adhering to treatment and consequences of nonadherence
C) Facilitating as early a discharge as possible while simultaneously ensuring patient safety
D) Taking measures to extend the patient's life expectancy as long as possible
A
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To avoid complications of blood transfusion reaction, which nursing action is most important?
A) Matching numbers on blood bag to client bracelet B) Making sure IV catheter size is 20 gauge or larger C) Hanging normal saline before and after blood infusion D) Only allowing the registered nurse to initiate, maintain, and discontinue the blood
It is time for the client's third round of chemotherapy for colon cancer
After checking the client's white blood cell count, the decision is made to delay the treatment for an additional week because of the low white blood cell count and the increased risk for infection. The client is upset at the delay. What is the nurse's best response? A. "This extra time will give your hair a chance to grow back in." B. "This is for the best. It is too dangerous to give you the chemotherapy now." C. "I will call the physician and request a prescription for something to calm your nerves." D. "Try not to worry. Your counts will probably be high enough next week and the chemotherapy will work just as well then."
The nurse would select Imbalanced nutrition: less than body requirements as a nursing diagnosis if the client had which of the following defining characteristics?
1. fewer dollars to spend on groceries than previously spent 2. no help from family members in food preparation 3. anorexia and loss of interest in food 4. lack of information about nutrient content of specific foods
A patient has been taking levothyroxine for several years and reports that "for the past 2 weeks, the drug doesn't seem to work as well as before." What will the nurse do?
a. Ask the patient when the prescription was last refilled. b. Expect the patient to have an elevated temperature and tachycardia. c. Suggest that the patient begin taking calcium supplements. d. Tell the patient to try taking the medication with food.