A client has undergone radiation treatment to the chest for lymphoma. Of the following, what is the most likely complication for which the nurse would assess?
a. esophageal stricture
b. xerostomia
c. diarrhea
d. nausea
a
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A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient
Us-ing complexity principles, what would be the best approach to take in making this change? a. Leverage the hierarchical management position to get unit staff involved in as-sessment and planning. b. Engage involved staff at all levels in the decision-making process. c. Focus the assessment on the unit, and omit the hospital and community environment. d. Hire a geriatric specialist to oversee and control the project.
For the client receiving furosemide, the nurse should monitor for:
a. muscle weakness c. leg cramps b. mental depression d. irregular pulse
A horrified parent reports to the home health nurse that she saw her 14-year-old son and his best friend fondling each other in the back seat of the car. The nurse's most helpful response would be:
a. "You should make sure that the two boys don't associate with each other any more.". b. "The parents of the other boy need to be notified so they can seek counseling for him.". c. "It is good you caught the behavior early before your son becomes a homosexual.". d. "Homosexual experimentation is a normal event in the adolescent period.".
Which of the following expected outcomes or goals would be appropriate for a client with the nursing diagnosis Urinary Pattern Alteration related to an enlarged prostate?
1. The client will avoid bladder distention. 2. The client will maintain fluid imbalance. 3. The client will remain free of skin breakdown. 4. The client will voice increased discomfort.