Identify three signs and symptoms of this complication you will assess for in H.J
What will be an ideal response?
Flank pain; decreased urine output (less than 0.5 mL/kg/hr for 6 hr); increasing BUN and creatinine;
peripheral edema; nausea, vomiting, and anorexia; irritability or restlessness
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When examining a patient's CN function, the nurse remembers that the muscles in the neck that are innervated by CN XI are the:
a. Sternomastoid and trapezius. b. Spinal accessory and omohyoid. c. Trapezius and sternomandibular. d. Sternomandibular and spinal accessory.
A 45-year-old patient is undergoing treatment for testicular cancer. Cisplatin (Platinol-AQ) is the medication being used. The nurse has completed the shift assessment and has reviewed the day's laboratory results
Which of the following developments will require the nurse to notify the health care provider? 1. The patient has voided 500 cc in the past 24 hours. 2. The patient complains of nausea 2 hours after the medication is administered. 3. The patient reports noticing an increase in hair loss over the past 2 days. 4. The patient's white blood cell count is 7,000.
A client is admitted to the hospital with a diagnosis of kidney stones. The physician orders IV fluids, x-rays, blood work, and a Foley catheter for the client
The nurse is caring for the client 3 days after admission and takes morning vital signs of 101°F, heart rate 92, respirations 25, and blood pressure 120/80. The urinary output has decreased, and the urine is cloudy and dark amber. The nurse suspects which of the following? 1. The client is getting ready to pass the kidney stones. 2. The client has developed a cold. 3. The client has a urinary tract infection that is probably nosocomial. 4. The client is in renal failure.
The nurse teaches a postmenopausal patient with stage III breast cancer about the expected outcomes of cancer treatment. Which patient statement indicates that the teaching has been effective?
a. "After cancer has not recurred for 5 years, it is considered cured." b. "The cancer will be cured if the entire tumor is surgically removed." c. "Cancer is never considered cured, but the tumor can be controlled with surgery, chemotherapy, and radiation." d. "I will need to have follow-up examinations for many years after I have treatment before I can be considered cured."