A patient on chemotherapy after surgery develops thrombocytopenia. Which manifestation should the nurse report immediately to the physician?
a. Headache
b. Tarry stools
c. Pain at the surgical site
d. Blood pressure 136/88 mm Hg
ANS: B
B. Tarry stools are a sign of GI bleeding for which the patient with low platelets is at risk. A, C, and D may be problems also, but they are not life-threatening and are therefore lower priorities.
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A) Monitoring for infection B) Monitoring nutritional status C) Monitor electrolyte levels D) Monitoring liver function
A nurse is administering an agonist drug that acts on postganglionic neurons of the sympathetic nervous system. Which response will the nurse expect to see?
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A patient with arterial insufficiency should be instructed to:
1. frequently allow the legs to dangle dependently. 2. rub the legs vigorously. 3. stand often to keep blood flow in the legs. 4. walk barefoot.
Which statement about delirium is correct?
a. Onset is gradual. b. It occurs only in the older adult popula-tion. c. It is an emergency. d. The cause is usually not known.