A LPN who has been assigned four clients asks the charge nurse which client should be assessed first after report. Which client should the charge nurse suggest be assessed first?
a. A 56-year-old man with type I diabetes with 4 p.m. blood sugar of 92
b. A 77-year-old man with congestive heart failure (CHF) who has a potassium level of 3.1
c. A 24-year-old woman with pyelonephritis and a fever of 101.1°F
d. A 38-year-old man with 22% deep par-tial-thickness burns of the legs and abdo-men.
B
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A client with chronic respiratory failure presents with a pH 7.28, PCO2 54 mm Hg, and HCO3– 25 mEq/L. The nurse recognizes this to indicate which finding?
A) Respiratory alkalosis B) Metabolic alkalosis C) Respiratory acidosis D) Metabolic acidosis
The nurse is conducting an in-service for peers about chemotherapy for cancer. Which statement best explains why lung cancers are less sensitive to antineoplastic agents than other types of cancers?
1. "Lung cancer cells have a low growth fraction, which means there isn't much difference between the number of replicating and resting cells.". 2. "Lung cancer cells have been growing for a long time before detection, so they are less sensitive to antineoplastic agents.". 3. "Lung cancer cells grow in a high-oxygen environment, so they are not very sensitive to antineoplastic agents.". 4. "Lung cancer cells have a very erratic cell cycle, and this is why there isn't much difference between the number of replicating and resting cells.".
When the family of a child diagnosed with a nightmare disorder asks the nurse about prognosis, the nurse replies with the knowledge that:
1. The disorder is frequently self-limiting in children 2. With the use of antipsychotic medication, the disorder will not progress 3. High doses of diazepam (Valium) are needed to cure the disorder 4. If the child is obese, it is likely the nightmares will continue indefinitely
A patient with a compromised immune system is admitted to the hospital with an infection. What care should the nurse expect this patient to require?
A. Placement in a semiprivate room B. Placement in respiratory isolation C. Isolation techniques to protect the patient from further infection D. Early discharge to recover from the infection at home