What manifestations might be assessed by a nurse when a patient is diagnosed with the oncologic emergency hypercalcemia?
a. Hypertension and bradycardia
b. Fatigue, confusion, and weakness
c. Laboratory test results of potassium 3.5 mEq/L, sodium 143 mEq/L
d. Urine output less than 30 mL/hr
B
The indications for hypercalcemia are fatigue, confusion, weakness, and poor muscle tone. If left untreated, renal failure and death may occur.
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In working with parents who have just learned that their child has a hearing loss, the nurse will realize that before working on the goal of promoting the child's communication, the nurse must do which of the following?
a. Explain everything about all the various causes of hearing loss to the parents. b. Get the parents to accept that they are not to blame for the child's loss of hearing. c. Help the family to realize that their child is not the only child who ever suffered hearing loss. d. Assist the caregivers to accept and adapt to the impairment and go through the grieving process.
Which of the following factors may lead to increased violence? (Select all that apply.)
a. Adequate social support b. Feelings of powerlessness c. Violence shown in the media d. Living in a crowded environment
Upon admitting a client to the hospital, the nurse receives an advance health care directive to include in the medical record. The directive is witnessed by two of the client's three children. How does the nurse interpret this information?
1. This advance directive may not be legal as children cannot witness advance directives in some states. 2. Having the children's signatures on the advance directive is good because it indicates they agree with the client's wishes. 3. The advance directive cannot be honored unless it is witnessed by all three children. 4. In order to be valid, the advance directive must be witnessed by the client's physician.
A client's spouse reports that the last time the client received lorazepam (Ativan) before receiving chemotherapy, the client was extremely drowsy and didn't remember the trip home. Which is the nurse's best action?
a. Hold the dose of lorazepam for this round of chemotherapy. b. Explain that this is a normal response to the drug. c. Perform a Mini-Mental State Examination. d. Document the response in the client's chart.