A nurse is caring for a 62-year-old female client with metastatic endometrial carcinoma
receiving radiation therapy. What are the nursing considerations to be employed when
caring for the skin of a client receiving radiation therapy?
A) Use only plain, tepid water on the irradiated skin
B) Wear no clothing next to the irradiated skin
C) Apply at least an SPF 8 sunscreen on the skin
D) Use a cooling device on the treatment area
A
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The nurse is assessing a client's abdomen. Which sound is expected when percussion is used during the assessment?
1. Loud, low-pitched. 2. Soft, high-pitched. 3. Drum-like. 4. Abnormally loud.
The nurse is providing a discharge instruction sheet for a client who has had a pulmonary embolism and is going home on Coumadin therapy. Which of the following are important to review with the client?
a. Follow up with the lab at prescribed intervals for PT/PTT levels. b. Use a soft toothbrush to prevent trauma to gums and bleeding. c. Inspect skin daily for bruises and/or petechiae. d. Eat a large amount of leafy, green vegetables a day for good nutrition. e. Continue other aspirin medications for arthritis pain as needed. f. Report nosebleeds, tarry stool, hematuria, or hematemesis to physician. g. Report signs and symptoms of amenorrhea to physician.
Personality traits most likely to describe a patient diagnosed with obsessive-compulsive personality disorder are
a. friendly; generous. b. dramatic; impulsive. c. perfectionist; inflexible. d. suspicious; submissive.
The nurse cares for a client with a triple lumen central line who develops a fever, which the nurse suspects is from the central line. Which nursing actions are appropriate? Select all that apply.
A. Replace the infusing TPN with normal saline. B. Change the IV tubing. C. Remove the IV using sterile technique. D. Change the IV dressing. E. Culture the insertion site using sterile technique.