A client has absorbed more than .80 GY and has developed acute radiation syndrome. Which body systems could be affected by this dose of radiation? (Select all that apply.)
a. Hematopoietic
b. Urinary
c. Gastrointestinal
d. Cerebrovascular/CNS
e. Integumentary
A, C, D, E
The client who absorbs more than 0.75 Gy can develop acute radiation syndrome (ARS). Symptoms of ARS depend on the dose of radiation and include: Hematopoietic-deficiency of WBCs and platelets leading to bleeding, anemia, infections, impaired wound healing, and immunodeficiency; Gastrointestinal-loss of mucosal barrier and cells lining intestines leading to fluid and electrolyte loss, vomiting, diarrhea, loss of normal flora, and sepsis; Cerebrovascular/CNS-cerebral edema, hyperpyrexia, hypotension, confusion, and disorientation; Skin-loss of epidermis and possibly dermis. Signs and symptoms in one or more of these areas appear immediately after exposure.
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The client is seeing a specialist who evaluates hearing and determines the extent and types of hearing loss. The nurse explains the client will be seeing:
a. an audiologist c. an ophthalmologist b. a hearing-aid specialist d. an otolaryngologist
The nurse is planning to discuss a patient's exercise habits. Which of the following questions would be appropriate to ask during the examination. Select all that apply
a. "What type of exercise do you do?" b. "How long do you exercise (in minutes)?" c. "Why don't you spend more time exercising?" d. "How long have you been involved with this exercise program?" e. "Does your health pose any restrictions on your ability to exercise?" f. "Do you participate in a formal or informal exercise program?"
A staff nurse expresses frustration that a Native American patient always has several family members at the bedside. Which action by the charge nurse is most appropriate?
a. Remind the nurse that family support is important to this family and patient. b. Have the nurse explain to the family that too many visitors will tire the patient. c. Suggest that the nurse ask family members to leave the room during patient care. d. Ask about the nurse's personal beliefs about family support during hospitalization.
Which of the following abbreviations are on the list of the Joint Commission "do not use" abbreviations? Select all that apply
A) U (unit) B) QD (daily) C) NPO (nothing per os) D) mL (milliliters) E) > (greater than) F) mcg (micrograms)