Which client does the RN assess first?
A. 32-year-old with pernicious anemia who needs a vitamin B12 injection
B. 40-year-old with iron deficiency anemia who needs a Z-track iron injection
C. 67-year-old with acute myelocytic leukemia with petechiae on both legs
D. 81-year-old with thrombocytopenia and an increase in abdominal girth
Answer: D. 81-year-old with thrombocytopenia and an increase in abdominal girth
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The nurse is caring for a Jewish client with type 1 diabetes mellitus who has been taken to another department for testing
The nurse recognizes the client will be due for an insulin injection and will need to eat immediately upon arrival back to the unit. The nurse orders the client's meal tray. Which of the following will be the best selection? 1. BLT sandwich, potato salad, fruit wedge, and unsweetened tea 2. Roast beef sandwich, potato chips, and 2% milk 3. Egg salad sandwich, side salad, applesauce, and diet soda. 4. Pork tenderloin sandwich, fruit cup, and milk.
Which question should the nurse ask during assessment of a client who has primary ame-norrhea?
A. "Have you developed hair in the pubic area or armpits?" B. "What was the date of your last menstrual period?" C. "Do you experience painful menstruation?" D. "Are you sexually active?"
A client is prescribed methotrexate (Rheumatrex) for treatment of osteogenic sarcoma. The client says, "My friend took methotrexate, but she has never had cancer." How should the nurse respond to this statement?
1. "Does your friend have rheumatoid arthritis?" 2. "She must have had cancer and not told you." 3. "Methotrexate is used to treat some autoimmune disorders as well." 4. "You must have misinterpreted what your friend said." 5. "Methotrexate is used to treat some forms of liver disease."
Tissue damage to nares and ears should be avoided when oxygen is administered via nasal cannula, regardless of whether or not the patient is dying, by placing gauze under the tubing or providing care frequently to those areas
Any skin damage should be reported immediately. Indicate whether the statement is true or false.