A patient with ovarian cancer is admitted to the hospital for surgery, and the nurse is completing a health history on the patient. What clinical manifestations would the nurse expect to assess?
A) Fish-like odor of the vagina
B) Increased abdominal girth
C) Fever and chills
D) Lower abdominal pelvic pain
B
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When checking laboratory values, the nurse notes the client's platelet count is 100,000 mm3. The nurse should include which action in the client's plan of care?
1. Use strict sterile technique with wound care in order to prevent infection. 2. Instruct the client to increase her intake of vitamin C to assist in blood coagulation. 3. Hold pressure over the injection sites to ensure that clotting has occurred. 4. Encourage the client to increase ambulation to prevent a deep venous thrombosis.
The correct nursing intervention for anaphylaxis would be
a. assess respiratory status, including dyspnea. b. hypertension and elevated albumin levels. c. assess skin status, including erythema, urticaria, cyanosis, and pallor. d. assess GI status, including nausea, vomiting, diarrhea, incontinence.
A patient presents at the emergency department (ED) after receiving a chemical burn to the eye. What would be the nurse's initial intervention for this patient?
A) Generously flush the affected eye with an antibiotic solution B) Generously flush the affected eye with normal saline or water C) Apply a patch to the affected eye D) Apply direct pressure to the affected eye
The nurse reviews the nursing care plan of a client being seen in the mental health clinic and notes that the client is experiencing dysfunctional grieving after losing his spouse. Which is the appropriate outcome for the treatment plan for this client?
A. The client plans to attend a community grief group. B. The client reports that he is trying to use coping strategies. C. The client verbalizes an absolute need to spend time with friends. D. The client verbalizes the relationship between significant loss and depression.