A client has an absolute neutrophil count (ANC) OF 500/MM2 after completing chemotherapy. Which intervention is most to the nurse to implement?
A. Place the client in protective isolation
B. Implement bleeding precautions
C. Assess vital signs every 4 hours
D. Review need for pneumococcal vaccine
Ans: A. Place the client in protective isolation
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Which of the following aging changes is most significant to renal efficiency?
a. loss of up to half of functioning nephrons b. decreased cardiac output c. nocturia d. a and b
Which intervention to manage wandering in clients in a long-term care facility should be imple-mented? (Select all that apply.)
a. Camouflaging doorways b. Close observation to identify the person's individual patterns c. Engaging the person in social interactions d. Using physical restraints to prevent wan-dering to maintain safety e. Providing enclosed pathways for walking
A patient tells the nurse that before being diagnosed with diabetes, she noticed that some of her muscles were getting flabby and she didn't understand why
The reason for this patient's observation on her own muscle tone would be because 1. people with diabetes are too weak to do exercise and will lose muscle tone. 2. poor muscle tone is a diagnostic indicator for diabetes. 3. insulin facilitates the uptake, storage, and synthesis of protein. 4. muscles were being used for energy and created muscle wasting.
An expected nursing diagnosis for a 30-year-old patient admitted to the hospital with symptoms of diabetes insipidus is
a. excess fluid volume related to intake greater than output. b. impaired gas exchange related to fluid retention in lungs. c. sleep pattern disturbance related to frequent waking to void. d. risk for impaired skin integrity related to generalized edema.