A patient with end-stage pancreatic cancer is admitted to the nursing unit. The patient is lethargic and jaundiced. What is the priority nursing care for this patient?
1. Manage nutrition.
2. Increase activity.
3. Manage comfort.
4. Understand the effects of high bilirubin levels.
3
Rationale 1: Managing nutrition is no longer the primary intervention in caring for patients with end-stage pancreatic cancer.
Rationale 2: This patient should not be asked to increase activity.
Rationale 3: A patient with end-stage pancreatic cancer who is lethargic and jaundiced will need comfort management and palliative care.
Rationale 4: Understanding the effects of high bilirubin levels is not a primary care objective for this patient.
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A nurse is administering an injection to a client with the needle at a 15-degree angle. Which of the following injections can be administered at this angle?
A) Intradermal B) Subcutaneous C) Intramuscular D) Intravenous
A hospitalized patient is placed on diethylstilbestrol ( DES) for prostate cancer. The nurse explains the possible side effects of the medication, which are:
1. gynecomastia. 2. pruritus. 3. constipation. 4. tinnitus.
How would a drug dose that is below the minimum effective concentration (MEC) affect a patient's response to the drug?
a. Drug entry exceeds drug elimination. b. The intended response fails to occur. c. The risk for toxic side effects is increased. d. The drug's duration of action is longer than expected.
The health care industry comprises systems that integrate financing, management, and delivery of services. Population management includes wellness and illness prevention. The use of integrated systems has had important consequences such as:
1. Management has shifted from inpatient care to primary care providers as points of entry. 2. Emphasis is on population health management rather than on episodes of illness for an individual. 3. Care management services and programs do not provide access and accountabili-ty, but case management services do. 4. Population management no longer requires assessment.