A child is receiving fluorouracil as part of a chemotherapy protocol. Which of the following would be most important for the nurse to include in the child's plan of care?
A) Monitoring for visual changes
B) Maintaining adequate hydration
C) Using prescribed eye drops to prevent conjunctivitis
D) Avoiding administration with food or meals
B
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The nurse is caring for a group of clients in a long-term care facility. Which of the following clients are at risk for sensory deprivation? Standard Text: Select all that apply
1. The alert and oriented client who has no family in the area 2. The confused client who has no family in the area 3. The alert and oriented client who has several children, grandchildren, and great-grandchildren who are all involved in the client's care 4. The alert and oriented client who is unable to move independently 5. The confused client whose hearing aids work intermittently
The nurse is examining the external genitalia of a female client and notes small vesicular lesions that are painful. Based on this data, which condition does the nurse suspect?
1. Genital warts. 2. Herpes infection. 3. Bartholin abscess. 4. Contact dermatitis.
When assessing a child for classical signs of meningeal irritation, the nurse records:
a. positive Kernig's sign, diarrhea, and headache. b. negative Brudzinski's sign, positive Kernig's sign, and irritability. c. positive Brudzinski's and Kernig's signs and photophobia. d. negative Kernig's sign, vomiting, and fever.
Identify the nutrient that the nurse should increase in the diet of a client's who is 3 days postoperative after a thyroidectomy and is experiencing muscle twitching and tremors
a. Potassium b. Calcium c. Magnesium d. Iodine