The client with prostate cancer is taking estrogen daily to control tumor growth. He reports that his left calf is swollen and painful. What is the nurse's best first action?
A. Instruct the client to keep the leg elevated for two days.
B. Measure the calf circumference and assess for Homan's sign.
C. Apply ice to the calf after massaging it for at least 5 minutes.
D. Document this expected response to hormonal manipulation.
B
An adverse reaction to hormonal manipulation therapy is the development of thrombus forma-tion. Massaging a calf that is swollen and painful is never correct, because this action might break a clot to form an embolus, which could then travel to the lungs.
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A client is being discharged from the hospital after surgery on hydrocodone and acetaminophen (Lorcet). What discharge instruction is most important for this client?
a. "Call the doctor if the Lorcet does not relieve your pain." b. "Check any over-the-counter medications for acetaminophen." c. "Eat more fiber and drink more water to prevent constipation." d. "Keep your follow-up appointment with the surgeon as scheduled."
The Office of Homeland Security has a mission to rebuild the crumbling public health infrastruc-tures of each state and provide:
a. vaccines for smallpox, anthrax, and plague. b. regulation of nuclear weapons. c. surveillance of bioterrorism threats. d. regulation of foreign nurses entering the United States.
Use of donor sperm is an option for couples where male infertility is identified
Indicate whether the statement is true or false.
To reassure and educate pregnant clients about changes in the cervix, vagina, and position of the fetus, nurses should be aware that:
a. Because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate. b. Quickening is a technique of palpating the fetus to engage it in passive movement. c. The deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor. d. Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.