The nurse assesses a patient on chemotherapy. Which action(s) would be appropriate to identify the most serious consequence of chemotherapy-induced toxicity? You may select more than one answer
1. Take the patient's temperature.
2. Instruct the patient regarding a neutropenic diet.
3. Check the neutrophil count.
4. Administer erythropoietin for fatigue.
5. Order a wig for the patient's alopecia.
Correct Answers: 1, 3
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The nurse is teaching the patient about angina pectoris. Which of the following statements by the patient indicates that he has understood the teaching?
A) "I will avoid exercise because it will precipitate my angina." B) "As long as I take my medicines, I will not need to decrease my fat intake." C) "My high blood pressure has no effect on my episodes of chest pain." D) "High fat in the diet and smoking can cause my episodes of chest pain."
In addition to heart rate, blood pressure, respiratory rate, and temperature, the nurse needs to assess a patient's arterial oxygen saturation (SaO2). What procedure will best accomplish this?
A) Incentive spirometry B) Arterial blood gas (ABG) measurement C) Peak flow measurement D) Pulse oximetry
An intoxicated client is admitted to your unit and standard orders are instituted including a "banana bag" of IV fluids and a nutritional assessment
Based on these standard orders, what nursing diagnosis would be most appropriate for this client? A) Fluid volume deficit B) Altered nutrition C) Altered health maintenance D) Ineffective individual coping
A nurse reviewing a client's record notes documentation that the client has melena. How does the nurse detect the presence of melena?
A. By checking the client's urine for blood B. By checking the client's stool for blood C. By checking the client's urine for a decrease in output D. By checking the client's bowel movements for diarrhea