The nurse is caring for a client receiving an extensive regime of chemotherapy. The nurse recognizes that the client's ability to avoid muscle wasting during this treatment is most affected by:
1. His pretreatment nutritional status.
2. His general attitude related to food.
3. The management of any nausea and vomiting.
4. The nutritional value of the foods the client is likely to eat.
His pretreatment nutritional status.
Rationale: The patient who is already malnourished before surgery, injury, or disease will have less available body stores to draw on during a metabolically challenging circumstance. The remaining options are applicable to all clients and not specifically related to muscle wasting.
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A person is hemorrhaging. Direct pressure does not stop the bleeding. What should you do?
a. Give the person fluids. b. Start CPR. c. Apply pressure to the artery above the bleeding site. d. Apply pressure to the artery below the bleeding site.
Which statements by a patient who is terminally ill give the nurse information relevant to spiritual assessment? Select all that apply
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When Shanna, a CNA, takes Mr. Ko's blood pressure, she is unsure of the results, even after taking it a second time. What should Shanna do?
A. Estimate the blood pressure based on what she thought she heard. B. Average the two readings she got and record that as the blood pressure. C. Ask her supervising nurse to check Mr. Ko's blood pressure. D. Take the blood pressure two more times and record the two that agree.
The nurse is planning to instruct a new mother on ways to prevent hypothermia in her newborn. What should this teaching include?
Select all that apply. A) Expect the baby to shiver. B) Keep the newborn's head covered. C) Cover the newborn with a light sheet during afternoon naps. D) Notice changes in the baby's respirations and take the appropriate action. E) Cover the newborn with minimal blankets when out of doors in temperatures in the 50s.