A client is prescribed granisetron (Kytril) IV for relief of nausea and vomiting caused by cancer chemotherapy. What intervention is most appropriate for this client?
a. Administer the medication at least 12 hours before the start of chemotherapy.
b. Weigh the client before chemotherapy.
c. Assess baseline vital signs and monitor for tachycardia.
d. Teach the client about the possibility of rebound nausea and vomiting once the drug is discontinued.
Ans: b. Weigh the client before chemotherapy.
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A nurse is evaluating teaching when discussing care of a new tracheostomy. Which statement, made by the client, indicates that the client does not accept the new tracheostomy?
A) "I must carry tissues with me." B) "I must give up my love of pool aerobics." C) "I will not be able to have the tracheostomy removed." D) "Tell my wife about it, I do not want to touch it."
The nurse checks the coagulation studies on a client who is not receiving any type of anticoagulant therapy. Which of the following findings should be reported to the physician?
A) INR is 2.5. B) APPT is 25 seconds. C) Platelet count is 250,000 mm3. D) Prothrombin time is 20 seconds.
The nurse is caring for a patient who was involved in an automobile accident 2 weeks ago. The patient sustained a head injury and is unconscious. The nurse is able to identify that the major element involved in the development of a decubitus ulcer is
a. Pressure. b. Resistance. c. Stress. d. Weight.
The nurse is teaching a client who is prescribed sumatriptan therapy for treatment of migraine headaches. The nurse instructs the client to take the drug at which time?
1. At the first sign of aura or headache 2. First thing in the morning if expecting a headache 3. When the client can lie down for one hour after taking the drug 4. About 30 minutes after the start of the headache