An adolescent is diagnosed with Hodgkin's disease. Lymph nodes on both sides of her diaphragm have been found to be involved, including cervical and inguinal nodes. The disease is in:
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
C
Lymph node regions on both sides of the diaphragm and involvement of adjacent organs or spleen indicate a diagnosis of Stage III Hodgkin's disease.
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The nurse is explaining to a client that some risks for cardiovascular disease (CVD) can be minimized by nutritional change. What should the nurse recommend to reduce the client's risk of developing atherosclerosis?
a. Maintaining lower cholesterol levels b. Daily supplementation with vitamin E c. The addition of selenium to the daily diet d. Adding foods rich in beta carotene to the diet
The nurse is caring for a 10-year-old in traction. While performing a skin assessment, the nurse notices that the skin over the calcaneus appears slightly red and irritated. Which action would the nurse take first?
A) Reposition the child's foot on a pressure-reducing device. B) Apply lotion to his foot to maintain skin integrity. C) Make sure the skin is clean and dry. D) Gently massage his foot to promote circulation.
The student nurse is discussing the use of massage with the instructor. Which statement by the student indicates the need for further instruction? Select all that apply
A) "The benefits of massage may last up to 5 days." B) "Massage should be avoided on clients who are not able to move independently." C) "The use of rubbing alcohol during a massage may be cooling." D) "Massage has been demonstrated to promote increased restful sleep patterns." E) "Massage may result in increased blood pressure and heart rate in a client recovering from a stroke."
What nursing intervention is especially helpful in assessing feelings of parental guilt when a disability or chronic illness is diagnosed?
a. Ask the parents if they feel guilty. b. Observe for signs of overprotectiveness. c. Talk about guilt only after the parents mention it. d. Discuss the meaning of the parents' religious and cultural background.