The nurse, caring for a patient diagnosed with lung cancer, determines that the patient might be experiencing superior vena cava syndrome when which finding is assessed?
1. Face and neck swelling
2. Hourly urine outputs 250 to 500 mL
3. Calcium level of 14.0 mg/dL
4. Flat jugular veins
1
Rationale 1: Superior vena cava (SVC) syndrome is an oncologic emergency and occurs when a lung tumor obstructs the SVC. This results in swelling of the face, hands, arms, and neck; distended jugular veins; cyanosis of the upper torso; and dyspnea.
Rationale 2: Hourly urine outputs of 250 to 500 mL/hour are suggestive of the complication syndrome of inappropriate ADH (SIADH).
Rationale 3: A calcium level of 14.0 mg/dL is considered hypercalcemia, which is a metabolic emergency associated with lung cancers.
Rationale 4: SVC syndrome is characterized by distended jugular veins.
You might also like to view...
The nurse is working with a group of parents of children with chronic conditions. The nurse concludes that a parent's caregiver burden could become overwhelming when the parent states which of the following?
1. "My mother moved in and helps us with the care of our family." 2. "Our health insurer sent us a rejection letter for my child's brand-name medication, and we must fill out forms to get the generic." 3. "I chose to quit my job to be home with my child, and my husband helps in the evening when he can." 4. "I have to care for my child day and night, which leaves little time for me."
A nurse practitioner is instructing a group of older adults about the risks associated with high cholesterol. Which of the following teaching points should the participants try to integrate into their lifestyle after the teaching session?
A) "Remember the 'H' in HDL and the 'L' in LDL correspond to high danger and low danger to your health." B) "Having high cholesterol increases your risk of developing diabetes and irregular heart rate." C) "Smoking and being overweight increases your risk of primary hypercholesterolemia." D) "Your family history of hypercholesterolemia is important, but there are things you can do to compensate for a high inherited risk."
The nurse is caring for a child with an anterior pituitary tumor. What hormones are secreted by the anterior pituitary? (Select all that apply.)
a. Oxytocin b. Luteinizing hormone c. Antidiuretic hormone d. Thyroid-stimulating hormone e. Adrenocorticotrophic hormone
Which length of time should a nurse allocate for a session focusing on the drug fluphenazine (Prolixin) with a medication group for cognitively impaired patients diagnosed with schizophrenia?
a. 20 minutes b. 50 minutes c. 60 minutes d. 130 minutes