Which is the priority nursing assessment for a client prescribed epoetin alfa (Epogen)?
A. Blood pressure
B. Temperature
C. Oxygen saturation
D. Apical pulse
Answer: A
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A patient has a serious illness but does not seem to be responding as the nurse expects. Which action by the nurse would most likely lead to a better understanding of this situation?
a. Ask the patient to describe what is wrong with him or her. b. Determine whether any factors are interfering with learning. c. Find out why the patient thinks the illness is not serious. d. Inquire about cultural beliefs regarding health and illness.
To help the family of a patient find a source of financial aid to meet medical expenses, the nurse can make a referral to:
a. a local bank. b. a clinical nurse specialist. c. the hospital administration. d. social services.
A client is having intravesical BCG instillation for bladder cancer. Safety precautions the nurse should implement include
a. disinfect the toilet and urine containers with bleach. b. limit time giving direct client care to 30 minutes per 8-hour shift. c. not allowing visitors into the room during the instillation. d. wearing a gown and gloves when entering the room.
What often causes cellulitis?
a. Herpes zoster b. Candida albicans c. Human papillomavirus d. Streptococci or staphylococci