A client with Paget's disease and severe hypercalcemia is receiving mithramycin intrave-nously. Which of the following should the nurse monitor for complications of this therapy?
A. Pulse oximetry
B. T3 and T4 levels
C. Liver enzyme levels
D. Heart rate and rhythm
C
Mithramycin can affect kidney and liver function. It also can cause decreased numbers of plate-lets. The nurse monitors all these parameters. When liver enzyme levels become very high, treatment may be interrupted temporarily.
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The nurse is admitting a client to the psychiatric unit. Which nursing action is correct?
1. Instruct the client that all information gathered during the assessment will be shared with the mental health team. 2. Alert the client that the psychiatrist will do all the intake assessment to maximize the efficiency of the team. 3. Discuss with the client information that is to be shared with family members and the mental health team. 4. Instruct the client that the mental health team will decide what the client needs to do in treatment.
A 53-year-old, 80-kg patient is admitted to the cardiac surgical intensive care unit after cardiac surgery
Four hours after admission to the surgical intensive care unit at 4 PM, the patient has stable vital signs and normal arterial blood gases (ABGs) and is placed on a T-piece for ventilatory weaning. During the nurse's 7 PM (1900) assessment, the patient is restless, heart rate has increased to 110 beats/min, respirations are 36 breaths/min, and blood pressure is 156/98 mm Hg. The cardiac monitor shows sinus tachycardia with 10 premature ventricular contractions (PVCs) per minute. Pulmonary artery pressures are elevated. The nurse suctions the patient and obtains pink, frothy secretions. Loud crackles are audible throughout lung fields. The nurse notifies the physician, who orders an ABG analysis, electrolyte levels, and a portable chest x-ray study. In communicating with the physician, which statement indicates the nurse understands what is likely occurring with the patient? a. "May we have an order for cardiac enzymes? This patient is exhibiting signs of a myocardial infarction." b. "My assessment indicates potential fluid overload." c. "The patient is having frequent PVCs that are compromising the cardiac output." d. "The patient is having a hypertensive crisis; what medications would you like to order?"
The nurse is working in an obstetrical clinic in an urban setting
The nurse knows that there are certain facts that affect the health care of this group of women, including: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Women who receive adequate prenatal care are less likely to develop preterm labor. 2. Women who do not receive prenatal care are more likely to have low-birth-weight babies. 3. A lack of prenatal care is a risk for infant morbidity and mortality. 4. Women who do not receive prenatal care are at a greater risk for various illnesses. 5. Women who do not receive prenatal care are more likely to have high-birth-weight babies.
The nurse anesthetist is a Registered Nurse who assists in administering the anesthetic to the patient in the operating room
True False