After receiving change-of-shift report, which client does the nurse assess first?
a. Client with leukemia who needs an anti-emetic before chemotherapy
b. Client with breast cancer scheduled for external beam radiation
c. Client with xerostomia associated with laryngeal cancer
d. Client with neutropenia who has just been admitted with a possible infection
D
The most complex, potentially unstable client is the one with neutropenia with suspected infec-tion. Because the onset of infection is insidious in clients with neutropenia, this client is at risk for sepsis. All other clients are stable.
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The perinatal nurse in the birthing unit is aware that according to the Emergency Medical Treatment and Active Labor Act (EMTALA), pregnant women should receive care for problems such as which of the following? (Select all that apply.)
A. A history of recent trauma B. Contractions that occur 20 minutes apart C. Decreased fetal movement D. Rupture of the membranes E. Sexually transmitted infections
The nurse is preparing to assess a client's abdomen. Place the sequence for an abdominal assessment is the correct order. Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list
Response 1. Percussion. Response 2. Palpation. Response 3. Auscultation. Response 4. Inspection.
The goal of care in support of family coping is to:
1. Decrease the stress linked with illness experiences. 2. Provide the family with forms of support that will enhance individual healing and promote the construction of family health. 3. Make certain that the family's perception of the illness event is as accurate as possible. 4. All of the above.
What independent nursing action can be used to facilitate sleep in hospitalized patients who are on bedrest?
A) administering prescribed sleep medications B) changing the bed with fresh linens C) encouraging naps during the daytime D) giving a back massage