A patient diagnosed with cancer is admitted with a weight loss of 25 lbs. over the last month as well as progressive anorexia and muscle wasting. The nurse would plan care around which condition?
1. Anorexia-cachexia syndrome
2. Syndrome of inappropriate antidiuretic hormone (SIADH)
3. Superior vena cava syndrome (SVC)
4. Sepsis
1
Rationale 1: The nurse can recognize the syndrome of cancer cachexia by the presence of anorexia, weight loss, muscle and adipose tissue wasting, and hyperlipidemia.
Rationale 2: SIADH is a paraneoplastic syndrome causing water imbalance.
Rationale 3: SVC presents with dyspnea, cough, and a feeling of fullness in the head.
Rationale 4: The information presented does not suggest sepsis.
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A patient is receiving acupuncture as a complementary treatment for alcoholism. An expected outcome would be that the patient will:
a. report that his desire for alcohol has decreased. b. experience fewer or milder symptoms of anxiety. c. not experience symptoms of alcohol withdrawal. d. verbalize knowledge of how to cope with relapse.
Imbalanced nutrition: Less than body requirements is the nursing diagnosis applicable to a patient with progressive systemic sclerosis. What is the most important point for the nurse to teach this patient?
a. Eat three large meals spaced throughout the day. b. Schedule rest periods to prevent overtir-ing. c. Severe stress can trigger vasospasm. d. Eat smaller, more frequent meals.
A client has been diagnosed with schizophrenia. The nurse is able to move the client's arm in a certain position and it will remain in that position until it is moved again
The nurse would document this behavior alteration as which of the following? A) Avolition B) Waxy flexibility C) Loose association D) Dystonia
A patient has a history of liver disease. Which of the following neuromuscular blocking agents will this patient best tolerate?
a. Pancuronium (Pavulon) b. Vecuronium (Norcuron) c. Mivacurium (Mivacron) d. Atracurium (Tracrium)