The nurse is preparing to assess a patient who is newly diagnosed with cancer. What should the nurse include in this assessment?
1. body image concerns
2. increased leukocytes
3. bone pain
4. increased hunger
Correct Answer: 1
There are several physical and psychologic effects that occur in a patient diagnosed with cancer. One of these effects is body image concerns. The patient's leukocytes are usually decreased, not increased. Bone pain will depend upon the type of cancer. A change in appetite can occur, although is it usually a loss of appetite.
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A patient has an open reduction of a radial fracture and is casted. Several hours after the operation, the patient reports a throbbing pain in the arm. What nursing action is essential for the nurse to take?
a. Administer analgesics as ordered. b. Perform neurovascular checks. c. Notify the physician immediately. d. Reposition arm.
The nurse is providing care for an elderly client who has been diagnosed with a hip fracture. The client underwent surgery to repair the hip. Which of the following assessments would indicate a risk for delayed wound healing?
A) client participation in activity B) low levels of calcium C) low levels of serum transferrin D) serous sanguinous drainage from the wound
A patient has experienced a seizure in which she became rigid and then experienced alternating muscle relaxation and contraction. What type of seizure does the nurse recognize?
A) Unclassified seizure B) Absence seizure C) Generalized seizure D) Focal seizure
A nurse manager is discussing documentation standards that reflect Joint Commission safety goals
Which information should the manager share with staff nurses? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "The documentation of assessment of infants and children should reflect standardization of assessment techniques.". 2. "Documentation should reveal that patients are reassessed according to hospital policy.". 3. "Education about pain and pain management should be documented on all appropriate patients.". 4. "Assessment documentation should make it clear that the assessment was conducted by a registered nurse.". 5. "Traditional care plans should be documented for each patient.".