The nurse talks with a client who is receiving chemotherapy, discussing the importance of handwashing and screening visitors who are ill. The client receives these instructions more than once
The most important reason for the repetition of these instructions is: 1. It is very important to protect visitors from infection by the client.
2. The client is unable to retain much information at this time.
3. The client is immunosuppressed, and more susceptible to infection.
4. The nurse is not aware that the client has already received this information.
3
Rationale: Chemotherapy has the effect of reducing the immune system response, with decreased white blood cell and red blood cell counts. In combination with the client's general debilitation, she is at great risk for increased infection. It is important that the client fully understand infection precautions regarding hand hygiene, screening ill visitors, and avoiding large crowds of people. Caution should be taken with coming in contact with young children, who are more likely to have an infection.
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A 35-year-old female client has been diagnosed with a deficiency of most anterior pituitary hormones. Which fact reported in her history should the nurse explore further with regard to her pituitary problem?
A. The client's mother and sister have adult-onset diabetes mellitus. B. The client experienced a postpartum hemorrhage 5 years ago. C. The client has a severe allergy to shellfish and iodine. D. The client has used oral contraceptives for 5 years.
After seven half-lives of a drug, which of the following percentages of the medication or drug remains in the plasma of the person taking that drug?
a. less than 1% b. 1.5% c. 5% d. 50%
What do you think this condition might be?
Mrs Lucia Caruso is a 31-year-old woman who has been admitted into the postanaesthesia care unit (PACU) following a dilation and curette after having had an incomplete missed abortion (miscarriage). On arrival, Mrs Caruso has a size 3 laryngeal mask airway (LMA) in situ, and is unconscious and in a supine position. A disposable t-piece and oxygen, 6 litres per minute, are connected to the LMA and monitoring is connected. You accept a full handover from the anaesthetist, who reports a fit and healthy patient and an uneventful procedure. An IV line is in situ in the back of the patient's left hand with a litre of Hartmann's solution running at an 8-hourly rate. You make your initial assessment and document the patient's vital signs as follows: airway clear, oxygen saturation 99%, respiratory rate 18 per minute, BP 130/90 mmHg (preoperative 120/80 mmHg) and heart rate regular at 74 bpm. Five minutes after arrival, Mrs Caruso stirs and opens her eyes and you remove the LMA and place her on 6 litres of O2 via a Hudson mask. Now that the patient is conscious, you continue your observations, taking and recording her core temperature (using a tympanic ear thermometer) at 36.2°C and assessing the per vaginal (PV) loss, which is slight and bright. You sit Mrs Caruso slightly head up to facilitate optimal ventilation. Mrs Caruso is understandably upset and so you comfort her. Her vital signs remain stable and so after 15 minutes you remove her oxygen and trial her on room air. Mrs Caruso appears stable: SaO2 97% on room air, BP 115/85 mmHg, respirations 20 per minute and heart rate 70 bpm. No further PV loss is present and so you conclude that your patient is ready to be transported to the ward. You decide to record the next set of observations (due in 2 minutes) on the ward observation chart and then you will call the ward nurse to collect Mrs Caruso. What will be an ideal response?
Which of the following is of the utmost importance in parish nursing practice?
1. Confidentiality 2. Faith of nurse 3. Number of congregants 4. Fellowship