The nurse is caring for a child who has undergone stem-cell transplantation for Wiskott-Aldrich syndrome. The nurse would monitor closely for which of the following to assess for an indication that graft-versus-host disease is developing?
A) Presence of wheezing
B) Presence of malar rash
C) Maculopapular rash
D) Chronic or recurrent diarrhea
C
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A woman was abducted and raped at gunpoint by an unknown assailant. When found she was
confused and disoriented. The nurse makes the following observations about the client. She is talking rapidly in disjointed phrases, is unable to concentrate, and is indecisive when asked to make simple decisions. The client's level of anxiety can be assessed as a. severe. b. moderate. c. mild. d. nonexistent.
Assume all of the following written instructions about digoxin provide correct information for patient care. Which one is best worded for patient understanding?
1) Obtain your radial pulse every morning before taking your digoxin dose. 2) Return to your healthcare provider for monthly laboratory studies of your digoxin levels. 3) Call your doctor if you notice that objects look yellow or green. 4) Always take the same brand of medication because certain brands may not be interchangeable.
The nurse is caring for a postpartal client who is of Hmong descent and immigrated to the United States five years ago. The client asks for the regular hospital menu because she likes American food
The nurse assesses this response to be related to which of the following cultural concepts? 1. Acculturation 2. Ethnocentrism 3. Enculturation 4. Stereotyping
A patient states, "I am in such pain. Do you think I might have fibromyalgia?" Which response by the nurse is indicated?
1. "Have you been in pain over 2 months?" 2. "You must stop smoking before a diagnosis of fibromyalgia can be made.". 3. "Have you considered having the blood test for fibromyalgia?" 4. "In which areas do you have pain?"