The nurse is instructing a client with breast cancer who will be undergoing chemotherapy about side effects of doxorubicin (Adriamycin). Which side effect will the nurse instruct the client to report to the physician?
A. Diaphoresis
B. Dysphagia
C. Edema
D. Hearing loss
Ans: C. Edema
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Which are components of the FLACC scale? (Select all that apply.)
a. Color b. Capillary refill time c. Leg position d. Facial expression e. Activity
If rubella vaccine is indicated for a postpartum client, which instructions to the client should be included?
a. No specific instructions b. Drinking plenty of fluids to prevent fever c. Recommendation to stop breastfeeding for 24 hours after the injection d. Explanation of the risks of becoming pregnant within 28 days following injection
The client newly diagnosed with type 1 diabetes mellitus has just learned to measure urine ketone bodies. She asks the nurse when this should be done. What is the nurse's best re-sponse?
A. "Daily, just before you take your insulin." B. "Whenever you test your blood for glucose." C. "Whenever you are ill or your blood sugar is consistently higher than 300 mg/dL." D. "Whenever you participate in vigorous exercise or experience a change in your daily activity level."
A nurse cares for inmates in a state penitentiary. Which behavior has been identified as most common among incarcerated persons who are mentally ill?
A) Denial of problems B) Thought disorders C) Hallucinations D) Delusions