A patient with Hodgkin's lymphoma who is undergoing external radiation therapy tells the nurse, "I am so tired I can hardly get out of bed in the morning." Which intervention should the nurse add to the plan of care?
a. Minimize activity until the treatment is completed.
b. Establish time to take a short walk almost every day.
c. Consult with a psychiatrist for treatment of depression.
d. Arrange for delivery of a hospital bed to the patient's home.
ANS: B
Walking programs are used to keep the patient active without excessive fatigue. Having a hospital bed does not necessarily address the fatigue. The better option is to stay as active as possible while combating fatigue. Fatigue is expected during treatment and is not an indication of depression. Minimizing activity may lead to weakness and other complications of immobility.
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A premature infant is experiencing infant respiratory distress syndrome in the NICU. The nurse recognizes that this condition is most likely caused by which of the following?
A) Defective type I alveolar cells B) An obstruction at the right bronchus C) Negative intrapleural pressure D) Immature type II alveolar cells
You are doing rounds at the beginning of your shift when you notice a sputum specimen sitting on the bedside table in a patient's room. You ask the patient when he produced the sputum specimen
You learn the specimen is about 4 hours old. Knowing this information, what action would you take? A) Immediately take the sputum specimen to the laboratory B) Discard the specimen and assist the patient in obtaining another specimen C) Refrigerate the sputum specimen D) Wait an additional 2 hours before sending the specimen to the laboratory
The healthcare provider prescribes 500 mL of 0.25% normal saline (1/4 NS) intravenously over 4 hours for the patient
At which rate does the nurse infuse the intravenous (IV) solution into the patient using IV tubing with a drop factor of 15 gtts/mL? a. 125 mL/hr b. 31 mL/min c. 31 gtts/min d. 125 gtts/min
What is the process of deductive reasoning?
A) Verifying assumptions that are part of our heritage. B) Developing specific predictions from general principles. C) Empirically testing observations that are made known through our senses. D) Forming generalizations from specific observations.