The nurse is caring for a 20-year-old man who has Hodgkin's lymphoma in the abdominal and pelvic regions. The client is scheduled for radiation therapy and states, "I want to have children someday, and this procedure will destroy my chances"
How does the nurse respond? a. "Adoption is always an option."
b. "Infertility is not seen with this type of radiation therapy."
c. "Sperm production will be permanently disrupted."
d. "You have the option to store sperm in a sperm bank."
D
Permanent sterility can occur in male clients receiving radiation in the abdominal and pelvic re-gions. The client should be informed of this side effect and given the option to store sperm in a sperm bank before treatment. The other options do not appropriately address the client's con-cerns.
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An older adult patient with chronic obstructive pulmonary disease (COPD) develops bronchitis. The patient has a temperature of 39.5°C. The nurse will expect the provider to:
a. obtain a sputum culture and wait for the results before prescribing an antibiotic. b. order empiric antibiotics while waiting for sputum culture results. c. treat symptomatically, because antibiotics are usually ineffective against bronchitis. d. treat the patient with more than one anti-biotic without obtaining cultures.
Which combination of antiretroviral drugs would the nurse be most likely to administer in a patient when antiviral drug resistance testing is not available?
A) Ritonavir-boosted protease inhibitors (RTV-boosted PIs) and nucleoside reverse transcriptase inhibitors (NRTIs) B) Nonnucleoside reverse transcriptase inhibitors (NNRTIs) and NRTIs C) Protease inhibitors and fusion inhibitors D) Early inhibitors and integrase strand transfer inhibitors (INSTIs)
The nurse has completed caring for a patient's indwelling urinary catheter. What should the nurse do after clearing used supplies and removing the gloves?
1. Wash the hands with soap. 2. Document the care provided. 3. Prepare medications for the patient. 4. Discuss with the nursing assistant additional care needs for the patient.
The nurse is providing discharge instructions to a patient recovering from a total hip replacement
Which information should the nurse include in these instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Follow the use and weight-bearing instructions provided by the surgeon. 2. Do not do exercises if experiencing discomfort. 3. Report possible complications such as infection or dislocation. 4. Continue pain medications for only 2 days after discharge. 5. Eat protein foods with high biologic value such as meat, eggs, and dairy products.