The nursing action that has the highest priority for a 32-year-old client with an implanted radiation source should focus on
a. assessing the client's reaction to the diagnosis and treatment.
b. preventing skin problems related to radiation.
c. promoting regular activity while confined to the room.
d. safeguarding the client and others from unnecessary radiation exposure.
D
Sealed-source radioactive implants require a private room and bath because of the risk of implant dislodgment and subsequent exposure of other people to the radiation. Rooms at the ends of halls or stairwells may be designated for use by such clients because their location provides a de-creased chance of exposure to others.
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Diagnosis of an aneurysm is usually made on the basis of the patient's
A) cerebral angiogram. B) physical examination. C) CT scan. D) All of the above are correct.
McClelland's studies state that all people are motivated by three basic needs. What are these needs?
A) Physiological, security, esteem B) Safety, social, self-actualization C) Achievement, affiliation, power D) Responsibility, supervision, job security
You are assuming care of a 16-year-old patient who is in skeletal traction following a motor vehicle accident. You take shift report and find out that the patient avoids using the urinal and bedpan because they "embarrass him."
When you assess the patient you find that the patient's temperature is 101.5°F and his blood pressure and pulse are elevated. What would the nurse suspect? A) Sacral skin breakdown B) Infected pin sites C) Urinary infection D) Urinary incontinence
A term neonate has a brief history of lethargy and poor feeding. Upon examination, the neonate is noted to be pale, mottled, and diaphoretic. Palpation reveals strong pulses in the upper extremities and diminished pulses in the lower extremities. The following data are obtained: axillary temp 36.6; HR 176; RR 84 bpm; cap refill 5 seconds; urine output 0.2mL/kg/hr. A diagnostic step that is useful is:
a. assessing for the presence of a diastolic murmur b. drawing serial blood gases in room air and 100% oxygen c. obtaining blood pressures in all 4 extremities