A client is taking goserelin (Zoladex). What periodic assessment does the nurse plan for this client?
a. Weight and abdominal girth
b. Pulmonary function tests
c. Bone density testing
d. Abdominal ultrasound
C
Zoladex is a luteinizing hormone–releasing hormone (LH-RH) agonist. Side effects include hot flashes, erectile dysfunction, decreased libido, gynecomastia, and osteoporosis. A periodic bone density screening test should be done to assess for osteoporosis. The other assessments would not be needed to assess for side effects of this drug.
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A patient has an open reduction of a radial fracture and is casted. Several hours after the operation, the patient reports a throbbing pain in the arm. What nursing action is essential for the nurse to take?
a. Administer analgesics as ordered. b. Perform neurovascular checks. c. Notify the physician immediately. d. Reposition arm.
A patient is admitted to the unit in respiratory distress secondary to pneumonia. The nurse knows that obtaining a history is very important. What is the appropriate intervention at this time for obtaining this data?
a. Collect an overview of past medical history, present history, and current health status. b. Do not obtain any history at this time. c. Curtail the history to just a few questions about the client's chief complaint and precipitating events. d. Complete the history and then provide measures to assist the client to breathe easier.
What was the purpose of the Nurse Reinvestment Act of 2002?
a. Provided disability insurance to RNs who contract a life-threatening illness while on duty b. Funded public service announcements that promote unlicensed caregivers as an alternative to professional nurses c. Focused on nurse retention and safety enhancement grants d. Provided pediatric nursing training grants
The nurse is developing a plan of care for the child hospitalized with nonorganic failure to thrive (NFTT). Which nursing intervention would be the highest priority for this child?
A) Monitor fluid intake and urinary output B) Monitor bowel elimination C) Lubricate the skin to keep it moisturized and intact D) Teach and support the caregiver