The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy . The nurse notes that the platelet count is 20,000. Based on the laboratry result, which intervention will the nurse document in the plan of care?
a. initiate bleeding precautions
b. monitor closely for sx of infection
c. monitor temp q4h
d. initiate protective isolation precautions
a. initiate bleeding precautions
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A 28-year-old primiparous (pregnant for the first time) woman is 37 weeks pregnant and has made minimal progress since being admitted in early labor several hours ago. As a result, the care team is considering the use of exogenous oxytocin
What factors will the care team primarily consider in this decision? (Select all that apply.) A) The presence or absence of conditions that contraindicate vaginal delivery B) The woman's age C) The patient's level of anxiety surrounding labor and delivery D) The patient's Bishop score E) The patient's blood type
The nurse is providing care to a client who receives peritoneal dialysis for the treatment of renal failure. Which assessment findings will the nurse report to the health care provider as indicators of peritonitis?
Select all that apply. 1. Fever 2. Nausea 3. Vomiting 4. Pain at the exit site 5. Anuria
In completing nursing care for an older person diagnosed with dementia, which of the following interventions would take priority for this person?
A) Provide excessive stimuli to keep the person's attention. B) Use simple one-step commands. C) Provide higher level needs. D) Provide various environments to keep the person engaged in activity.
To plan effectively for an individual who is in crisis, the nurse must have an understanding of:
1. Methods to establish rapport 2. Family counseling techniques 3. The meaning of the crisis event to the individual 4. Posttraumatic stress syndrome treatment modalities