The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer. Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider?
a. Poor oral intake
b. Frequent loose stools
c. Complaints of nausea and vomiting
d. Increase in carcinoembryonic antigen (CEA)
ANS: D
An increase in CEA indicates that the chemotherapy is not effective for the patient's cancer and may need to be modified. The other patient findings are common adverse effects of chemotherapy. The nurse may need to address these, but they would not necessarily indicate a need for a change in therapy.
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A client is prescribed naloxone for the treatment of postoperative acute respiratory depression after a kidney transplant. The nurse explains the drug to the family, describing its action as which of the following?
A) Naloxone stops internal bleeding. B) Naloxone restores respiratory function. C) Naloxone restores reflexes of limbs. D) Naloxone helps the client overcome pain.
The nurse is providing care to a patient with a differential diagnosis of carbon monoxide poisoning. Which assessment findings would be consistent with this diagnosis?
Select all that apply. 1. cherry-red mucous membranes 2. circumoral pallor 3. diarrhea 4. nausea 5. dizziness
A nursing manager for a cardiac unit wishes to improve collaborative teamwork to improve patient care outcomes. Which action by the manager would best accomplish this goal?
a. Create permanent nurse–aide work groups. b. Formulate nurse–cardiologist work teams. c. Implement daily multidisciplinary rounds. d. Require face-to-face reports between nurses.
When doing a neurovascular assessment on an individual with a fracture, which of the following is most important when assessing pulses? a. Press over the area of the pulse with one or bothof the first two fingers
b. Palpate pulses distal to the injury; comparebilaterally. c. Enquire about feelings of numbness or tingling. d. Have the individual move the area distal to the injury.