The home health nurse discovers that a homebound cancer patient is using marijuana to control nausea from chemotherapy. What advice should the nurse give this patient?
1. Since the patient is homebound, it is likely the use of marijuana will not be discovered by anyone else.
2. The effect of marijuana on decreasing nausea is fleeting and not worth the health problems caused by using it.
3. Possession of marijuana is illegal under federal law unless prescribed by an approved physician.
4. Under certain circumstances, patients can claim exemption from the law against possession of marijuana.
4
Rationale: Possession of marijuana is illegal under federal law, but patients can claim exemption from that law. Some patients report that marijuana does decrease nausea from chemotherapy. The nurse cannot legally advise the patient that it is permissible to break a law.
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A client scheduled to have a urea breath test asks the nurse what the purpose of the test is. What should the nurse explain?
1. "It detects the presence of bacteria that contribute to formation of peptic ulcer disease." 2. "It identifies the pressure of the esophageal sphincter." 3. "It is done to determine the amount of hydrochloric acid secreted by your stomach." 4. "It measures the acidity of your esophagus and gastric fluids."
An older patient tells the nurse about leaking urine when sneezing. To what does the nurse realize that is type of urinary incontinence is attributed?
1. Result of a system blockage 2. Result of bladder overstretching 3. Damage of the urinary apparatus 4. Increase in intra-abdominal pressure
Arterial blood gases (ABGs) determine various factors related to blood. From which of the following sites can blood gas samples be obtained?
A) A puncture at the radial artery C) The pleural surfaces B) The trachea and bronchi D) A catheter in the arm vein
The nurse completes discharge teaching for a patient who has had a lung transplant. The nurse evaluates that the teaching has been effective if the patient makes which statement?
a. "I will make an appointment to see the doctor every year." b. "I will stop taking the prednisone if I experience a dry cough." c. "I will not worry if I feel a little short of breath with exercise." d. "I will call the health care provider right away if I develop a fever."