The nurse is assisting with care of a patient on chemotherapy with severe mucositis. The patient reports mucous membrane pain level to be "8" on the pain scale. The priority nursing diagnosis for this patient is
a. altered nutrition: less than body requirements.
b. risk for aspiration.
c. fluid volume deficit.
d. pain.
ANS: D
Pain is the nursing priority. A score of "8" indicates severe pain and comfort measures would take priority. Altered nutrition: less than body requirements, risk for aspiration, and fluid volume deficit are not the priorities at this time.
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Which of the following way(s) can physicians enable drug abuse? (Select all that apply.)
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To maintain adequate tissue integrity to the lower legs of a patient with peripheral vascular disease, the nurse should encourage the patient to:
A) Use strong soaps to clean the feet. B) Avoid trimming toenails. C) Eat a low-protein diet. D) Wear sturdy, well-fitting shoes.
Which of the following should a nurse consider when assessing older clients with a sexually transmitted disease (STD)?
A) Abandon biases that older adults are sexually inactive. B) Older clients, because of their maturity, are never embarrassed to talk about their illness. C) Older clients understand that barrier and chemical contraceptives are appropriate for preventing STDs. D) Older clients who are sexually active do not have the same risk of acquiring an STD as other age groups.
What is the best bedtime snack for older adult patients with failure to thrive and insomnia?
a. Ice cream in a waffle cone b. Bowl of grapes c. Glass of milk and a macaroon cookie d. Cup of cream of broccoli and cheese soup