An elderly client in the hospital is diagnosed with leukemia and is treated with chemotherapy. The client develops stomatitis secondary to receiving the anticancer drugs. The most appropriate nursing diagnosis related to stomatitis is
A) impaired dentition.
B) fluid volume deficit.
C) altered physical mobility.
D) impaired oral mucous membrane.
D
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A patient tells the nurse that one result of his chronic stress is that he has considerable fatigue. He usually sleeps from 11:00 PM to 6:30 AM
He reports he now sets his alarm to give himself an extra 30 minutes of sleep each morning but feels no better and is rushed for work. Which nursing response would best address the patient's concerns? a. "You may need to speak to your doctor about taking a sedative to help you sleep.". b. "Exercising just before retiring for the night may help you to sleep better.". c. "Perhaps going to bed a half hour earlier would work better than sleeping later.". d. "A glass of wine in the evening might take the edge off and help you to rest.".
Which of these actions is essential when a nurse is caring for a postpartum client who is getting out of bed for the first time?
a. Stay with the client during ambulation. b. Ask a family member to walk with the client. c. Administer pain medication before getting the client up. d. Have a walker or cane readily available.
The nurse is preparing a patient education handout on the differences between false labor and true labor. What information is most important for the nurse to include?
1. True labor contractions begin in the back and sweep toward the front. 2. False labor often feels like abdominal tightening, or "balling up." 3. True labor can be diagnosed only if cervical change occurs. 4. False labor contractions do not increase in intensity or duration.
A patient is receiving potassium (K-Lor) 20 mEq/L, furosemide (Lasix) 20 mg, and digoxin (Lanoxin) 0.125 mg orally. The patient's potassium level is 5.8 mEq/L and the dose of K-Lor 10 mEq/L is scheduled to be given now
What action should the nurse take? a. Monitor the urine output. b. Give K-Lor as scheduled now. c. Assess the patient's pulse rate. d. Hold the scheduled dose of Lasix.