A client is placed on a medical regimen of doxorubicin (Adriamycin), cyclophosphamide (Cytoxan), and fluorouracil (5-FU) for breast cancer. Which side effect seen in the client should the nurse report to the provider immediately?
a. Shortness of breath
b. Nausea and vomiting
c. Hair loss
d. Mucositis
ANS: A
Doxorubicin (Adriamycin) can cause cardiac problems with symptoms of extreme fatigue, shortness of breath, chronic cough, and edema. These need to be reported as soon as possible to the provider. Nausea, vomiting, hair loss, and mucositis are common problems associated with chemotherapy regimens.
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An elder receives speech therapy for dysarthria. Which advice should the nurse offer the elder to enhance the speech therapist's work?
a. Speak quietly in a quiet location. b. Articulate several words in a row. c. Practice facial exercises regularly. d. Restrict the mouth from opening too far.
A client diagnosed with posttraumatic stress disorder is experiencing insomnia. Which interventions would be beneficial for this client?
Select all that apply. A) Discuss the importance of exercise before sleep. B) Instruct in relaxation techniques. C) Encourage the use of sedatives. D) Suggest daytime naps. E) Coach in the use of guided imagery.
You are making a surgical bed for a patient returning from surgery. Which is correct?
a. A complete linen change is needed. b. After making the bed, leave the bed in the lowest position. c. After making the bed, leave both bed rails up. d. Attach the call light to the bed.
To quickly assess a patient’s nervous system for dysfunction, what assessment should the healthcare professional perform as the priority?
a. Size and reactivity of pupils b. Pattern of breathing c. Motor response d. Level of consciousness