A client contemplating chemotherapy for acute leukemia tells the nurse that s/he is concerned about the effects of chemotherapy on sexuality. Appropriate interventions by the nurse include (Select all that apply)
a. describing the physical changes that may occur with chemotherapy affecting sexuality.
b. explaining that because of fatigue or other causes, libido may be decreased during chemotherapy.
c. informing the client and partner that you will call a social worker who can address their concerns.
d. informing the client about some reproductive alternatives such as sperm banking and egg harvesting.
e. offering information on alternative sexual positioning and techniques the client can try.
A, B, D, E
Options a, b, d, and e are excellent interventions for the nurse to provide. Option c is not the best choice. Although it is acceptable to make referrals to those with more expertise on subject matters like sexuality, all nurses need to be able to share information about sexuality concerns in the population of clients with whom the nurse most frequently works. A nurse should be able to an-ticipate and answer several of the most common sexual concerns/questions in his/her specialty area.
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A physician orders short-term restraints for an elderly patient. The nurse has the responsibility to do all of the following except
a. Remove the restraints periodically b. Assist with range-of-motion exercises c. Delay following the physician's instructions and contact the interdisciplinary team (IDT) d. Observe and care for the skin periodically
A 51-year-old female client who is 2 days postoperative in a surgical unit of a hospital is at risk of developing atelectasis as a result of being largely immobile. Which of the following teaching points by her nurse is most appropriate?
A) "Being in bed increases the risk of fluid accumulating between your lungs and their lining, so it's important for you to change positions often." B) "You should breathe deeply and cough to help your lungs expand as much as possible while you're in bed." C) "Make sure that you stay hydrated and walk as soon as possible to avoid us having to insert a chest tube." D) "I'll proscribe bronchodilator medications that will help open up your airways and allow more oxygen in."
An experienced intensive care unit (ICU) nurse is resisting the implementation of telehealth in the ICU because "we each only have one or two patients and are always available." What action by the manager is best?
a. Explain how telehealth can reduce specific adverse events in ICU patients. b. Provide education on the advantages of telehealth in the ICU. c. Remind the staff that telehealth is part of their health care environment. d. Visit with the nurse and ask why the nurse is so against telehealth.
Which of the following degenerative diseases of the central nervous system is the most common?
1. Amyotrophic lateral sclerosis 2. Parkinson's 3. Multiple sclerosis 4. Huntington's chorea