What recommendations should a nurse make to a visitor of a patient who has an internal radiation implant? (Select all that apply.)
a. Avoid visitation if you are pregnant.
b. Take off all metals, such as your watch and belt.
c. Limit your visitation time.
d. Wear a protective lead apron.
e. Stay at least 6 feet away from bedside.
A, C, E
Visitors are important to reduce the isolation of the patient who is undergoing radiation, but pregnant women should not visit. The visits of all persons should be limited to a few minutes, and they should be at least 6 feet from the bedside. Removing metal objects and wearing protec-tive devices are not necessary.
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The nurse is cotherapist of a group. The guidelines followed by the therapists include focusing on
changing dysfunctional behavior and thinking patterns, selecting from the unit population the clients who can profit from the group, intervening promptly, and being directive. This type of group therapy can be identified as a. behavioral therapy. b. self-help. c. psychoeducational. d. cognitive-behavioral.
A normal glomerular filtration rate is:
a. less than 80 mL/min. b. 80 to 125 mL/min c. 125 to 180 mL/min d. more than 189 mL/min
The nurse is caring for a newborn diagnosed with patent ductus arteriosus. Which finding will the nurse assess that is consistent with this diagnosis?
A) Slow heart rate B) Expiratory grunt C) Wide pulse pressure D) Absent femoral pulses
Which item of assessment data obtained by the home care nurse suggests that an older adult client may be dehydrated?
a. The client has dry, scaly skin on bilateral upper and lower extremities. b. The client states that he gets up three or more times during the night to urinate. c. The client states that he feels lightheaded when he gets out of bed or stands up. d. The nurse observes tenting on the back of the hand when testing skin turgor.