The nurse is caring for a patient with cutaneous T-cell lymphoma. The patient has been taking bexarotene (Targretin). Which laboratory finding would most concern the nurse?
a. Serum albumin 5 gm/dL
b. Serum creatinine 1 mg/dL
c. Triglycerides 128 mg/dL
d. Low-density lipoprotein (LDL) cholesterol 300 mg/dL
D
The nurse should be most concerned about an LDL cholesterol of 300 mg/dL, because this may indicate major lipid abnormalities, which are associated with the use of bexarotene.
The serum albumin level is normal. Serum albumin is not monitored with bexarotene.
The serum creatinine level also is a normal finding. Serum creatinine is not monitored with bex-arotene.
The triglyceride level is within normal limits.
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The nurse is caring for a patient who is recovering from thoracotomy surgery. The patient's respirations are regular but very shallow. Which intervention is the highest priority for the nurse to include in the patient's care plan for the diagnosis:
Ineffective breathing pattern r/t fatigue and pain? a. Encourage the patient to use incentive spirometer after administration of pain medication. b. Ask the patient to describe prior pain experiences and effectiveness of methods used to manage pain. c. Help the patient to understand that comfort is a priority goal of nursing care in the postoperative period. d. Assist the patient to minimize the effects of pain on interpersonal relationships with family members.
For what purpose would the nurse choose to administer a hypnotic instead of another classification of antianxiety drug?
A) Treating insomnia B) Treating seizure disorder C) Treating panic attach D) Treating confusion and agitation
Which statement by a patient with Paget disease indicates that the nurse needs to reinforce teaching?
A) "Bisphosphonates and calcitonin will help strengthen the bone." B) "Exercise may cause fractures." C) "I will need to take calcium and vitamin D supplements." D) "I need to maintain a healthy body weight.
The nurse encourages the caregivers of a child immobilized in traction to have friends and extended family visit the child. The major rationale for this action on the part of the nurse is directed to which of the following goals?
a. decreasing the child's focus on pain b. building a support system for the child and caregivers c. reducing boredom d. preventing social isolation and deprivation