A patient with multiple sclerosis is started on a treatment regimen with mitoxantrone. Which nursing diagnosis would have the highest priority to add to the plan of care?
1. Risk for sleep pattern disturbance related to irritability
2. Risk for infection related to depressed production of neutrophils
3. Impaired urinary elimination related to blue-green urine
4. Disturbed sensory perception, auditory, related to ototoxicity
Correct Answer: 2
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When obtaining vital signs in a patient with aortic regurgitation, the nurse would expect which of the following?
A) Widened pulse pressure B) Hypotension C) Tachycardia D) Bradypnea
Which of the following can the nurse ask to determine if a patient is ready to learn?
a. Is the patient alert? b. Can the patient return a demonstration? c. Can the patient focus at this time? d. Can the training occur in a quiet setting?
One loose stool is considered to be diarrhea.
Answer the following statement true (T) or false (F)
The nurse is caring for a patient with brain tumor–related hydrocephalus who is scheduled to undergo placement of a ventriculoperitoneal (V-P) shunt
Which information is most important for the nurse to include when explaining the purpose of the procedure? a. A V-P shunt redirects the cerebrospinal fluid (CSF) from the ventricles to the pe-ritoneum. b. A V-P shunt stimulates ventricles to reabsorb excess CSF. c. A V-P shunt channels excess CSF to the left atrium. d. A V-P shunt provides a port from which excess CSF can be aspirated.