Blood pressure measurement is performed on the lower extremities when the client has:
A. An IV in the right arm
B. A left arteriovenous shunt
C. A right mastectomy
D. Bilateral upper extremity casts
D
D. The lower extremities may be used when the brachial arteries are inaccessible.
A. The BP could be taken in the left arm.
B. The right arm could be used.
C. The left arm could be used.
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The nurse is studying client assessment data in efforts to formulate applicable nursing diagnoses. Which nurse theorist was instrumental in defining client problems that served as a foundation for the development of nursing diagnoses?
a. Joyce Travelbee c. Virginia Henderson b. Faye Abdellah d. Josephine Paterson
Which is the most likely cause of regurgitation when a newborn is fed?
a. The gastrocolic reflex b. A relaxed cardiac sphincter c. An underdeveloped pyloric sphincter d. Placing the infant in a prone position following a feeding
A nursing unit's records of client care have been reviewed for accuracy in documentation. This type of review is which of the following?
1. Nursing audit 2. Peer review 3. Individual audit 4. Concurrent audit
C.O. is a 43-year-old woman who noted a nonpruritic nodular rash on her neck and chest approximately
6 weeks ago. The rash became generalized, spreading to her head, abdomen, and arms and was accompanied by polyarticular joint pain and back pain. About 2 weeks ago, she experienced three episodes of epistaxis in 1 day. Over the past week, her gums became swollen and tender and she was severely fatigued. Because of the progression of symptoms, she sought medical attention. Lab work was performed, and C.O. was directly admitted to the hematology/ oncology unit under the care of a hematologist for diagnostic evaluation. Her chest x-ray examination showed normal lung expansion and heart size, without lymphadenopathy. Skin biopsy showed cutaneous leukemic infiltrates, and bone marrow biopsy showed moderately hypercellular marrow and collections of monoblasts. Her lumbar puncture specimen was free of blast cells. The final diagnosis was acute myeloblastic leukemia. C.O. is to begin remission induction therapy with cytarabine (Ara-C) 100mg/m2/day as a continuous infusion for 7 days and idarubicin (Idamycin) 12mg/m2/day intravenous (IV) push for 3 days. She is scheduled in angiography for placement of a triple-lumen subclavian Hickman catheter before beginning her therapy. Interpret C.O.'s CBC results. What does the presence of blasts in the differential mean?