Cystic fibrosis is suspected in a child with frequent respiratory infections and failure to thrive. The nurse would expect which of the following tests ordered to make a definite diagnosis?
a. electrolytes and CBC c. chest X-ray
b. sweat chloride test d. endoscopy
B
Cystic fibrosis is a major dysfunction of all exocrine glands that affects the lungs, pancreas, liver, and reproductive organs. The disorder is characterized by an increased viscosity of mucus, elevated sweat electrolytes, and increased enzymatic constituents in the saliva. Both parents must be carriers of the disease to pass it on to their child. The client has a chronic moist, productive cough, and frequent infections. The infant's skin tastes salty. Diagnosis is made with the sweat test.
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During the final weeks of pregnancy, urinary frequency may return due to the enlarged uterus compressing the bladder against the pelvic bones. The nurse suggests that the patient should:
a. decrease fluid intake. b. use the knee-chest position. c. sleep on her side. d. avoid fluid intake in evening.
The nurse is caring for a client receiving Epogen for chemotherapy-induced anemia. The nurse should:
a. monitor the client for hypertension. b. place the client on strict bedrest. c. position supine during Epogen administration. d. monitor hourly intake and output.
A patient in his mid-30s has a new diagnosis of schizophrenia and is taking chlorpromazine (Thorazine). Three days after beginning the chlorpromazine, he has jerky movements of his head and arms and he is concerned
The nurse assesses these symptoms as: A) Extrapyramidal side effects B) Dyspepsia C) Torticollis D) Dystonia
A 78-year-old widow needs assistance with her medications, housekeeping, and laundry. She would like to maintain her independence. Of the following, which is the best option for her to consider?
A. Assisted living B. Respite care C. Nursing center D. Rehabilitation center