The nursing diagnosis that would have priority in the care of a client with agranulocytosis is
a. alteration in bowel elimination: Constipation due to iron overload.
b. Impaired Gas Exchange due to low RBC count.
c. potential for Impaired Skin Integrity due to poor nutritional status.
d. Risk for Infection due to decreased leukocyte count.
D
The client suffers from an increased susceptibility to infection because without leukocytes the body cannot adequately battle bacteria and other invading organisms. Without prompt recogni-tion and treatment, a slight infection can produce septicemia and death within a week.
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For what action would the nurse administer magnesium citrate?
A) Block absorption of fats B) Directly stimulate the nerve plexus in the intestinal wall C) Form a slippery coat on the contents of intestine D) Increase motility, increase fluid, and enlarge bulk of fecal matter
When a nurse provides a cool glass of water to the client with inflamed throat tissue, the nurse cautions the client not to drink very hot liquids because they can produce
A) Allodynia B) Hyperreflexia C) Hyperalgesia D) Desensitization
The mother of a teenager diagnosed with an eating disorder asks, "How long will my daughter have this problem?" The nurse answers with the knowledge that:
1. Recovery is usual after one severe episode 2. Less than 30 % show improvement after 5 years 3. Weight restoration is sufficient for recovery 4. Long-term therapy combined with medication results in the best outcomes
If a dry dressing adheres to the client's wound, the nurse should:
A. Notify the physician B. Leave the dressing in place C. Pull the dressing off slowly D. Moisten the dressing with sterile saline