The nurse is performing an admission assessment on a patient admitted with cancer who has recently finished a course of chemotherapy
Which of the following assessment findings may indicate that the patient is possibly experiencing immune dysfunction?
A) Hypotension
B) Hypoventilation
C) Bradycardia
D) Dry mucous membranes
Ans: A
Feedback: Hypotension, tachycardia, hyperventilation, vomiting, diarrhea, and hematuria are indicators of immune dysfunction.
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A 58-year-old client has scheduled a sick visit to the physician's office, stating symptoms of lower back pain with exacerbation upon movement
The nurse draws a picture of the components of the spinal cord and surrounding structures and identified potential causes of the pain. Which area of the drawing would the nurse emphasize? A) Spinal cord pathway B) Nucleus pulposus C) Bony vertebrae D) Associated musculature
A client with anemia needs to take 1 milligram of folic acid per day. She has scored 400-mcg tablets. The client should take ____________________ tablets per day
Fill in the blank(s) with correct word
The nurse measures a patient's blood pressure as 144/88 mmHg. What intervention would be most appropriate for this patient?
1. Provide stress-reduction techniques. 2. Inform the physician so antihypertensive medication can be prescribed. 3. Offer the patient a glass of water. 4. Remeasure the blood pressure in a few minutes.
The patient's nasogastric (NG) tube drains approximately 400 mL/day of yellow-green drainage. When the patient begins to complain of nausea, which intervention should the nurse implement first?
a. Irrigate the tube with 50 mL of water. b. Assess the patency of the NG tube. c. Replace the NG tube with a much larger tube. d. Elevate the patient's head and reassess.