What nursing diagnosis is a priority for the 87-year-old woman, who has stomatitis secondary to the administration of methotrexate? (Select all that apply.)
A) Impaired skin integrity
B) Risk for infection
C) Imbalanced nutrition
D) Risk for bleeding
E) Hopelessness
A, B, C, D
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Because of the common adverse effects of severe bone marrow suppression, fatigue, malaise, rashes, alopecia, ulcerative stomatitis, hepatic toxicity, interstitial pneumonitis, chills, fever, and anaphylaxis, priority nursing diagnosis would include impaired skin integrity related to rash, risk for infection, and risk for bleeding related to severe bone marrow suppression. Because the patient has stomatitis, there is a risk for imbalanced nutrition less than body requirements because eating is uncomfortable and not feeling well will also reduce her appetite. Although fear and anxiety are common with any cancer diagnosis, hopelessness is usually not as common unless the patient receives a terminal diagnosis and, even then, many patients are able to remain hopeful.
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The nurse teaching a student nurse about normal changes during pregnancy includes which of the following?
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The nurse is discussing care of the client with rhinitis. Which of the following statements indicates the caregiver understands the content of the teaching session?
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An occupational health nurse is planning injury-prevention educational sessions. Which of the following considerations should be made by the nurse?
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