A child is diagnosed with stage IV neuroblastoma and has undergone abdominal surgery to remove the tumor. He is now receiving chemotherapy. Which nursing diagnosis would be most important?
A) Risk for infection related to chemotherapy
B) Impaired skin integrity related to abdominal surgery
C) Grieving related to advanced disease and poor prognosis
D) Imbalanced nutrition related to adverse effects of chemotherapy
C
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A nurse is working with the family of a child who is overweight. What action by the nurse is most appropriate?
A. Help the family identify fun activities. B. Instruct the child to exercise for an hour each day. C. Place the child on a restricted-calorie diet. D. Set a weight-loss goal for the child.
The nurse is assessing her newly admitted patient and finds data that indicates conditions in the body have shifted out of normal range
The nurse is aware that an example of a bodily function that restores homeostasis when conditions shift out of normal range would be what? A) Body temperature B) Pupil dilation C) Urination D) Blood clotting
On an electrocardiogram, you see a deepened Q wave that is greater than one-third the height of the QRS complex. This is indicative of:
A. Acute myocardial infarction B. Acute myocardial ischemia C. Left ventricular hypertrophy D. Past myocardial infarction
The nurse charts, "Patient stated pain is at a level of 8 on a scale of 1 to 10 and that he is still nauseated. Patient complains of feeling cold and has an oral temperature of 97.8°." What information would be considered objective findings?
a. Pain measurement b. Presence of nausea c. Sense of cold d. Oral temperature