After a bone marrow transplant, a patient is placed on a protocol of chemotherapy and radiation and the nursing diagnosis of risk for injury is added. Which nursing assessment should cause the nurse concern?
a. Increased urine output
b. Decreasing bilirubin levels
c. Increasing blood pressure
d. Increasing abdominal girth
D
High doses of chemotherapy and radiation can damage the liver, which would lead to increasing abdominal girth with ascites and increasing bilirubin levels.
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Why should the nurse use diazepam when managing the effects of toxic nerve agent toxicity?
A) To counter excess acetylcholine C) To reactivate acetylcholinesterase B) To control possible seizures D) To control hypersecretion
A nurse is caring for a young child with a severe ear infection in a hospital emergency room. The nurse asks the mother why it took so long for the child to get care and the mother stated that she
couldn't afford medical bills and that they didn't qualify for Medicaid. Once the child has received medical attention, what program does the nurse recommend to the mother? A. WIC B. CHIP C. Medicare D. TANF
The nurse is caring for a patient with diabetes. For which symptom should the nurse be the most concerned?
a. Fatigue b. Heartburn c. Diaphoresis d. Muscle cramps
The nurse is performing nasotracheal suctioning for a patient. Which action by the nurse is appropriate?
a. Applying intermittent suctioning while slowly withdrawing the suction catheter b. Carefully pushing the suction catheter in and out while applying suction c. Applying suction for 15 seconds or less d. Asking the patient to deep-breathe for 15 seconds before passing the catheter a second time