The most recent blood count for a child who has received chemotherapy last week shows neutropenia. The priority nursing diagnosis for this child is:
a. Risk for infection
b. Risk for hemorrhage
c. Altered skin integrity
d. Disturbance in body image
A
The child with neutropenia is at risk for infection.
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A client calls the urologist's office to receive instructions about semen analysis. The nurse should instruct the client to:
1. Avoid sexual intercourse 24 hours prior to obtaining specimen. 2. Use a latex condom to collect the specimen. 3. Expect that a repeat test might be required. 4. Expect a small sample.
A 42-year-old male patient is brought to the emergency department by ambulance. The patient is in distress. The nurse suspects an anaphylactic reaction resulting from taking oral penicillin
What assessment findings are important in making this diagnosis? A) Blood pressure (BP): 186/100, difficulty breathing B) Hematocrit (Hct): 32%, decreased urine output C) Temperature: 102ยบ, swollen joints D) Profuse sweating, Blood Pressure: 92/58
When preparing a woman for an amniocentesis, the nurse would instruct her to do which of the following?
A) Shower with an antiseptic scrub. B) Swallow the pre-procedure sedative. C) Empty her bladder. D) Lie on her left side.
The height of a female patient has decreased 1 inch over the last year. The patient is concerned and asks the nurse, "What is happening to me?" How should the nurse respond to the patient?
1. "Everybody gets shorter as they get older." 2. "There is no need to worry; you only lost 1 inch since last year. You probably won't lose much more than that." 3. "There can be several causes for the loss of height, but as we age, bone mass decreases and the spinal column shortens." 4. "There could be something wrong, so you should discuss it with your physician."