A patient is receiving the erythropoietin-stimulating agent epoietin alfa (Procrit). Which assessment finding would cause the nurse to notify the patient's provider?
a. Blood pressure of 90/65 mm Hg
b. Headache and nausea
c. Hemoglobin > 12 g/dL
d. Infiltration of the IV
ANS: C
There is an increased risk of death and serious cardiovascular events when the hemoglobin is greater than 12 g/dL. There is no need to notify the provider of the other findings.
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Following diagnostic testing, a 69-year-old male patient has been diagnosed with Paget's disease. When planning the subsequent care that this patient is likely to require, what nursing diagnosis should most likely be prioritized by the nurse?
A) Risk for peripheral neurovascular dysfunction related to Paget's disease B) Impaired physical mobility related to Paget's disease C) Risk for impaired skin integrity related to Paget's disease D) Unilateral neglect related to Paget's disease
The nurse administers oxygen to a patient who has lost a moderate amount of blood following a motor vehicle accident. What is the primary reason for this intervention?
1. ease the work of breathing for the patient 2. compensate for the reduction in circulating oxygen 3. provide comfort during assessment 4. prevent shock from developing
"Research has suggested that cigarette smoking is a cause of lung cancer" is an appropriately worded statement for a literature review
A) True B) False
The mother of a 4-year-old with impetigo wants to know if she can still take the child to day care. The nurse's most appropriate response would be:
1. It is okay for her child to go to day care as long as there is no fever. 2. She can attend day care if you teach her hand washing. 3. She can attend day care as long as the lesions are covered. 4. She can attend day care as long as the lesions are crusted and removed, and she has been on antibiotics for 24 hours.