The nurse is caring for a patient with colon cancer who is scheduled for external radiation therapy to the abdomen. Which information obtained by the nurse would indicate a need for patient teaching?
a. The patient swims a mile 3 days a week.
b. The patient snacks frequently during the day.
c. The patient showers everyday with a mild soap.
d. The patient has a history of dental caries with amalgam fillings.
ANS: A
The patient is instructed to avoid swimming in salt water or chlorinated pools during the treatment period. The patient does not need to change habits of eating frequently or showering with a mild soap. A history of dental caries will not impact the patient who is scheduled for abdominal radiation.
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The nurse receives a call from a client who is 38 weeks pregnant who says she found a clump of mucus streaked with blood in her underwear and asks what this means. The nurse's best reply is:
1. "You might have placenta previa, and should get to the hospital right away." 2. "It indicates the start of labor, and the contractions should start very soon." 3. "You passed your mucus plug, and will probably begin labor within 48 hours." 4. "It might indicate an infection, and you should be seen by the physician today."
You are beginning your shift on a medical unit and are performing assessments appropriate to each patient's diagnosis and history
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Mental health nurses know that stress management is an important part of patient care. What is one way a mental health nurse could help the patient cope with stress?
A) Teach mentalization B) Teach hypnosis C) Teach imagination D) Teach visualization
A patient has a decrease in calcium. Which receptor will be stimulated to increase the intracellular concentration of calcium?
A) Acetylcholine B) Muscarinic C) Beta adrenergic D) Nicotinic