A nurse is working closely with a client regarding a chemotherapy regimen, providing consultation, education, and direction for the client and the client's family. This nurse would most likely be certified as which of the following?
1. Nurse practitioner
2. Clinical nurse specialist
3. Nurse educator
4. Nurse entrepreneur
2. Clinical nurse specialist
Rationale:
A clinical nurse specialist has an advanced degree or expertise and is considered to be an expert in a specialized area of practice (oncology in this case). The nurse provides direct client care, educates others, consults, conducts research, and manages care. A nurse practitioner has an advanced education, is a graduate of a nurse practitioner program, and usually deals with nonemergency acute or chronic illness and provides primary ambulatory care. The nurse educator is responsible for classroom and often clinical teaching. A nurse entrepreneur usually has an advanced degree, manages a health-related business, and may be involved in education, consultation, or research.
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The nurse is planning a presentation to a group of senior citizens on lifestyle modifications to manage high blood pressure. What major points will the nurse include in this presentation? Select all that apply.
1. Keep sodium intake to 2.4 grams per day. 2. Achieve and maintain a normal body mass index. 3. Perform aerobic activity for 30 minutes most days of the week. 4. Consumption of fruits and whole grains has little impact on blood pressure. 5. Limit daily alcohol intake to two drinks for males and one drink for females.
During therapy with amphotericin B, the nurse will monitor the patient for known adverse effects that would be reflected by which laboratory result?
a. Serum potassium level of 2.7 mEq/L b. Serum potassium level of 5.8 mEq/L c. White blood cell count of 7000 cells/mm3 d. Platelet count of 300,000/ microliter
A family member brings a client with type 1 diabetes mellitus to the emergency department. The client is confused, has a heart rate of 100, respirations of 9, and a fruity smell to the breath. The initial action the nurse should take is to:
1. Notify the physician. 2. Call for the code team. 3. Assess the blood sugar. 4. Measure urine output.
The client with a nasogastric (NG) tube in place may experience skin breakdown at the:
A. Nose B. Neck C. Area behind the ears D. Area around the lips and tongue