The nurse is caring for a 13-year-old girl with von Willebrand's disease. The nurse is providing instructions about home care to the girl and her parents. Which of the following responses indicates a need for further teaching?
A) "We need to administer Stimate prior to dental work."
B) "We should be aware that she may suffer from menorrhagia."
C) "We should administer desmopressin as often as needed."
D) "We understand that she may have frequent nosebleeds."
C
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Kevin worked for 10 years at a uranium mine, excavating uranium for a nearby nuclear power plant. Now, 25 years later, he has small cell lung cancer
Kevin is anorexic and has lost a considerable amount of weight. His muscles are wasting, and he is weak. He tries to move around the house throughout the day but tires easily. It has been difficult for him to access care, and the treatment for his cancer is just starting. With the ongoing exposure to the ionizing radiation, DNA damage occurred. What are the three stages of carcinogenesis that occurred after his exposure to radiation? Kevin is normally a fit and active man, and his wife often commented on how much food he used to eat after a day at the mine. Why would there be muscle wasting and weight loss now? Explain your answer using your knowledge of the metabolic changes seen with cancer. In some cancer patients, muscle weakness may result from the production of onconeural antigens. Describe the effects of these antigens. In what form would this process likely take in Kevin's situation?
The nurse is caring for four newborns who have recently been admitted to the newborn nursery. Which labor event puts the newborn at risk for an alteration of health? The infant's mother had:
A. Ruptured membranes for 36 hours. B. An IVof lactated Ringer's solution. C. A labor that lasted 12 hours. D. A cesarean birth with her last child.
An older adult is grieving the loss of a loved one. Which approach is most therapeutic for the nurse to apply when caring for this patient?
a. Assess past coping skills, the presence of support systems, and evidence of prolonged grieving. b. Provide anticipatory guidance to the patient, explaining that prolonged grieving is not a normal part of loss regardless of the patient's age. c. Plan activities for the patient that include increasing socialization with others who have experienced similar losses until mourning is over. d. Intervene only when it becomes obvious that the patient's period of mourning has the potential to affect the patient negatively both physically and emotionally.
A client has begun taking 1 mg of eszopiclone (Lunesta) at bedtime, a dose which is considered to be equivalent to a 3.75-mg dose of her previous hypnotic, Imovane. This comparison of the relative dosages of these two drugs is referred to as what?
A) Potency B) Median effective dose C) Clinical efficacy D) Tolerance