A client who has Hodgkin's lymphoma with mediastinal involvement would be treated with:
a. radiation therapy c. radiation therapy and chemotherapy
b. chemotherapy d. surgical removal of involved nodes
C
Medical management depends on the stages of the disease: radiation therapy is used for stages I and II and for clients who have mediastinal involvement. A combination of radiation therapy and chemotherapy is administered to those who have relapsed after radiation therapy alone. A variety of medications may be used in symptomatic treatment or in conjunction with radiation therapy.
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The nurse is assessing a client with a diagnosis of hypertension. The client's blood pressure is 178/88, an increase from 134/78 at the previous clinic visit. The nurse asks the client what has changed from the previous visit
Which client statement identifies a potential factor interfering with the plan of care? A) My husband has been ill and I don't have anyone to help me care for him. B) I have learned to prepare foods differently so they are low in fat. C) My neighbor walks with me around the neighborhood every morning. D) I have been taking my hydrochlorothiazide (HydroDIURIL) every day.
A nurse caring for a female client notes a number of laceration wounds around the cervix of the uterus due to childbirth. How could the nurse describe the laceration wound in the client's medical record?
A) A clean separation of skin and tissue with a smooth, even edge B) A separation of skin and tissue in which the edges are torn and irregular C) A wound in which the surface layers of skin are scraped away D) A shallow crater in which skin or mucous membrane is missing
A client is started on peripheral parenteral nutrition. The nurse asks the nursing student to explain the difference in a preclinical conference between peripheral parenteral nutrition and total parenteral nutrition
What information did the student nurse correctly state about peripheral parenteral nutrition? A) Used when the gastrointestinal tract is functioning improperly B) Infused directly into the blood circulation C) Surgically placed into the central vein near the heart to allow the concentrated solution to be diffused quickly into circulation D) Infusions must be hypotonic or isotonic to prevent dehydration and electrolyte imbalance
A client is found to be in stable supraventricular ventricular tachycardia (SVT). The nurse implements which of the following interventions? Select all that apply.
a. Assists the client to sit up on the side of the bed b. Calls for a 12-lead EKG c. Instructs the client to perform a c. vagal maneuver d. Calls a code e. Gives the client 6 mg of adenosine