What is the priority problem for a client experiencing chemotherapy-induced anemia?
a. Risk for injury related to fatigue
b. Fatigue related to decreased oxygenation
c. Body image problems related to skin color changes
d. Inadequate nutrition related to anorexia
A
Safety is always a client priority. The client who is anemic will be fatigued and may need assis-tance with activity to prevent injury. The other problems may apply; however, they do not take priority over safety.
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MC You need to prepare a 100-U/mL solution of heparin. You have 1:1000 heparin in a 1-mL vial. How much normal saline do you need to add to make the 100-U/mL solution?
A. 10 mL B. 9 mL C. 4 mL D. 2 mL
The home care nurse is conducting a home environment assessment for an older patient with peripheral vascular disease and foot wounds. Which findings should the nurse identify as safety issues for the patient? (Select all that apply.)
A) Hot water temperature 124°F B) Fire extinguisher present in the hall closet C) Functioning smoke detector in the kitchen D) Refrigerator stocked with food that is not outdated E) Medication labels absent from prescription containers
Recently a community has experienced an influx of individuals from Afghanistan. What action should the nurse suggest to modify the agency environment to better accommodate these culturally diverse patients?
a. Provide handouts and patient teaching materials in appropriate languages. b. Hold meetings in the community to explain the Afghan culture. c. Provide reference guides about Far Eastern cultures to all nursing staff. d. Utilize the cookbook method of learning to accommodate this immigrant group.
A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has increased by 0.6°C (1.0° F) for the past 36 hours. This most likely indicates that:
1. Menstruation is about to begin. 2. Ovulation will occur soon. 3. Ovulation has occurred. 4. She is pregnant and will not menstruate.