The client is having radiation therapy for a choroidal melanoma. To decrease the possibility of complications of this therapy, the nurse teaches the client:
A. "Have your intraocular pressure measured every year starting at age 40."
B. "Always wear dark glasses when going out in the sunlight."
C. "See your ophthalmologist for a complete eye examination yearly."
D. "Examine the sclera weekly for a bluish tinge."
C
Treatment of ocular melanoma with radiation predisposes the client to the development of cata-ract, glaucoma, and retinopathy in the affected eye.
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The nurse caring for a patient with colorectal cancer is explaining to the patient that it is time to begin preparing for surgery that will occur on the following day
The nurse prepares to administer cephalexin (Keflex) to the patient. What would the nurse inform the patient that the goal of antibiotic administration prior to surgery is? A) Treat any undiagnosed infections. B) Reduce the intestinal bacteria. C) Assist in digestion after surgery. D) Reduce abdominal distention.
An 85-year-old patient was held NPO since midnight last night for diagnostic testing. The procedure is now complete at 10:00 AM. The nurse should:
a. check urine for concentration every hour. b. measure urine output every 2 hours. c. assess urine for the presence of glucose. d. offer 4 ounces of water or juice every hour.
A patient is scheduled to have a vaginal examination and a Pap smear. Which patient statement indicates understanding of the nurse's instruction concerning the test and preparation?
1. "I cannot bathe for 36 hours prior to the examination." 2. "I should not douche the day before my exam." 3. "My period will not be a reason to defer my vaginal examination." 4. "My physician will use Vaseline to lubricate the speculum and prevent discomfort."
A client's ejection fraction is 30%. The nurse realizes that this measurement will have which of the following effects on the client's perfusion?
1. None, since this is a normal ejection fraction 2. Adequate perfusion to support minimal activities of daily living 3. Decreased perfusion and may experience symptoms 4. Increased perfusion due to increased heart rate