The nurse is writing a plan of care for a client receiving immune suppressants for leukemia. What would be an appropriate nursing diagnosis for this client?
A) Impaired skin integrity related to stomatitis
B) Acute pain related to gastrointestinal (GI) and flu-like effects
C) Impaired urinary elimination related to peripheral nervous system disruption
D) Imbalanced nutrition: more than body requirements related to adverse GI effects
Ans: B) Acute pain related to gastrointestinal (GI) and flu-like effects
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The nurse is caring for a child whose medical chart indicates a grade III murmur. Which of the following assessment findings would the nurse expect when auscultating heart sounds?
A) Loud without a thrill B) Loud with a precordial thrill C) Soft and easily heard D) Loud, audible with a stethoscope
The nurse is caring for an uncircumcised 78-year-old male who has developed a condition in which the foreskin is constricted so it cannot be retracted over the glans. This condition is called:
A) Bowen's disease B) Peyronie's disease C) Phimosis D) Priapism
The nurse is providing patient education for a postmenopausal patient who is considering EPT. Which risks associated with EPT should the nurse discuss with the patient? (Select all that apply.)
a. Increased colon cancer b. Stroke c. Deep vein thrombosis d. Ovarian cancer e. Decreased bone density
The nurse is caring for a patient with a deep wound that has tunneling
Following the dressing change, what factors are essential for the nurse to document? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Amount of irrigation poured into the tunnel 2. Type of drainage coming from the wound 3. Size and shape of the tunnel 4. Direction and number of tunnels 5. Length of dressing needed to pack wound