The nurse reads on the client's chart that the provider discovered a neoplasm in the client's abdomen. The nurse interprets this to mean that the client:
1. Has metastatic cancer.
2. Is pregnant.
3. Is at increased risk for cancer.
4. Has an abnormal growth of tissue.
4
Rationale: A neoplasm means only that the physician found a growth, and does not indicate a cancerous growth, a metastatic tumor, or pregnancy. Neoplasms can be benign fibrous growths that might not need to be removed.
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A nurse is taking care of a patient in the ICU who has been on opioids for an extended period of time. The nurse understands that the child has to slowly wean from the medication over a period of time
While weaning, the nurse will observe the child for symptoms of too rapid withdrawal, including: 1. Hyperactive deep tendon reflexes, vomiting, and abdominal cramps. 2. Bradycardia and pallor. 3. Decreased blood pressure and drowsiness. 4. Voracious appetite and hypotonicity.
A new nurse is preparing to administer a vaccination for hepatitis B to an infant. What actions by the new nurse would lead the nurse's preceptor to intervene? (Select all that apply.)
A. Chooses the ventral gluteal site for injection B. Informs parents of the need for one more shot C. Obtains informed consent from the parents D. Plans to give the vaccination within 1 hour of birth E. Prepares the vastus lateralis for the injection
A client is prescribed an aminoglycoside and the nurse understands that the usual route by which most aminoglycosides are administered is:
a. oral. c. topical. b. parenteral. d. intrathecal.
Which of the following is the most important aspect of knowing a patient for a beginning nurse to recognize?
a. Interconnectedness between the nurse and the patient b. Caring social process that results in bonding c. Clinical signs and symptoms d. Abnormal lab data