The nurse is caring for a client who is beginning doxorubicin (Adriamycin) therapy for breast cancer. When preparing the client for probable side effects, which would the nurse include?
A) Information regarding wigs from the American Cancer Society
B) Information about blood donation from the American Red Cross
C) Information regarding high caloric meals from a dietician
D) Information regarding depression from a mental health association
A
Feedback:
Alopecia is a common side effect from the use of doxorubicin (Adriamycin). It is best for the client to be proactive in planning for hair loss so that the client has a suitable plan. Also, the American Cancer Society in some areas offers financial support and guidance in obtaining a wig or head covering. Blood donation is not completed during chemotherapy because anemia is common. Due to recent antiemetic medications, nausea is less common not as prolonged. Client's rarely need a high-calorie diet. Emphasis is placed on nutrient dense, not calorie dense. Depression may be a concern, and a support group is an excellent resource. A mental health association may be more than what is needed.
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A client with syphilis did not undergo treatment and has progressed into the tertiary stage of the disorder. Which of the following are the signs and symptoms that the client would exhibit?
A) A highly infectious ulcerated chancre B) Fever, malaise, rash, headache, and sore throat C) No sign or symptom at this stage of the disorder D) Tabes dorsalis, ataxia, and Charcot's joints
The patient has weakness of the left arm and hand after a stroke. Which is the best nursing intervention to help maintain the patient's self-esteem during feeding?
a. Delegate feeding to nursing assistive per-sonnel (NAP) to minimize the amount of food spilled. b. Encourage the patient to self-feed as much as possible. c. Ensure that foods are pureed so they may be consumed through a straw. d. Collaborate with speech therapist to im-prove the patient's communication.
Clients with bulimia nervosa are not as undernourished as clients who have anorexia nervosa. They are, however, a challenge for nutrition therapy. What eating strategy may be appropriate for clients with bulimia nervosa?
A) Use finger foods. B) Eat quickly. C) Avoid "forbidden" or problem foods associated with bingeing. D) Record intake before eating.
The major focus of the clinical nurse specialist (CNS) involves:
1. Conducting physical and psychosocial assessments, including history, physical examination, and certain diagnostic tests and procedures. 2. Independently managing the care of women at low risk for complications during pregnancy and birth and the care of healthy newborns. 3. Generating new research relevant to topics such as health care and administrative issues. 4. Demonstrating leadership within his or her specialty and working to improve inpatient care both directly and indirectly.