The nurse caring for a neutropenic, 75-year-old man undergoing treatment for prostate cancer assesses an oral temperature of 100.4° F. The most appropriate interpretation of this finding is that the client
a. is experiencing an expected, systemic chemotherapeutic effect.
b. is experiencing the expected increase in metabolism that accompanies malignancy.
c. may have a medical emergency and needs prompt further assessment.
d. may have a urinary tract infection causing a low-grade fever.
C
Fever is the cardinal, and often the only, manifestation of infection in the neutropenic client. The development of fever in a neutropenic client should be treated as a medical emergency and man-dates prompt assessment, diagnosis, and intervention. The source could be a urinary tract infec-tion, but the client needs a work-up to determine the source of any infection (e.g., blood cultures, a chest x-ray, and a urinalysis).
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A new client presents at the mental health clinic. During the assessment interview, the client makes references to being unhappy with his or her sex life
What can the nurse do that will be most effective in eliciting data so that appropriate information and treatment can be provided? A) Provide a quiet environment for the assessment. B) Promise confidentiality. C) Respect the private content of the issues being discussed. D) Encourage the client to share feelings and concerns.
The nurse is instructing a client on intermittent self-urinary catheterization at home. Which of the following should be included in these instructions?
a. Use sterile gloves. b. Wash and reuse catheters. c. Lubricate the catheter with petroleum jelly. d. Purchase sterile catheter kits from a medical supply company.
The nurse is aware that interventions for the negative symptoms of schizophrenia are based on:
a. establishment of trust. b. getting the patient to accept medication protocols. c. supporting patient in interpersonal social activities. d. promoting conversation with the patient.
Which statement or condition best demonstrates the concept of "multifactorial inheritance"?
A. A mutation in a single gene results in the expression of problems in a variety of tissues and organs. B. The susceptibility to a problem is inherited as a single gene trait but development of the problem is related to environmental conditions. C. A mutated gene is inherited but the results of expression of that gene are not evident until middle or late adulthood. D. Several genes are responsible for the mechanism of hearing and a mutation in any one of them results in hearing impairment.