A client recovering from bone marrow transplantation is experiencing vomiting, fatigue, and skin reactions. Which of the following should the nurse do to help this client?

1. Prepare to administer platelets as prescribed.
2. Prepare to administer red blood cells as prescribed.
3. Limit fluids.
4. Explain that the client is experiencing expected short-term side effects.


4
Clients who undergo bone marrow transplantation may experience short-term side effects, including nausea, vomiting, fatigue, loss of appetite, mouth sores, hair loss, and skin reactions. These side effects are not treated with platelets or red blood cells. Limiting fluids can make the side effects worse.

Nursing

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Transferring the authority to perform a selected nursing task in a selected situation to a competent individual is:

a. authorization. b. delegation. c. empowerment. d. supervision.

Nursing

Which statement is most true about large-for-gestational age (LGA) infants?

a. They weigh more than 3500 g. b. They are above the 80th percentile on gestational growth charts. c. They are prone to hypoglycemia, polycythemia, and birth injuries. d. Postmaturity syndrome and fractured clavicles are the most common complications.

Nursing

A patient recovering from a 30% TBSA full-thickness burn has swelling and inflammation of the intact skin around the burn area. What interventions should the nurse implement to reduce this patient's risk of developing further infections?

Select all that apply. 1. Report results of blood cultures. 2. Analyze daily leukocyte counts. 3. Follow strict isolation techniques. 4. Request placement of an indwelling catheter. 5. Request a dietary consult to ensure adequate nutritional intake.

Nursing

The nurse is completing a spiritual assessment with a middle-aged client. What should the nurse recognize as expected characteristics of moral development in this client?

1. Uses religion for comfort 2. Seeks religious explanations for death 3. Compares characteristics of various religions 4. Questions the purpose of religion in one's life 5. Relies upon spiritual beliefs to help with illness

Nursing