The nurse is assigned to a patient who has just had surgery to manage testicular cancer. When preparing the plan of care, which problem will be of the highest priority?
1. Anxiety and fear
2. Pain management
3. Knowledge deficit related to radiation therapy
4. Potential for nausea
2
Rationale 1: The patient is likely to feel anxiety and fear that will need to be addressed, but this is not the highest priority.
Rationale 2: Assessing the patient's level of pain and addressing complaints of pain will be the highest priority. Until the pain is at an acceptable level, the patient will be unable to meet other postoperative challenges.
Rationale 3: The patient will likely require education about radiation therapy, but this is not the highest priority.
Rationale 4: There will be a potential for nausea that should be addressed, but this is not the highest priority.
You might also like to view...
What typical types of classes are available to help expectant parents prepare for parenthood? (Select all that apply.)
a. Infant care b. Breastfeeding c. Gestational diabetes d. Sources of financial aid e. Yoga
A patient, diagnosed with multiple sclerosis, has an abnormal gait that is associated with lower motor neuron disease. What is the term used to describe this gait?
A) Spastic hemiparesis gait B) Shuffling gait C) Stropping gait D) Steppage gait
The nurse is caring for a patient who will receive 10% calcium gluconate to treat a serum potassium level of 5.9 mEq/L. The nurse performs a drug history prior to beginning the infusion. Which drug taken by the patient would cause concern?
a. Digitalis b. Hydrochlorothiazide c. Hydrocortisone d. Vitamin D
A client experiencing hard, dry feces is scheduled for an enema. The nurse recognizes that what type of solution would be best for the client?
1. Hypertonic 2. Hypotonic 3. Soapsuds 4. Oil retention 5. Isotonic