A client receiving chemotherapy tells the nurse that he is concerned that he may be developing Alzheimer's disease since he is having a new onset of memory loss. Which of the following should the nurse do to help this client?
1. Discuss the client's memory issues with the physician.
2. Suggest the client use a journal to aid with short-term chemo fog problems.
3. Assess for signs of pending stroke.
4. Notify the physician and plan for transferring the client to an intensive care area.
2
Twenty to 50% of cancer clients receiving chemotherapy describe cognitive changes such as "being in a fog." To aid this client, the nurse should suggest the client keep a log or journal to document activities in order to identify when the fog is more acute. Chemo fog can last up to 2 years after treatment, but it is not permanent. The client's memory issues do not need to be discussed with a physician. The client is not experiencing a stroke. The client does not need to be transferred to an intensive care area.
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When auscultating for bowel sounds, you should place your stethoscope on the patient's abdomen holding the
a. bell firmly. c. bell lightly. b. diaphragm lightly. d. diaphragm firmly.
The nurse is caring for a client who is receiving radiation treatment for oral cancer. Which problem does the nurse anticipate for this client?
a. Failure to absorb nutrients from the sto-mach b. Inability to digest protein c. Impaired ability to soften and break down food d. Difficulty swallowing food
When asking the patient "What aspects of your spirituality or spiritual practices do you find most helpful to you?" what is the nurse assessing?
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