You are the clinic nurse in an oncology clinic. Your patient arrives for a 2-month follow-up appointment following chemotherapy
You note that the patient's skin appears yellow. Which blood tests should be done to further explore this clinical sign?
A) Liver function test
B) CBC
C) Platelet count
D) Electrolytes
Ans: A
Feedback: Surveillance for cancer spread, recurrence, or second cancers: colonoscopy post colon cancer, mammography post breast cancer, Liver function tests post colon cancer, prostate-specific antigen post prostate cancer. Yellow skin is a sign of jaundice. The liver is a common organ affected by metastatic disease. A liver function test should be done to determine if the liver is functioning. Option B is incorrect; a CBC would show an altered white blood cell count indicating possible infection. Option C is incorrect; a platelet count tells whether the blood sample has an adequate number of platelets, necessary for blood clotting. Option D is incorrect; a blood test for electrolytes would not identify the cause of the jaundice.
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The nurse is performing the cover test and notes inward turning of the client's eye. Which term will the nurse use to document this finding?
1. Exophoria. 2. Strabismus. 3. Esophoria. 4. Mydriasis.
Which nursing diagnosis has the highest priority for the infant with a congenital diaphragmatic hernia?
a. Risk for infection related to the immature immune system b. Imbalanced nutrition: less than body requirements related to NPO status c. Acute pain related to procedures and treat-ments d. Ineffective breathing pattern related to structural anomaly
A client in a psychiatric unit has received a diagnosis of antisocial personality disorder. Occasionally, the client loses his temper and expresses his anger inappropriately
Which nursing statement provides appropriate feedback regarding the client's angry outbursts? A) "You were very rude to interrupt the group the way you did." B) "You accomplish nothing when you lose your temper like that." C) "Showing your anger in that manner is very childish and insensitive." D) "You became angry in the group session, raised your voice, stomped out, and slammed the door."
Counting the number of QRS waves in an electrocardiogram (ECG) that occur within a 1-minute period helps determine the ________.
A. number of premature atrial contractions B. stroke volume C. heart rate D. cardiac output