When the mother of a child with gastroesophageal reflux calls the clinic nurse to report that her baby is vomiting small amounts of blood, the nurse explains that the esophagus has been irritated by _______ ________
ANS:
gastric acid
Gastric acid that has repeatedly come in contact with the esophageal mucosa will erode the mucosa, and bleeding will result.
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It is time for the client's third round of chemotherapy for colon cancer
After checking the client's white blood cell count, the decision is made to delay the treatment for an additional week because of the low white blood cell count and the increased risk for infection. The client is upset at the delay. What is the nurse's best response? A. "This extra time will give your hair a chance to grow back in." B. "This is for the best. It is too dangerous to give you the chemotherapy now." C. "I will call the physician and request a prescription for something to calm your nerves." D. "Try not to worry. Your counts will probably be high enough next week and the chemotherapy will work just as well then."
A nurse performing a history and physical on a newly admitted Hispanic patient learns the patient has just used the services of a savador to:
a. determine which herbs would best reduce hot flashes in a menopausal woman. b. communicate with a family member who recently died. c. receive treatments to reduce lower back pain. d. receive acupuncture to stop smoking.
When a 3-year-old girl is diagnosed with neuromuscular scoliosis, the nurse explains that the spinal curvature defect is usually caused by:
a. Juvenile rheumatoid arthritis b. Poor posture c. Heredity d. Myelomeningocele
The nursing care plan may be made up of multiple diagnostic statements. What is the best description for the nurse to use in describing the nursing diagnosis to the student nurse?
A) Identification of the nursing care problem based on analysis of data B) Collection of data related to client's condition C) Formulation of necessary arrangements for client care D) Measurement of effectiveness of nursing care