The nurse is concerned that a patient receiving chemotherapy for cancer is at increased risk for developing an infection. What should the nurse include in this patient's plan of care?
1. Teach the patient to avoid crowds.
2. Encourage socialization with small children.
3. Contact physician with a temperature elevation.
4. Limit intake of protein and vitamin C.
Correct Answer: 1
The nurse should instruct the patient to avoid crowds and children to reduce the risk of developing an infection. Temperature elevation is a normal sign of an infection; however, severely immunocompromised patients may not be able to mount a fever. The absence of a fever does not rule out the presence of an infection. The patient should be instructed to have an adequate daily intake of protein and vitamin C to support the body's immunity.
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The population health nurse is researching the activities of Margaret Sanger for a school paper. The nurse should explain the actions of Ms. Sanger as combining social activism with nursing to her clients by:
1. Advocating for better care for the mentally ill. 2. Reducing rural childbirth morbidity and mortality rates. 3. Providing information about contraceptive services to women. 4. Providing education regarding improved nutrition for families.
A nursing supervisor has been told to ensure that the hospital's new electronic records system is properly implemented on the nursing unit. Which actions by the supervisor are the best use of exercising the managerial role?
Select all that apply. A) Creating a "buddy" system that pairs staff members who are less technologically comfortable with staff members who may require more assistance with the new system B) Providing regular training sessions in the new system C) Informing staff that the new system is optional D) Establishing a regular spot check of each staff member's effective use of the system E) Continuing to use paper records until the staff is completely comfortable with the new system
Which statement made by the postmenopausal client using a transdermal patch for estrogen replacement indicates correct understanding of the proper usage of this delivery system?
A. "I will rotate the sites to prevent skin breakdown." B. "I will avoid alcohol while I am using this medication." C. "I will take the patch off at night so I am less likely to become addicted." D. "I will place the patch on my abdomen so it is closer to my uterus and vagina."
What instruction should the nurse provide to the client who is scheduled to have an abdo-minal ultrasound for evaluation of uterine size and shape?
A. "Do not eat or drink after midnight." B. "Completely evacuate your bowels before this procedure." C. "Do not urinate within an hour of having the test, because a full bladder is needed for best test results." D. "Have someone drive you to and from the test because you will be sleepy from the anesthesia."