The nurse is receiving report from surgery about a client with a penrose drain who is to be admitted to the postoperative unit. Before choosing a room for this client, which information is most important for the nurse to obtain?
A) If suctioning will be needed for drainage of the wound.
B) If the family would prefer a private or semi-private room.
C) If the client also has a Hemovac® in place.
D) If the client's wound is infected.
Ans: D) If the client's wound is infected.
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In addition to assessing for signs and symptoms of hematopoietic and lymphatic systems, which of the following details should the nurse ask about further?
A) A client who does not eat at night B) A female client, age 50, yet childless C) A client undergoing cancer treatment D) A female client who has melanin-related skin problem
A client with a brain tumor is complaining of a headache upon awakening. Which nursing action would the nurse take first?
A) Elevate the head of the bed. B) Complete a head-to-toe assessment. C) Administer morning dose of anticonvulsant. D) Administer Percocet as ordered.
A 43-year-old woman with a strong family history of breast cancer considers tamoxifen (Nolvadex) for cancer prevention. Which assessment finding is a possible contraindication?
a. History of deep vein thrombosis (DVT) b. Prior hysterectomy c. History of osteoporosis d. Hyperlipidemia
A patient being treated for a stage 3 pressure ulcer is demonstrating delayed healing. What information in the patient's medical record and history would explain this delay?
Select all that apply. 1. The patient had total knee replacement 7 years ago. 2. The patient takes insulin for control of type 2 diabetes mellitus. 3. The patient was diagnosed with peripheral vascular disease 5 years ago. 4. The patient was prescribed steroids for treatment of chronic lung condition. 5. The patient takes acetaminophen 650 mg twice a day for arthritis pain.