The nurse is caring for a client receiving tamoxifen (Nolvadex) for treatment of breast cancer. Which action should the nurse include in the client's plan of care?
A. encourage milk products to increase calcium intake
B. monitor sodium chloride intake
C. increase fluid intake
D. assist the client in coping with hot flashes
Answer: D. assist the client in coping with hot flashes
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A patient in the ICU starts complaining of being "short of breath." An arterial blood gas (ABG) is drawn. The ABG has the following values: pH = 7.21, PaCO2 = 64 mm Hg, HCO3 = 24 mm Hg. What does the ABG reflect?
A) Respiratory acidosis B) Metabolic alkalosis C) Respiratory alkalosis D) Metabolic acidosis
A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be "senile."
The advanced practice nurse administers the clock-drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape. Based on his performance, the nurse concludes that the patient: a. probably has Alzheimer's disease. b. needs further evaluation. c. probably has delirium. d. needs a functional status assessment.
Because of its action on various body systems, the patient taking a thiazide or loop diuretic may also need to receive the following supplement:
1. Potassium 2. Calcium 3. Magnesium 4. Phosphates
The nurse is conducting a physical examination of a toddler with suspected lead poisoning. Lab results indicate blood lead level 52 mcg/dL. Which action would the nurse expect to happen next?
A) Repeat testing within 2 days and prepare to begin chelation therapy as ordered. B) Repeat testing within 1 week with education to decrease lead exposure. C) Confirm with repeat testing in 1 month and referral to local health department. D) Prepare to admit child to begin chelation therapy.