The child is receiving chemotherapy for acute lymphocytic leukemia (ALL). Which assessment data should the nurse immediately report to the healthcare provider due to a metabolic emergency?
1. Thrombocytopenia
2. Leukocytosis
3. Oliguria
4. Edema
3
Explanation:
1. Thrombocytopenia is a clinical manifestation associated with a hematologic, not metabolic, emergency.
2. Leukocytosis is a clinical manifestation associated with a hematologic, not metabolic, emergency.
3. Tumor lysis causes a metabolic emergency caused by an electrolyte imbalance. Clinical manifestations associated with this include oliguria and altered levels of consciousness.
4. Edema is not indicative of a metabolic emergency.
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The nurse is performing anthropometric measurements on a client in the clinic setting. The nurse would use which of the following definitions of this term when explaining this to the client?
1. The assessment is obtained by subtracting the height in centimeters from the weight in pounds and multiplying by 2. 2. The assessment includes any scientific measurement of the body for nutritional analysis. 3. The measurements include the use of growth chart evaluations to plot height and weight. 4. The measurement estimates skinfold thicknesses.
The nurse is working with a client who shows signs of benzodiazepine withdrawal. The nurse suspects that the client has suddenly discontinued taking which of the following prescribed med-ications?
1. Sertraline (Zoloft) 2. Diazepam (Valium) 3. Haloperidol (Haldol) 4. Fluoxetine (Prozac)
The nurse is preparing a subcutaneous dose of bethanechol (Urecholine) prescribed for a client with urinary retention
Before giving the dose, the nurse checks to see that which of the following medications is available on the emergency cart for use if needed? 1. Vitamin K 2. Mucomyst 3. Atropine sulfate 4. Protamine sulfate
Hospital administration is considering a fundamental reorganization of the way that nursing care is provided in the medical–surgical units
The administration would like to provide more people to care for the clients' every need. To do this, the administration plans to decrease registered nurses (RN) and replace them with more unlicensed assistive personnel (UAPs) and fewer licensed practical nurses (LPN). Which is the most important consideration to base a decision regarding reorganization for nursing care delivery? A) Cost analysis supports the change, providing more profit for the hospital, a decrease in costs to clients and insurers, and a potential for increased market because of an increase in client satisfaction. B) Previous research studies support that a decrease in licensed professional nurses at the bedside increases rates of mortality, increases hospital-acquired infections and complications, and increases the rate of medication and procedural errors. C) A consumer poll of clients and families supports providing more persons at the bedside to care for them when they are hospitalized; clients and families expressed that they would feel safer when more people cared for their every need. D) A risk-to-benefit analysis supports a trial of the reorganization based upon the gain of profits versus the potential loss in any potential for lawsuits or mishaps of not identifying an unstable client in time and transferring the client to a critical care unit.