The nurse is caring for a 5-year-old boy undergoing radiation treatment for a neuroblastoma. Which of the following nursing diagnoses would be most appropriate?
A) Activity intolerance related to anemia and weakness
B) Impaired skin integrity related to desquamation from cellular destruction
C) Impaired oral mucosa related to the presence of oral lesions
D) Malnutrition and anorexia related to nausea and vomiting
B
Response:
A nursing diagnosis of impaired skin integrity evidenced by desquamation of the radiation site would be made only for a child undergoing radiation therapy. Activity intolerance due to anemia and weakness, impaired oral mucosa evidenced by oral lesions, and malnutrition and anorexia due to nausea and vomiting are diagnoses common to both radiation and chemotherapy.
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A home health agency has a policy requiring nurses to make routine visits at night. How might politics be used to change this policy?
1. Make visits during the day and tell the supervisor that the clients are not home at night. 2. Obtain research material to provide reasons why routine nursing visits at night are not as effective as during the day. 3. Encourage others to refuse to make routine visits at night so you will not be alone. 4. Take the supervisor to lunch and invite all the staff to join to talk the supervisor into changing the policy.
A nurse is assessing a patient for risk factors that increase the chances of developing oral cancer. Which information from this patient's history indicates a risk factor?
a. Alcohol consumption b. Chewing gum c. Environmental pollution d. Consumption of a high-fat diet
A patient admitted with fatigue, dyspnea, and a hemoglobin level of 8.6 mg/dL tells the nurse that he occasionally has dark, smelly stools but they "go away" in a few days. The nurse would conduct additional assessment for which most common cause of this history?
1. Inability to absorb protein 2. Lower gastrointestinal bleed 3. Chronic gastrointestinal bleed 4. Upper gastrointestinal bleed
Adherence is improved when a drug can be given once daily. Which of the following drugs can be given once daily?
1. Tacrine 2. Donepezil 3. Memantine 4. Pyridostigmine