A client with history of type 2 diabetes mellitus and coronary artery disease has been diagnosed with stage III prostate cancer and opts for treatment with diethylstilbestrol (DES)
Which is the most important nursing assessment finding in this client? A) Nausea and vomiting
B) Progression of the malignancy
C) Breast enlargement
D) Elevated blood sugar
D
Feedback:
DES is a hormone and can interfere with blood sugar control in clients with diabetes mellitus. Blood glucose levels should be monitored frequently to prevent ketoacidosis. DES does not cure the prostate cancer but rather retards the progression of the malignancy with hopes of prolonging period of palliation. Nausea, vomiting, and breast enlargement are all common side effects of DES.
You might also like to view...
What are legislated minimum staffing ratios?
A) Mandated by federal law B) Required by 28 states C) Proposed to improve care D) Necessary to reduce costs
The healthcare team has planned to begin weaning a patient from the mechanical ventilator in the morning. The nurse should alert the team to which situations that could decrease the chance of successful weaning?
1. The patient has developed a fever. 2. The patient was suctioned twice during the night for a small amount of thin secretions. 3. ABGs reveal a pH of 7.34. 4. Positive end expiratory pressure (PEEP) is maintained at 8 cm H20. 5. The patient's serum sodium level is 138 mEq/L.
A nurse leader, according to the American Organization of Nurse Executives (AOEN), is competent in the areas of (select all that apply):
a. Knowledge of the health care environment. b. Communication. c. Business management. d. Demanding participation by the staff. e. Providing a financial incentive.
The community/public health nurse was not sure the agency was large enough to fulfill some of its goals. With that perspective, what might be the nurse's best choice to evaluate?
A. The adequacy of resources, as seen in such measures as waiting lists for services B. The financial base of the agency, as seen in the agency budget C. The number of cooperative physicians, as seen in the agency telephone referral list D. The number of nursing staff, as seen in the staffing assignments