A client with a history of breast cancer is admitted through the emergency department with shortness of breath, weakness, fatigue, and new lower extremity edema. The client's oxygen sa-turation is 88%
After stabilizing the client, which action by the nurse is most important? a. Obtain a list of the client's medications.
b. Orient her to her room and surroundings.
c. Place the client on intake and output.
d. Assess the client's family cardiac history.
A
Some chemotherapeutic drugs, such as doxorubicin (Adriamycin) and trastuzumab (Herceptin), are known to be cardiotoxic. Although all other actions are appropriate, the nurse (and the pro-vider) must know the medications the client is on, with specific emphasis on assessing for causa-tive agents.
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A patient has undergone tests that indicate a deficiency of the parathyroid hormone secretion. She should be informed of which potential complication?
a. Osteoporosis b. Lethargy c. Laryngeal spasms d. Kidney stones
A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse uses what knowledge of skin assessment?
a. It is not possible to assess color changes in patients with dark skin. b. Cyanosis in patients with dark skin can be seen only in the sclera. c. Cyanosis can be seen in the lips and mucous membranes of patients with dark skin. d. Cyanosis will blanch out with direct pressure to the soles of the feet in dark-skinned patients.
The community health nurse is establishing goals for the family based on the assessment. Using your knowledge of the grand nursing theory that guides establishment of assessment goals for families,
which theory is the nurse using when developing a therapeutic relationship with the family that helps them identify areas for change? A) Science of Unitary Beings B) Health as Expanding Consciousness C) Roy Adaptation Model D) Self-Care Agency
The nurse wants to develop an evidence-based practice. What must this nurse do first?
1. Get permission from his or her employer.
2. Learn to critically appraise research reports.
3. Contact a consultant to help him or her learn about EBP.
4. Methodically categorize research findings in the nurse's specialty area.