A client who was treated 1 year ago for testicular cancer now has an elevated serum al-pha-fetoprotein level. Which topic is most important for the nurse to teach this client about?
a. Sperm banking options
b. Effects of chemotherapy
c. Hospice philosophy
d. Importance of yearly monitoring
B
Alpha-fetoprotein is a tumor marker that is not produced in significant amounts by normal adult tissues. An increase in the level of alpha-fetoprotein after treatment most commonly indicates recurrence or metastasis. Chemotherapy is used to treat recurrent or metastatic disease. The client should already have been taught about sperm banking. Hospice is not indicated at this time. Because a rise in these levels indicates recurrence or metastasis, yearly monitoring is not appropriate.
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An emergency department nurse plans care for a client who is admitted with heat stroke. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Administer oxygen via mask or nasal cannula. b. Administer ibuprofen, an antipyretic medication. c. Apply cooling techniques until core body temperature is less than 101 ° F. d. Infuse 0.9% sodium chloride via a large-bore intravenous cannula. e. Obtain baseline serum electrolytes and cardiac enzymes.
What diagnostic test might be contraindicate for a patient who has a pacemaker?
a. Computed tomography (CT) b. Electromyography (EMG) c. Magnetic resonance imaging (MRI) d. Electroencephalography (EEG)
The nurse is preparing to provide care for a patient diagnosed with myasthenia gravis. The nurse should know that the signs and symptoms of the disease are the result of what?
A) Genetic dysfunction B) Upper and lower motor neuron lesions C) Decreased conduction of impulses in an upper motor neuron lesion D) A lower motor neuron lesion
One way a 50-year-old individual can help maintain their lean body mass and minimize increases in body fat is to
a. engage in regular exercise, including strength training. b. use stress-reduction strategies, such as massage therapy. c. ensure that their diet includes adequate amounts of high-quality protein. d. decreasing their energy intake to prevent weight gain.