The nurse provides education to the patient and family about fluorouracil (Adrucil). What statement by the patient most demonstrates the need for further teaching?

a. "I may experience darkening skin in some areas of my body."
b. "I should report diarrhea."
c. "I shouldn't anticipate blistering on my palms and soles."
d. "I probably will lose my hair."


ANS: C
The patient may experience blistering on the palms and soles; this statement indicates that further teaching is required.
The patient may experience darkening of the skin in some areas; no further teaching is required.
The medication should be discontinued as soon as mild reactions like stomatitis and diarrhea occur.
The patient likely will lose his hair; no further teaching is required.

Nursing

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Diagnostic imaging reveals that the quantity of fluid in a client's pericardial sac is dangerously increased. The nurse should collaborate with the other members of the care team to prevent the development of what complication?

A) Pulmonary edema B) Pericardiocentesis C) Cardiac tamponade D) Pericarditis

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When wearing a mask, the nurse should change it every:

a. 5-10 minutes. b. 10-20 minutes. c. 20-30 minutes. d. 30-40 minutes.

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A 12-year-old boy has been the neighborhood bully for several years. His peers avoid him. His

mother says she cannot believe a thing he tells her. Recently he was observed shooting at several dogs with a pellet gun. Yesterday he was caught setting fire to a dumpster outside a supermarket. A nurse could assess his behaviors as being most consistent with a. conduct disorder. b. attention deficit. c. anxiety over separation from parent. d. defiance of authority.

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A health information exchange (HIE) charges physicians in private practice a fee to access the exchange to research medication uses and the latest in diagnostic testing for a specific patient population. In which way could this be viewed as a HIPAA violation?

A) It is not a HIPAA violation. B) The information is being sold for profit. C) The physicians may not keep the information confidential. D) Accessing the system may be done by unapproved personnel.

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