The nurse monitoring the oncological client for early signs of vena cava syndrome would include assessment for which of the following?
1. Cyanosis
2. Arm edema
3. Periorbital edema
4. Mental status changes
3
Rationale: Vena cava syndrome occurs when the superior vena cava is compressed or obstructed by tumor growth. Early signs and symptoms generally occur in the morning and include edema of the face, especially around the eyes, and client complaints of tightness of a shirt or blouse collar. As the compression worsens, the client experiences edema of the hands and arms. Mental status changes and cyanosis are late signs.
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Which personality disorder would be consistent with the nursing diagnosis of impaired social interaction, related to indifference toward others?
A) Schizoid personality disorder B) Histrionic personality disorder C) Dependent personality disorder D) Antisocial personality disorder
A study published in a nursing research journal is titled, "Effects of nocturnal hemodialysis on physiological and psychological parameters of patients with end-stage kidney disease."
The nurse should recognize that this study belongs to which of these types of reference? a. Primary b. Secondary c. Tertiary d. Historical
The nurse is caring for a patient who states, "You are the only nurse who understands about my pain. Can't you give me an extra dose of pain medication?" How should the nurse respond to the patient's request?
a. Explain that dosage schedules are by phy-sician's orders. b. Ignore the request. c. Tell the patient that his behavior is mani-pulative. d. Agree to give an extra dose of pain medi-cation.
The nurse is providing medication instructions to a 45-year-old patient who does not maintain eye contact. What should this patient's behavior indicate to the nurse?
a. The patient is not interested. b. The nurse threatens the patient's ego. c. The nurse is in a hierarchical position. d. The patient does not intend to follow the instructions. ____