The nurse is taking care of a patient with Hodgkin's disease. Prednisone is added to the patient's chemotherapeutic regimen
The nurse is providing education about the long-term effects of prednisone, which include which of the following? (Select all that apply.)
a. Fluid and electrolyte disturbances
b. Osteoporosis
c. Improved sense of well-being
d. Decrease in bleeding tendency
e. Increased risk of infection
ANS: A, B, E
The long-term effects associated with prolonged use of glucocorticoids are fluid and electrolyte disturbances, osteoporosis, increased susceptibility to infection, adrenal insufficiency, gastrointestinal ulcers, myopathy, growth retardation, and cutaneous atrophy.
Long-term use of glucocorticoids is not associated with an improved sense of well-being or a reduced bleeding tendency.
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The guiding framework that describes what the organization considers to be its business direction is the ____
a. Futuristic guidelines b. Organizational vision c. Strategic plan d. Tactical operand
The nurse is meeting a client post-liver transplantation for the first time and notices a tremor as they shake hands. The client states this has not happened before. Which action by the nurse is most appropriate?
a. Conduct a thorough assessment, then no-tify the surgeon of the findings. b. Review today's laboratory work, includ-ing liver function studies. c. Assess the client's vital signs, and offer acetaminophen if the client is febrile. d. Perform an assessment of the client's gross and fine motor skills.
A 53-year-old female is admitted with signs of acute pancreatitis. The patient's serum glucose level is 250 mg/dl, white blood cell count 18,000 mm3 and serum SGOT 190 U/dL
From these assessment findings, the nurse would calculate this patient's mortality rate as being 1. 1% 2. 16% 3. 40% 4. near 100%
A 60-year-old male presents to his physician complaining of chest pain. He is diagnosed with arteriosclerosis. This disease is caused by:
A. arterial wall thinning and weakening. B. abnormally dilated arteries and veins. C. abnormal thickening and hardening of vessel walls. D. autonomic nervous system imbalances.