A client has undergone radiation therapy to reduce the size of an esophageal tumor. The nurse should be especially vigilant in assessing for
a. prolonged epistaxis.
b. sudden onset of diarrhea.
c. esophageal stenosis.
d. projectile vomiting.
C
Because high-dose radiation may cause stenosis of the esophagus, treatments are usually administered over 6 to 8 weeks.
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B and J both have Alzheimer's disease. B walks up behind J in the hall and shouts, "Move along, you're blocking the road. I'll take a stick to you."
J turns around, shakes his fist, and shouts, "I know what you're up to; you're trying to steal my car.". The best action for the nurse to take would be to: a. Reinforce reality by telling B that J can walk in the hall, and telling J that B is not trying to steal his car. b. Ask the medication nurse to give both patients an as-needed dose of neuroleptic medication. c. Separate and distract them by directing one to go to the day room and taking the other to the activities area. d. Step between them, saying "Gentlemen, please quiet down. We do not permit violence here.".
A patient experiences expressive aphasia after a stroke. Which expected outcome is appropriate for this patient?
1) Uses alternative methods of communication 2) Communicates effectively using a translator 3) Interprets messages accurately 4) Follows commands when asked
A patient being treated for terminal cancer is prescribed morphine sulfate through a continuous intravenous infusion. The pharmacy is requesting the patient's current weight in kilograms
During the last measurement, the patient's weight was documented as 128 lbs. What should the nurse calculate this patient's weight in kg to be?
During assessment of a client in the fourth stage of labor, the nurse observes a separation of the abdominis rectus muscle that is more than two fingers wide. Which of the following instructions should the nurse offer the client?
A) Perform regular exercises. B) Avoid lifting heavy objects. C) Sleep on a firm mattress. D) Avoid sleeping on her back.