A home health nurse is visiting a patient who is receiving chemotherapy for cancer treatment. What condition may result from chemotherapy?
A) changes in skin color C) loss of hair
B) excess hair growth D) dry, brittle nails
C
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A client who is 4 days post-cholecystectomy has T-tube drainage totaling 600 mL in 24 hours. Which actions by the nurse are appropriate based on this data?
Select all that apply. A) Notify the healthcare provider. B) Place the client in a supine position. C) Assess drainage characteristics. D) Clamp the tube q 2 hours for 30 minutes. E) Encourage an increased fluid intake.
A teenage girl with a known history of bipolar disorder has been taking Lithium for a year. The doctor has ordered that the teen start taking Haloperidol because of increased irrational behavior. The nurse should:
1. Educate the teen on the side effects of Haloperidol. 2. Ask the doctor to clarify the order because Haloperidol in contraindicated when taking lithium. 3. Give the medications at bedtime. 4. Verify the order with another staff nurse to make sure that the dosage for the Haloperidol and Lithium are in a therapeutic range.
Which of the following is a correct expected outcome of a nursing diagnosis?
a. Patient will have no crackles in lower lobes b. Patient will feel better c. Patient will ambulate the hall 3 times and back by the end of my shift d. Patient will experience a decrease in pain level
Which statement regarding nursing diagnoses is accurate?
a. Nursing diagnoses remain the same for as long as the disease is present. b. Nursing diagnoses are written to identify disease states. c. Nursing diagnoses describe patient problems that nurses treat. d. Nursing diagnoses identify causes related to illness.