A client with chronic and progressive multiple sclerosis is ordered to receive cyclophosphamide (Cytoxan) to decrease symptoms. Based on this class of drug, which nursing diagnosis is a priority during this treatment?
a. Risk for injury owing to seizure activity
b. Risk for infection owing to immunosuppression
c. Risk for constipation owing to neurotoxicity
d. Risk for deficient fluid volume owing to diuresis
ANS: B
Cytoxan is an immunosuppressant and may cause life-threatening neutropenia.
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Which of the following characteristics should a nurse identify as "normal" in the development of human sexuality for an 11-year-old child? (Select all that apply.)
1. The child experiments with masturbation. 2. The child may experience homosexual play. 3. The child shows little interest in the opposite sex. 4. The child shows little concern about physical attractiveness. 5. The child is unlikely to want to undress in front of others.
During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which of the following approaches should the nurse take?
A) "Tell me what makes you think you are gay.". B) "This puts you in an at-risk category.". C) "We need to talk about safe sex.". D) "You're not gay; you're confused.".
A filled urinal presents safety hazards because:
a. It is easily spilled b. It is a source of odors c. It is an unpleasant sight d. It needs to be emptied
Sitting up in bed and leaning over a table to breathe is:
a. Fowler's position. b. Semi-Fowler's position c. Orthopneic position d. Hypoxic position