A client is receiving interleukins along with chemotherapy. What assessment by the nurse takes priority?
a. Blood pressure
b. Lung assessment
c. Oral mucous membranes
d. Skin integrity
ANS: A
Interleukins can cause capillary leak syndrome and fluid shifting, leading to intravascular volume depletion. Although all assessments are important in caring for clients with cancer, blood pressure and other assessments of fluid status take priority.
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The nurse is working with a diabetic patient, and is attempting to teach psychomotor skills. This is occurring when the nurse has the patient:
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A patient presents to the emergency department with rales, wheezing, and blood-tinged sputum. What does the nurse recognize that these symptoms indicate?
A) Cardiomyopathy B) Cardiomegaly C) Valvular heart disease D) Pulmonary edema
An older client reports having a cold and a "full bladder." What does the nurse obtain for or from the client?
a. Order for a Foley catheter b. Order for a one-time catheterization c. Urine specimen d. History focusing on current medications
The physician has ordered medication to treat hyperthyroidism. Which medication does the nurse anticipate for this client?
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