A client who is scheduled for a radical hysterectomy to be followed by radium implant therapy has a nursing diagnosis of Impaired skin integrity related to surgical interventions and radiation side effects
Postoperative nursing interventions would include: a. cleansing the radiation and incision site daily with antibacterial soap
b. having the client move about her room as tolerated to increase circulation
c. assisting the client with activities of daily living (ADLs), including specified perineal care as ordered
d. teaching the client to look for tenderness, pink color (like sunburn), delayed wound healing, and itching
D
The most common adverse reaction to radiation therapy is tenderness, pink color (like sunburn), delayed wound healing, and itching that may occur following the completion of treatment.
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What situation would concern the nurse about the presence of Rh incompatibility?
a. Rh-negative mother, Rh-positive fetus b. Rh-positive mother, Rh-negative fetus c. Rh-negative mother, Rh-negative fetus d. Rh-positive mother, Rh-positive fetus
A nurse understands that many conventional drugs are derived from plants, such as
a. meperidine (Demerol). b. penicillin. c. quinine. d. steroids.
Despite the implementation of bar-code medication administration (BCMA) on your busy medical unit, you notice that the number of medication errors has not significantly decreased. Which of the following reasons might explain the lack of change in errors?
a. A number of new medications have been introduced into the hospital pharmacy that are not yet recognized in the CDS. b. There have been an unusually high number of patients on the unit who have been unable to confirm their identity at the time of medication administration. c. Lack of staff understanding and support for BCMA has led to overrides or failures to scan bar codes during busy times. d. Clinical data that have been entered into the system to guide administration of the medications are outdated.
A client with a history of depression is having a thyroidectomy. The client informs the nurse about the use of herbal remedies for depression. What drug would the nurse anesthetist need to know about prior to surgery?
1. Saint John's Wort 2. Comfrey 3. Senna 4. Echinacea