A nursing student teaching a client about risk factors for colorectal cancer would include:
a. heavy alcohol consumption c. eating a high-fiber diet
b. exposure to secondhand smoke d. history of rectal polyps
D
The link between dietary intake and the development of some types of colorectal cancer continues to be investigated; obesity, dietary fiber intake, history of polyps, and certain food additives are currently considered to be risk factors.
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As the hospice nurse begins work with a terminally ill client and his family, an important self-care
action for her to take during the first encounters is to a. provide the family with her home phone number to facilitate after-hours contact. b. clearly state both what she can do and what her professional limitations are. c. resolve not to become emotionally involved with the client or the family. d. encourage the family to consent to the dying of their loved one.
The nurse is caring for a patient admitted to the emergency department in status epilepticus
Vital signs assessed by the nurse include blood pressure 160/100 mm Hg, heart rate 145 beats/min, respiratory rate 36 breaths/min, oxygen saturation (SpO2) 96% on 100% supplemental oxygen by non-rebreather mask. After establishing an intravenous (IV) line, which order by the physician should the nurse implement first? a. Obtain stat serum electrolytes. b. Administer lorazepam (Ativan). c. Obtain stat portable chest x-ray. d. Administer phenytoin (Dilantin).
A patient has begun taking phenobarbital after experiencing several seizures and is currently receiving 60 mg PO twice daily. After two weeks of therapy, the patient has a serum drug level of 30 mcg/mL and reports feeling drowsy much of the day
What will the nurse tell this patient? a. "I will contact your provider to discuss changing your dosing to once daily to mi-nimize the drowsiness." b. "The drug level is low and you may need a higher dose, but taking it three times daily will reduce the drowsiness." c. "This side effect is expected and should decrease over time. You should avoid driving in the meantime." d. "Your lab work shows a higher than nor-mal level of the drug and your provider will probably lower your dose."
A nurse is differentiating between breakthrough pain and end-of-dose pain with a group of nursing students
The nurse asks the group, "How is breakthrough pain different from end-of-dose pain?" A student would be correct to respond that breakthrough pain differs from end-of-dose pain in what manner? a. It occurs immediately before the next dose is scheduled. b. It can occur spontaneously at any time during the dosing interval. c. It can occur when analgesic levels are at their lowest. d. It occurs immediately after a dose is given.