The nurse caring for the client who is undergoing radiation therapy for endometrial cancer would include which directions in the nursing care plan? (Select all that apply.)
a. Elevate head of bed to 90 degrees.
b. Encourage in-room exercising.
c. Minimize visitation.
d. Organize cares.
C, D
Radiation precautions are in place during radiation therapy and include minimizing visitors' time in the room, and minimizing nursing time in the room by organizing care. See Chapter 17 for more information. The client is kept on bed rest with the head of the bed flat or only slightly elevated. Movement is restricted and a catheter is in place to prevent dislodgement of the intra-cavity radiation device.
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A number of resources are available for nurses regarding evidence-based care. Which of the following resources is not a journal source for these practices?
a. Centre for Evidence-Based Nursing b. Health Affairs c. Hasting Report d. Worldviews on Evidence-Based Nursing
A critical care nurse frequently provides care on the burns and plastics unit of the hospital
When providing care for patients with recent, extensive burns, the nurse will need to be aware of which cardiovascular alteration that occurs with extensive burns? A) Decreased erythropoiesis B) Fluid shifting into interstitial spaces C) Increased hemolysis by the spleen D) Sequestering of fluid in the capillaries
The nurse is administering digoxin as ordered. The child vomits the dose. What should the nurse do next?
A) Contact the physician. B) Offer a snack and administer another dose. C) Immediately administer another dose. D) Administer the next dose as ordered in 12 hours.
Which most accurately defines a medically underserved area?
A) A geographic area, population group, or medical facility with shortages of healthcare professionals to the degree that a full complement of healthcare services is not possible B) An area with a lack of medical care services as determined by the number of primary medical care physicians per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population 65 years or older C) A U.S. federal designation for those populations that face economic, cultural, or linguistic barriers to accessing primary medical care services D) A subgroup of the population that has a higher risk of developing health problems because of marginalization