Following a bone marrow transplant, the patient is put on a protocol of chemotherapy and radiation and the nursing diagnosis of "risk for injury" is added. The nurse will add the in-tervention of assessing for:
1. increased urine output.
2. decreasing bilirubin levels.
3. increasing blood pressure.
4. increasing abdominal girth.
4
High doses of chemotherapy and radiation can damage the liver, which would lead to in-creasing abdominal girth with ascites and increasing bilirubin levels.
You might also like to view...
A PHN follows which of these guiding principles on harm reduction when helping patients who are substance users?
A. Clients are responsive to culturally competent, non-judgmental services delivered in a manner that demonstrates respect for individual dignity, personal strength, and self-determination. B. Service providers are responsible to the wider community for delivering interventions which attempt to reduce the economic, social, and physical consequences of drug- and alcohol-related harm and harms associated with other behaviors or practices that put individuals at risk. C. Because those engaged in unsafe health practices are often difficult to reach through traditional service venues, the service continuum must seek creative opportunities and develop new strategies to engage, motivate, and intervene with potential clients. D. All of the above
Equity maintains a focus on which of the following?
a. Services, executive management and staff b. Services, patients, and staff c. Staff, the management team and services d. Staff, patients and resources
The nurse presenting a suicide prevention lecture would decide who the target population is based on what fact?
a. Females have the highest risk for suicide. b. Children are considered a high-risk group for committing suicide. c. The highest suicide rate is among the Caucasian middle-age population. d. Rates of suicide are highest among the older population, age 80 and older.
The client receives albuterol (Proventil) via inhaler. He asks the nurse why he can't just take a pill. What is the best response by the nurse?
1. "When you inhale the drug the blood supply in your lungs picks it up rapidly, resulting in quicker effects." 2. "Because pills cannot help your illness; you must have inhaled medications for relief of symptoms." 3. "Because pills would produce too many side effects; you will have very few side effects with inhaled medications." 4. "Because this medication cannot be absorbed from your GI tract; the acid in your stomach would destroy it."