A patient who had a prostatectomy 1 year earlier now has elevations in serum alkaline phospha-tase and calcium levels. What should the nurse be aware that this indicates?
a. Reduction of cancer risk
b. Orchiditis
c. Testicular cancer
d. Metastasis
D
Elevations of the tumor marker alkaline phosphatase and an increased level of calcium indicate metastasis to the bone.
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A 2-hour-old infant has ruddy skin and delayed capillary refill. What laboratory value best correlates with this condition?
A. Blood glucose is 38 mg/dL. B. Blood glucose is 65 mg/dL. C. Hematocrit is 42%. D. Hematocrit is 72%.
The nurse is assigned to four patients on the pediatric progressive care unit. After receiving shift report, which patient should the nurse see first?
A. Blood pressure of 88/56 mm Hg in 4-year-old child with heart failure B. Child crying inconsolably after his parents went home C. Pain 5/10 in a child 2 days after cardiac surgery D. Temperature 104.6 °F (40.3 °C) 3 days after dental visit
The nurse is planning discharge teaching for a child who just had a kidney transplant. Which information does the nurse provide regarding signs of rejection? (Select all that apply.)
A. Decreased urine output B. Edema C. Fever D. Pain over the kidney E. Weight loss
Which option characterizes effective collaboration?
1. Outcomes are positive for each healthcare provider. 2. Common purpose and goals are identified at the outset. 3. There is interdisciplinary goal setting for the patient. 4. Each provider evaluates own outcomes.