You perform R.M.'s admission assessment. Which finding must be reported to the oncologist
immediately?
a. Dark, amber-colored urine
b. A temperature of 101°.8 F (38.8 ° C)
c. Bleeding gums and mouth ulcerations
d. Numbness in her lower legs bilaterally
b
An elevated temperature can indicate an infection, which can be life-threatening. Although the
other effects are concerning, they are associated with the use of cisplatin (Platinol) and are not
immediately life-threatening.
You might also like to view...
A 57-year-old-man is being admitted to the intensive care unit (ICU) with a diagnosis of possible septic shock He has a normal blood pressure, increased heart rate, decreased bowel sounds, and his skin is cold and clammy
The ICU nurse suspects the patient: A) Is in the compensatory stage of shock B) Is in the progressive stage of shock C) Will stabilize and be released by tomorrow D) Is in the irreversible stage of shock
Based on a patient's perception of professional competence and caring, the nurse should wear:
a. large, dangling, hoop earrings b. bright red, acrylic fingernails c. a clean, neatly pressed uniform d. offensive tattoos that cannot be covered
After describing the procedure and medical necessity, the nurse asks a 14-year-old child to assent to a skin graft. Which of the following statements accurately describes the requirements for this type of assent?
A) The age of assent occurs at 12 years old. B) It is not necessary to obtain assent from a minor for a procedure. C) A minor can dissent to a procedure but his or her wishes are not binding. D) In some cases, such as cases of significant morbidity or mortality, dissent may need to be overridden.
A young school-age client is in the hospital with acute renal failure following a streptococcus infection. The parents are Spanish-speaking and speak little English
The parents, through an interpreter, ask the nurse what mistake they made that caused the child to be so sick. Which response by the nurse is the most appropriate? A) "Your child does not have enough dietary protein." B) "Your child has a congenital defect that led to renal failure." C) "Your child's renal failure has been caused by a low calcium level." D) "Your child's recent infection may have caused the renal failure."