Which symptom reported by a patient taking doxorubicin (Adriamycin) should be considered a priority for intervention?
a. Nausea
b. Visual disturbances
c. Headache and dizziness
d. Rapid heartbeat
D
Adriamycin is cardiotoxic medication and can cause heart failure.
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A husband in the labor suite is concerned that as his wife's labor progresses, she has become distant, is not interested in conversation, and, at times, is short with him. Which response by the nurse is best?
A. "Don't worry; women often get this way during labor." B. "Maybe if you step out for a while, she'll feel better." C. "She must concentrate to cope with her labor." D. "This is a difficult period; it will be over shortly."
A patient was brought to the emergency department after a fall. The patient is taken to the operating room to receive a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize?
A) "Make sure you don't bring your knees close together." B) "Try to lie as still as possible for the first few days." C) "Try to avoid bending your knees until next week." D) "Keep your legs higher than your chest whenever you can."
The nurse is assessing an older adult client for trauma following a motor vehicle accident. Which special considerations does the nurse understand must be taken for this client?
A) The effects of blood loss may be delayed. B) Age-related changes in cognition may increase the risk of delirium. C) A narrowed tolerance for a change in blood volume may occur. D) The description of the mechanism of injury may be delayed due to word finding difficulties.
Following an extensive eye examination where a mydriatic agent was utilized, which nursing diagnosis is most appropriate for the client?
1. Pain, related to chemical agents 2. Risk for injury, related to visual acuity deficits 3. Self-care deficit, related to impaired vision 4. Deficient knowledge, related to disease process