A nurse caring for a client taking a drug that can cross the blood-brain barrier determines the client is experiencing possible neurotoxicity when which symptoms are observed?
1. Visual changes
2. Loss of balance
3. Sedation
4. Depression
5. Nausea and vomiting
Correct Answer: 1,2,3,4
Rationale 1: Symptoms of neurotoxicity may include visual changes.
Rationale 2: Symptoms of neurotoxicity may include loss of balance.
Rationale 3: Symptoms of neurotoxicity may include drowsiness.
Rationale 4: Symptoms of neurotoxicity may include depression.
Rationale 5: Nausea and vomiting is a symptom of hepatotoxicity and nephrotoxicity.
Global Rationale: Symptoms of neurotoxicity may include visual changes, loss of balance, sedation, and depression. Nausea and vomiting is a symptom of hepatotoxicity and nephrotoxicity.
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A client with cancer has anorexia and mucositis, and is losing weight. The client's family members continually bring favorite foods to the client and are distressed when the client won't eat them. What action by the nurse is best?
a. Explain the pathophysiologic reasons behind the client not eating. b. Help the family show other ways to demonstrate love and caring. c. Suggest foods and liquids the client might be willing to try to eat. d. Tell the family the client isn't able to eat now no matter what they bring.
A 36-year-old woman had diabetes diagnosed at a free health-screening program at a large employer. Which of the following should be emphasized by the nurse when helping the woman make an appointment at the diabetic clinic for follow-up testing and treatme
a. "Bring a food diary of everything you've eaten for one week with you to the appointment to help with future meal planning." b. "It's really not that hard to learn how to inject insulin, and it really doesn't hurt." c. "Please encourage all your family members, including your parents, to be tested for diabetes as well." d. "They'll teach you how to manage your meals and medications to stay healthy."
A new mother states, "My mother-in-law will be here from out of town for a few weeks. I'm afraid she will take over the care of the baby." The nurse should:
a. Encourage the client to tell her mother-in-law that she (the new mother) wants to care for her infant. b. Tell the client how lucky she is to have someone to help her. c. Encourage the client to allow her mother-in-law to take care of the newborn. d. Tell the client that everything will be okay.
While making her rounds, a nurse hears a cry for help. Upon entering the room she finds the
patient on the floor at the end of her bed. The side rails were up, the call button was within reach, and the bed was in its lowest position. The patient stated, "I needed to use the bathroom and I just didn't want to bother the nurses.". How should this incident be written in the occurrence report? A) The patient crawled out of bed attempting to go to the bathroom and fell. The call bell was in reach, the side rails were up, and the bed was in the lowest position. B) The nurse found the patient on the floor at the end of her bed. The side rails were up, the bed was in its lowest position, and the call bell had been within reach. C) Though instructed to call for help, the patient insisted on ambulating without assistance. She was found on the floor. D) The patient was found on the floor. Assisted back to bed. No injuries noted. Instructed to call the nurse prior to getting out of bed in the future.