A client undergoing a course of chemotherapy feels lonely and isolated and tells the nurse he wants to resume some normal activities. The precaution that the nurse should give the client when resuming activities is
a. avoid crowds.
b. do not eat outside the home.
c. drink only bottled water.
d. use only the client's own bathroom.
A
The nurse should teach chemotherapy clients measures to protect against infection: maintain adequate nutrition and fluid intake and avoid crowds, people with infections, and clients recently vaccinated with live or attenuated vaccines. The other three options are not standard precautions for the client receiving chemotherapy.
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The nurse notes the term palliative management on a client's chart, and recognizes that the treatment goal:
1. Is to let the client die peacefully. 2. Is to optimize quality of life. 3. Depends on the results of tests. 4. Is to make sure the client gets plenty of fluids to stay hydrated.
A patient with small cell lung cancer (SCLC) has developed a paraneoplastic syndrome called Cushing syndrome. Based on this new complication, the nurse will likely assess which of the following clinical manifestations of Cushing syndrome?
A) Weight gain, moon face, buffalo hump, and purple striae on the abdomen B) Bilateral edema in the arms, swollen face, and protruding eyes C) Severe bone/joint pain, nausea/vomiting, and polyuria D) Tetany, new-onset seizure activity, emotional lability, and extrapyramidal symptoms
A new mother is concerned because her 1-day-old newborn is taking only 1 oz at each feeding. The nurse should explain that:
a. the infant does not require as much formula in the first few days of life. b. the infant's stomach capacity is small at birth but will expand within a few days. c. the infant tires easily during the first few days but will gradually take more formula. d. the infant is probably having difficulty adjusting to the formula.
When a distinction must be made as to whether a client is demonstrating confusion related to
depression or dementia, what nursing assessment would be of particular value? a. The client with dementia is pervasively angry and hostile. b. Early morning agitation and hyperactivity are present in dementia. c. The depressed client is preoccupied with leaving the facility to return home. d. Confusion seems to worsen at night when dementia is present.