Solutions
Save
Terms in this set (114)
Which information should be included a. use an electric razor
in the teaching plan for a client with d. use a soft-bristle toothbrush
cancer who is experiencing e. report bleeding (nose bleed, petechiae, or
thrombocytopenia? Select all that melena, to a healthcare professional (HCP)
apply f. avoid frequent flossing for oral care
a. use an electric razor
b. Include over the counter NSAID
daily for pain control
c. monitor temperature daily
d. use a soft-bristle toothbrush
e. report bleeding (nose bleed,
petechiae, or melena, to a healthcare
professional (HCP)
f. avoid frequent flossing for oral care
,A client who has his last a. "I will carry hand sanitizer with me and use it often."
chemotherapy cycle in 11 days b. "I need to avoid going to the movies or eating out
becomes neutropenic. The client while receiving my cancer treatment."
understands his conditions when he d. I'll monitor my temperature frequently and go to
states which of the following? Select the nearest emergency department if my
all that apply. temperature rises above 100.1°F (38 °C)
a. "I will carry hand sanitizer with me
and use it often."
b. "I need to avoid going to the
movies or eating out while receiving
my cancer treatment."
c. " have this new blender and plan to
make fruit or vegetable Shakes for
energy."
d. I'll monitor my temperature
frequently and go to the nearest
emergency department if my
temperature rises above 100.1°F (38
°C)
The nurse has reinforced a pressure a. fever of 102F (30C), no urine output for 2 hours
dressing on a client who is post- b. BP 86/50 mm Hg, pulse weak and thready at 120
operative mastectomy and notes bpm
there is considerable sanguineous
drainage in the hemovac. Which of the
following assessments should the
nurse report to the physician? Select
all that apply
a. fever of 102F (30C), no urine output
for 2 hours
b. BP 86/50 mm Hg, pulse weak and
thready at 120 bpm
c. weak thready pulse at 88 bpm;
blood pressure 140/80 mm Hg
d. warm, dry skin; radial pulse of 86
bpm
e. cold, clammy skin, BP 120/80 mm
Hg
,A client with iron deficiency anemia is a. Brown Rice
having trouble selecting food from b. Dark green veggies
the hospital menu. Which foods c. Eggs
should the nurse suggest to meet the
client's need for iron?
a. Brown Rice
b. Dark green veggies
c. Eggs
d. Tea
What safety measures would be most b. inspect the blood bag for leaks, abnormal colour,
important to implement when caring and clots
for a client who is receiving 2 units of c. stop the transfusion if a reaction occurs, but keep
PRBC? the line open
f. infuse a unit of PRBCs in less than 4 hours
a. Verify that the ABO and Rh of the 2
units are the same.
b. Inspect the blood bag for leaks,
abnormal color, and clots.
c. Stop the transfusion if a reaction
occurs but keep the line open.
d. Take vital signs every 15 minutes
while the unit is transfusing.
e. Use a 22-gauge catheter for optimal
flow of a blood transfusion
f. Infuse a unit of PRBCs in less than 4
hours.
, The nurse is caring for a client newly a. Medication can cure the disease
diagnosed with HIV obtained from c. The disease can also be spread by bodily fluids
unprotected sex. The nurse is in the d. I am afraid that I will give this disease to my
room when the client explains the nephew
disease to another person. Which e. I could pass this on to a baby before I give birth
statement by the client would the
nurse clarify? Select all that apply
a. "Medications can cure the disease.
b. "My sexual practices will have to
change."
c. "The disease can also be spread by
body fluids."
d. "I am afraid that I will give this
disease to my nephew."
e. 'I could pass this on to a baby
before I give birth
f. "I will have this for the rest of my life.
After undergoing a gastrectomy, a Parenteral route (IM)
client develops pernicious anemia,
which route should the nurse use to
administer cyanocobalamin (Vitamin
B12)
a. Parenteral route
b. Oral route
c. Buccal route
d. Transdermal route