AND SOLUTIONS VERIFIED ANSWERS
●● caring for a pt receiving chemotherapy
Answer: report and provide relief for adverse or toxic effects
encourage adequate nutrition and fluid intake
instruct family on proper use of vascular access devices
●● client teaching to prevent melanoma
Answer: avoid sun exposure between 1000-1500
apply sun screen near reflective surfaces atleast 30 minutes prior and
reapply every 2 hours
wear protective clothing
avoid indoor tanning
teach ABCDE of melanoma
●● ABCDEs of melanoma
Answer: asymmetry, border, color, diameter, evolution
●● Stage 1 Alzheimer's
Answer: memory lapses
losing or misplacing items
,difficulty concentrating and organizing
unable to remember material just read
short-term memory loss noticable to close relations
●● Stage 2 Alzheimer's
Answer: forgetting events of one's own history
difficulty preforming task that require planning and organizing
personality and behavioral changes
●● Stage 3 Alzheimer's
Answer: losing ability to converse with others
assistance with ADL
incontinence
progressing difficulty with physical abilities
●● Normal aPTT time
Answer: 30-40 seconds
●● Normal PTT range
Answer: 60-70 seconds
●● Confusion Assessment Method (CAM)
, Answer: Tests for delirium
●● neelon/champagne confusion scale ( NEECHAM)
Answer: for delirium
●● Functional Dementia Scale
Answer: give the nurse information regarding the clients ability to
perform self-care, extent of clients memory loss, mood changes, degree
of danger to self and/or others
●● Brief Interview for Mental Status (BIMS)
Answer: used for clients in long term health care settings
●● Mini-Mental State Examination (MMSE)
Answer: A test that is used to measure cognitive ability, especially in late
adulthood.
●● functional assessment screening tool
Answer: screens the safety of independent living, the need for home
health services, and quality of life
●● Global Deterioration Scale (GDS)
Answer: -used for clients that have primary of dementia