A patient is receiving 3% NaCl solution for correction of hy…
A patient is receiving 3% NaCl solution for correction of hyponatremia. The nurse recognizes that this treatment can lead to potential complications. Which assessment is most critical for the nurse to prioritize in managing the patient’s care during this infusion?
Read DetailsA nurse is teaching a 25-year-old male patient how to perfor…
A nurse is teaching a 25-year-old male patient how to perform monthly testicular self-examinations (TSEs) for early detection of testicular cancer. The patient seems hesitant and uncomfortable discussing the topic. Which responses from the patient indicate the nurse’s teaching has been effective and that the patient’s psychosocial needs have been addressed? Select all that apply.
Read DetailsA patient in the emergency department reports back pain and…
A patient in the emergency department reports back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started. The nurse stops the transfusion and initiates a normal saline bolus. Which of the following findings would indicate that the nurse’s actions were effective? Select all that apply.
Read DetailsScenario: A 48-year-old woman had a lumpectomy after being d…
Scenario: A 48-year-old woman had a lumpectomy after being diagnosed with carcinoma in the left breast. She had her first chemotherapy treatment with cyclophosphamide 2 months ago. Today she is in the outpatient cancer treatment center for her sixth round of chemotherapy; radiation therapy is planned after the tenth chemotherapy treatment is completed. The nurse documents these findings as part of today’s admission assessment: Reports “feeling tired often.” “I have had diarrhea five or six times a day.” “I don’t have much of an appetite.” “I have noticed some blood in my urine, starting yesterday.” “My food doesn’t have any taste to it at all.” The patient has alopecia. Oral mucosa is inflamed with some ulcerations noted in the cheek areas. Vital signs: Temperature 100.5°F (38.1°C), Pulse 88, Respirations 12, blood pressure 118/72 Scenario: After further assessment, the patient indicated that she was menstruating. As a precaution, the chemotherapy treatment was postponed and the patient was scheduled for a follow-up in 1 week. At the follow-up appointment, her urinalysis was negative for red blood cells and the oncologist added immunotherapy to the treatment plan. The patient received the first dose of interferon and continued with the cyclophosphamide therapy. Based on the patient’s chemotherapy and immunotherapy treatment plan, the nurse is preparing a comprehensive care plan. Which actions should be included in the patient’s plan of care to address the expected side effects and optimize the patient’s health outcomes? Select all that apply.
Read DetailsA patient who was involved in a motor vehicle crash has had…
A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How would the nurse interpret the following arterial blood gas results: pH 7.48, PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25 mEq/L?
Read DetailsA patient who had surgery for a perforated gastric ulcer has…
A patient who had surgery for a perforated gastric ulcer has been receiving nasogastric suction for 3 days and now has a serum sodium level of 127 mEq/L (127 mmol/L). The nurse must develop a plan of care to safely manage the patient’s hyponatremia while minimizing risks. Which interventions would the nurse include in the plan? Select all that apply.
Read DetailsA patient with multiple draining wounds is admitted for hypo…
A patient with multiple draining wounds is admitted for hypovolemia. The nurse must develop a comprehensive plan of care to manage the patient’s fluid balance. Which interventions and assessments should the nurse include in the plan? Select all that apply.
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