In addition to weakness and fatigue, which of the following problems should the nurse expect Aisa to exhibit?

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Question 1 of 5

In addition to weakness and fatigue, which of the following problems should the nurse expect Aisa to exhibit?

Correct Answer: B

Rationale: In addition to weakness and fatigue, the nurse should expect Aisa to exhibit an increased pulse rate. Weakness and fatigue are common symptoms of anemia, a condition characterized by a decrease in the number of red blood cells or hemoglobin in the blood. Anemia can lead to the heart working harder to pump oxygen-rich blood to the body, resulting in an increased pulse rate. Therefore, it is important for the nurse to assess for signs of tachycardia (elevated heart rate) in a patient with anemia.

Question 2 of 5

The patient is having difficulty coping with her new diagnosis of lymphoma. Which response by the nurse is most helpful?

Correct Answer: C

Rationale: Option C, "Who do you usually go to when you have a problem?" is the most helpful response by the nurse in this situation. This response allows the patient to identify her support system and opens up a conversation about coping mechanisms and sources of emotional support. It helps the nurse understand who the patient leans on during difficult times and enables the nurse to involve these individuals in providing support and encouragement to the patient as she copes with her new diagnosis of lymphoma. By exploring the patient's typical sources of support, the nurse can assist in strengthening her coping mechanisms and emotional well-being during this challenging time.

Question 3 of 5

A man‘s blood type is AB and he requires a blood transfusion. To prevent complications of blood incompatibilities, which blood type may the client receive?

Correct Answer: C

Rationale: As the man's blood type is AB, he can only receive blood from donors with type AB blood. This is because individuals with type AB blood are universal recipients, meaning they can safely receive blood from any blood type without risking complications. Blood types A, B, and O all contain antigens that could cause a reaction if transfused into someone with type AB blood. Therefore, to prevent any complications of blood incompatibility, the client in this case should only receive blood with type AB.

Question 4 of 5

Which of the ff nursing interventions ensure that a client with Hodgkin's disease remains free of infection? Choose all that apply

Correct Answer: C

Rationale: In pediatric patients with Hodgkin's disease, maintaining a clean environment is crucial to prevent infections due to their compromised immune system. The correct answer, option C, to practice conscientious hand washing is essential as it helps to minimize the transmission of pathogens that could lead to infections. Hand washing is a fundamental nursing intervention that significantly reduces the risk of spreading infections in healthcare settings. Options A and B, applying ice to the skin and providing cool sponge baths, do not directly relate to infection prevention in a client with Hodgkin's disease. While these interventions may offer comfort or symptom relief, they do not address the primary concern of infection control. Option D, using cotton gloves and restricting visitors or personnel with infections from contact with the client, is also important in infection control. However, hand washing (option C) is a more direct and universal measure that all healthcare providers and visitors can easily implement to reduce the risk of infections in pediatric patients with compromised immune systems. Educationally, this question emphasizes the significance of basic infection control practices in pediatric oncology care. It highlights the need for healthcare providers to be diligent in hand hygiene to protect vulnerable patients from potential infections, showcasing the importance of evidence-based nursing interventions in maintaining patient safety and well-being.

Question 5 of 5

Which intervention is appropriate for the nurse caring for a client in severe pain receiving a continuous I.V. infusion of morphine?

Correct Answer: D

Rationale: Obtaining baseline vital signs before administering the first dose is appropriate for the nurse caring for a client in severe pain receiving a continuous I.V. infusion of morphine. Monitoring vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, is essential to assess the client's response to opioid therapy. Baseline vital signs provide a comparison for evaluating changes in the client's physical status and help identify any adverse effects or complications related to morphine administration. This proactive approach allows the nurse to detect and address any abnormalities promptly, ensuring the client's safety and optimal pain management.

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