Med surg 31-32

A 15-year-old client with hemophilia sustains a leg laceration after falling off of his skateboard and is brought to the emergency department. The laceration is bleeding profusely even with direct pressure to the site. What does the nurse anticipate will be ordered for administration to control bleeding? A) Fresh frozen plasma B) A colloid solution such as hetastarch (Hespan) C) A crystalloid solution such as lactated Ringer's D) Albumin

A) Fresh frozen plasma

A client has been diagnosed with non-Hodgkin's lymphoma but has no symptoms at this time. The client has received radiation and chemotherapy with responsiveness to this treatment. How would this disease be classified according to the lack of symptoms and responsiveness to treatment? A) Indolent B) Aggressive C) Cured D) Immunosuppressed

A) Indolent

The nurse is caring for four clients on the medical-surgical unit of the hospital. What client is mostly likely to be receiving treatment for sickle cell crisis? A) A 29-year-old Caucasian female B) A 19-year-old African American male C) A 24-year-old Native American female D) A 36-year-old Eastern European female Ans: B Feedbac

B) A 19-year-old African American male

You are caring for a client newly admitted to the unit with a diagnosis of lymphangitis. What interventions would you institute to help promote the resolution of the lymphangitis? Select all that apply. A) Apply ice to the area. B) Note the response to antibiotic therapy. C) Encourage independent activities of daily living. D) Elevate the area. E) Apply warm soaks/compresses to the area.

B) Note the response to antibiotic therapy. C) Encourage independent activities of daily living. D) Elevate the area. E) Apply warm soaks/compresses to the area.

A client is being treated in the hospital for hypovolemia related to a bleeding peptic ulcer. The nurse obtains a blood pressure reading of 88/62 mm Hg, heart rate of 112 beats/minute, and a respiratory rate of 24 breaths/minute. What is the first action by the nurse? A) Administer blood. B) Notify the physician. C) Insert two large-bore intravenous catheters. D) Administer a colloid solution.

B) Notify the physician.

A 16-year-old male client is in the burn unit following a motor vehicle accident. The nurse notes nonpitting edema in the client's left calf. What would the nurse document about this finding? A) 3+ edema of the left calf B) Secondary edema of the left calf C) Nonpitting primary edema of the left calf D) Primary edema of the left calf

B) Secondary edema of the left calf

The nurse is caring for a client with Hodgkin's disease who has developed anemia. What would you expect would be ordered for this client? A) Lower doses of radiation B) Transfusions C) A break in chemotherapy D) Increased rest and fluid

B) Transfusions

The nurse is collecting data for a patient who has been diagnosed with iron-deficiency anemia. What subjective findings does the nurse recognize as symptoms related to this type of anemia? A) "I feel hot all of the time." B) "I have a difficult time falling asleep at night." C) "I have an increase in my appetite." D) "I have difficulty breathing when walking 30 feet." :

D) "I have difficulty breathing when walking 30 feet."

The nurse is on a mission trip to a third world country to provide nursing care to a large group of clients. A client asks the nurse to look at his leg that is grossly edematous compared to the other extremity. What does the nurse understand is the most common cause of this disorder known as elephantiasis? A) Reaction to an antibiotic B) Smallpox vaccination C) Lack of healthcare D) A parasitic worm

D) A parasitic worm

The nurse is obtaining objective data from a client with lymphangitis of the left arm. What does the nurse expect to find when collecting this data from the client? A) Pulsatile mass in the axilla B) Weeping and oozing of fluid from the arm C) Cold, clammy arm D) Red streaks following the course of the lymph channels

D) Red streaks following the course of the lymph channels

The LPN is following a plan of care for a client who is being treated for hypovolemic anemia and is at risk for hypovolemic shock. The nurse assesses vital signs and O2 saturation and observes the saturation at 89% for 3 minutes. What should the first action by the nurse be?

Give oxygen via nasal cannula

The nurse is collecting objective data from the client with lymphedema of the left leg. The nurse observes that the affected leg is 10 cm greater in measurement than the unaffected leg. The affected leg is hot to the touch and red. What classification of lymphedema does the nurse recognize this client has? A) Grade I (Mild) B) Grade II (Moderate) C) Grade III (Severe) D) Grade IV (Extreme)

A) Grade I (Mild)

A client with lymphadenitis has developed persistent swelling of the affected area. What would be important information for you to teach this client? A) How to apply an elastic sleeve or stocking B) How to apply ice to the affected area C) How to do exercises to increase blood flow in the area D) How to dependently do activities of daily living

A) How to apply an elastic sleeve or stocking

The nurse is sending a client to be fitted for a compression garment for the treatment of lymphedema after having a mastectomy and node dissection. What does the nurse inform the client that will do to decrease the edema? Select all that apply. A) Increases local tissue pressure B) If worn for 30 days continuously, will permanently reduce the edema C) Decreases the stretching of the skin D) Helps muscles to propel lymphatic drainage E) Prevents tissue refilling with an excess volume of lymph

A) Increases local tissue pressure C) Decreases the stretching of the skin D) Helps muscles to propel lymphatic drainage E) Prevents tissue refilling with an excess volume of lymph

The nurse is caring for a client who is having a sickle cell crisis. Which order for analgesia should the nurse consult with the physician? A) Meperedine (Demerol) B) Morphine sulfate C) Sublimaze (Fentanyl) D) Buprenorphine (Buprenex)

A) Meperedine (Demerol)

A 15-year-old client arrives at the clinic and informs the nurse that he attended 2 weeks of summer camp last month and now is not feeling well with complaints of sore throat, fever, and very tired. The nurse observes white exudate on the tonsils. What test does the nurse anticipate the physician will order for this client? A) Monospot test B) AST and ALT C) Glucose level D) T3, T4, and TSH

A) Monospot test

A client is having a lymph node biopsy for suspicion of Hodgkin's disease. What type of cells would be identifiable in the lymph node biopsy that may indicate this disease process? A) Reed-Sternberg cells B) Sickled cells C) Epstein-Barr virus D) Red blood cells

A) Reed-Sternberg cells

The nurse caring for an older adult with a diagnosis of leukemia would encourage the client to use an electric razor. Why? A) Trauma and microabrasions may contribute to anemia. B) Fragile tissues and altered clotting mechanisms may result in hemorrhage. C) The client is at risk for spontaneous and uncontrolled bleeding. D) The client is at risk for infection from microorganisms.

A) Trauma and microabrasions may contribute to anemia.

The nurse is assigned to care for a client with polycythemia vera. When the nurse encourages the client to drink 3 L of fluid per day, the client states, "Why do I have to drink so much?" What is the best response by the nurse? A) "We don't want you to get dehydrated." B) "It helps adequately hydrate you and ensures a sufficient urine production." C) "It will help your heart beat regularly and effectively." D) "It will help restrict blood circulation." Ans: Feedback:

B) "It helps adequately hydrate you and ensures a sufficient urine production."

The nurse is caring for a group of clients. Which client does the nurse suspect is most likely to have mononucleosis? A) A 46-year-old male who is complaining of chest pain and weakness B) A 19-year-old college student with cervical node enlargement and fever C) A 28-year-old female with lower abdominal discomfort and vaginal discharge D) A 30-year-old male client with a cough, chest discomfort, and fever

B) A 19-year-old college student with cervical node enlargement and fever

A client with Hodgkin's disease has a weight loss of 10% of body weight 6 months prior to the diagnosis, fever of 101° F, and drenching night sweats. What subclassification of Hodgkin's disease does this client fit into? A) A B) B C) C D) E

B) B

The nurse is caring for a client with lymphedema of the left arm in the clinic. The nurse measures a circumference of the affected extremity 4 cm larger in circumference than the opposite limb, and the client complains of feeling a heaviness and pain. There is limited movement of the left arm. What would the nurse grade and document this lymphedema as? A) Grade I (Mild) B) Grade II (Moderate) C) Grade III (Severe) D) Grade IV (Grossly edematous)

B) Grade II (Moderate)

A client, age 22 years, comes to the clinic and informs the nurse that he began having swelling in his right arm. There has been no injury or precipitating occurrence that caused the swelling. The nurse observes nonpitting edema from the upper arm to the fingertips. What action should the nurse initially perform? A) Instruct the client to elevate the extremity. B) Inspect and measure the arm. C) Apply a compression stocking. D) Administer a diuretic.

B) Inspect and measure the arm.

client is found to have a low hemoglobin and hematocrit when laboratory work was performed. What does the nurse understand the anemia may have resulted from? Select all that apply. Infection Blood loss Abnormal erythrocyte production Destruction of normally formed red blood cells Inadequate formed white blood cells

Blood loss Abnormal erythrocyte production Destruction of normally formed red blood cells

A client calls the clinic and informs the nurse that her boyfriend was diagnosed with infectious mononucleosis and wonders how long it would be before she got it. What does the nurse inform the client that the incubation period is for infectious mononucleosis? A) 3 days B) 7 to 10 days C) 30 to 50 days D) 50 to 70 days

C) 30 to 50 days

A client with non-Hodgkin's lymphoma is receiving chemotherapy for treatment. The client is complaining of nausea during treatment. To maintain fluid intake, what type of food or fluid could the nurse offer the client? A) Milk B) Pudding C) Popsicle D) Chicken

C) Popsicle

You are assisting your client with multiple myeloma to ambulate. What is the most important nursing diagnosis to help prevent fractures in this client? A) Increased mobility B) Adequate hydration C) Safety D) Adequate nutrition M

C) Safety

You are caring for an 87-year-old female who has been admitted to your unit with anemia. What would you suspect? A) Excessive consumption of coffee or tea B) Elimination of iron by the body C) Decrease in the total body iron stores with age D) Blood loss from the gastrointestinal or genitourinary tract

D) Blood loss from the gastrointestinal or genitourinary tract

A 55-year-old female client has developed lymphedema postmastectomy. What is the common method used to promote lymphatic drainage and prevent edema in all clients with lymphedema? A) Reduce the intake of fluids. B) Avoid exercising the affected part. C) Decrease the intake of sodium and calcium. D) Elevate the affected part of the body. Ans:

D) Elevate the affected part of the body. Ans: D

A client is seen in the emergency department with severe pain related to a sickle cell crisis. What does the nurse understand is occurring with this client? A) The client has a decreased tolerance of pain related to the chronic nature of the illness. B) Bone marrow decreases the erythrocyte production causing decrease in hypoxia. C) Overhydration enlarges the red blood cells. D) Vascular occlusion in small vessels decreasing blood and oxygen to the tissues.

D) Vascular occlusion in small vessels decreasing blood and oxygen to the tissues.

The nurse is caring for a client who is developing hypovolemic shock from a duodenal ulcer bleed. What is the first intervention the nurse can provide to facilitate blood flow to the brain? A) Prepare the client for an endoscopy. B) Administer a crystalloid solution. C) Place the client in a modified Trendelenburg position. D) Test the client for blood in the stool.

C) Place the client in a modified Trendelenburg position.

A client with lymphedema of the left leg has a nursing diagnosis of Disturbed Body Image related to lymphedema of the left leg as evidenced by the statement, "I look terrible and am embarrassed to go out." What intervention can the nurse provide to help this client? A) Inform the client it is acceptable to stay away from social activities. B) Encourage the client to go out and socialize even if he doesn't want to. C) Suggest certain styles of clothing that conceal the enlargement of the leg. D) Refer the client to a psychiatrist.

C) Suggest certain styles of clothing that conceal the enlargement of the leg.

The registered nurse (RN) and licensed practical nurse (LPN) are preparing an educational program for clients who may be at risk for the development of iron-deficiency anemia. Which clients would receive the greatest benefit from this program? Select all that apply. A) A young female client with bulimia nervosa B) An older adult client on a fixed income C) A client with Crohn's disease D) A client who lives in a nursing home E) A client who is a vegetarian

A) A young female client with bulimia nervosa B) An older adult client on a fixed income C) A client with Crohn's disease

The nurse is caring for a client with a diagnosis of Hodgkin's disease and is aware that there is enlargement of the retroperitoneal nodes when reviewing the review of systems on the physician's history and physical. What symptoms are the nurse aware may be indicative of enlargement of the retroperitoneal nodes? A) Complaints of a sense of fullness in the stomach and epigastric pain B) Sore throat, white discharge on the tonsils C) Nausea and vomiting D) Respiratory rate of 14 and shallow

A) Complaints of a sense of fullness in the stomach and epigastric pain

The nurse observes the laboratory studies for a client in the hospital with fatigue, feeling cold all of the time, and hemoglobin of 8.6 g/dL and a hematocrit of 28%. What finding would be an indicator of iron-deficiency anemia? A) Erythrocytes that are microcytic and hypochromic B) Erythrocytes that are macrocytic and hyperchromic C) Clustering of platelets with sickled red blood cells D) An increased number of erythrocytes Ans:

A) Erythrocytes that are microcytic and hypochromic

A client has developed an infection that resulted in lymphangitis. What does the nurse suspect the causative organism is that caused the infection? A) A streptococcal microorganism B) A Staphylococcus microorganism C) Escherichia coli D) Candida albicans

A) A streptococcal microorganism

11. A client had a left radical mastectomy with an axillary node dissection 6 months ago and is having a large amount of edema in the left arm down to the fingers. What should the nurse inform the client is the reason for the edema? A) An accumulation of lymphatic fluid that results from impaired lymph circulation. B) It is congenitally acquired and is not related to the mastectomy. C) They are most likely ingesting too much sodium and should be advised to decrease the amount. D) There is inadequate blood flow from circulatory impairment.

A) An accumulation of lymphatic fluid that results from impaired lymph circulation.

The nurse is caring for a client in the hospital who is being treated for Hodgkin's disease and is taking a chemotherapeutic regimen in the hospital's oncology unit. When reviewing the client's medication history, what regimen does the nurse recognize as the drugs in the treatment of Hodgkin's disease? A) Rocephin, Lasix, rifampin B) Cisplatin, cytarabine, prednisone C) Infliximab (Remicade) D) Enalapril (Lisinopril), Lopressor (Atenolol)

B) Cisplatin, cytarabine, prednisone

The nurse is admitting a client with Cooley's anemia to the hospital with a hemoglobin of 6.2 g/dL and hematocrit of 26%. What does the nurse document about the client's skin? A) Bronzing of the skin B) Jaundice of the skin and mucous membranes C) Ruddy complexion D) Pale skin

A) Bronzing of the skin

The nurse is caring for a client diagnosed with infectious mononucleosis who is having trouble eating. What would the nurse advise this client to improve his oral intake? A) Eat warm food and drink warm liquids. B) Eat soft, bland foods and drink cool liquids. C) Avoid spicy foods and drink warm liquids. D) Eat soft, bland foods and drink warm liquids.

B) Eat soft, bland foods and drink cool liquids.

The nurse is caring for a client with hypovolemic anemia who is now in hypovolemic shock. What indication does the nurse have that the client is having inadequate renal perfusion? A) Hematuria B) Blood pressure of 90/60 mm Hg C) Jaundice of the sclera D) Urine output of 15 mL/hour

D) Urine output of 15 mL/hour

The nurse is instructing the client with sickle cell disease about the use of an inhaled vasodilator that may reduce sickling. What medication is the nurse instructing the client about? A) Nitrous oxide B) Nitric oxide C) Betamethasone D) Terbutaline (Brethine)

B) Nitric oxide

The nursing instructor is talking with her clinical group about coagulopathies. How should the instructor define coagulopathies? A) Coagulopathies are bleeding disorders that are characterized by abnormalities in the numbers and types of red blood cells in the body. B) Coagulopathies are bleeding disorders that involve platelets or clotting factors. C) Coagulopathies are bleeding disorders that are characterized by a deficiency of globulins in the plasma. D) Coagulopathies are bleeding disorders that involve the destruction of stem cells in the bone marrow.

B) Coagulopathies are bleeding disorders that involve platelets or clotting factors.

A client with a diagnosis of pernicious anemia comes to the clinic complaining of numbness and tingling in his arms and legs. What do these symptoms indicate? A) Loss of vibratory and position senses B) Neurologic involvement C) Severity of the disease D) Insufficient intake of dietary nutrients

B) Neurologic involvement

28. The nurse is caring for an older adult client with hemolytic anemia. What does the nurse understand about the reason this client is most susceptible to this disorder? A) The client is older and is probably noncompliant with medications. B) Older adult clients often take more medications than younger people. C) Older adult clients have more incidences of coagulation disorders. D) The older adult client does not follow up with physician appointments.

B) Older adult clients often take more medications than younger people.

You are caring for a client with multiple myeloma. Why would it be important to assess this client for fractures? A) Osteopathic tumors destroy bone causing fractures. B) Osteoclasts break down bone cells so pathologic fractures occur. C) Osteolytic activating factor weakens bones producing fractures. D) Osteosarcomas form producing pathologic fractures.

B) Osteoclasts break down bone cells so pathologic fractures occur.

4. The nurse is caring for the client with infectious mononucleosis that has inflammation of the pharyngeal mucosa. What foods or liquids would be best to offer to this client? A) A hot cup of milk B) Vanilla pudding and iced tea C) Tomato soup and hot herbal tea D) Beef and broccoli stir fry and a soft drink

B) Vanilla pudding and iced tea

An adolescent client diagnosed with infectious mononucleosis asks the nurse if he will keep getting the disease. What is the best response by the nurse? A) "After having the disease, the virus dissipates and is gone forever." B) "Once you get the virus, it will infect you when your immune system is compromised." C) "One episode produces immunity, but the virus remains for a lifetime." D) "Once you have the symptoms of the virus, it will go away within a week and there will be no further episodes."

C) "One episode produces immunity, but the virus remains for a lifetime."

The nurse is instructing the client with polycythemia vera how to perform isometric exercises such as contracting and relaxing the quadriceps and gluteal muscle during periods of inactivity. What does the nurse understand is the rationale for this type of exercise? A) Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate. B) Isometric exercise decreases the workload of the heart and restores oxygenated blood flow. C) This type of exercise increases arterial circulation as it returns to the heart. D) Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.

D) Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.

The family nurse practitioner is performing a physical assessment on a client with a suspected lymphatic disorder. What would be the nurse practitioner's primary assessment for all clients with lymphatic disorders? A) Fever and sore throat B) Painful joints C) Signs of leukopenia and thrombocytopenia D) Enlargement of the lymph glands

D) Enlargement of the lymph glands

A client with Hodgkin's disease has bilateral lymph nodes that are affected with extension through the spleen as well as affecting the bone marrow. What stage of the disease does the nurse recognize the client is in? A) I B) II C) III D) IV

D) IV

A client with lymphedema in the left arm has weeping from the skin and has a small 2-cm ulcer on the upper arm. What test does the nurse anticipate the client will be prepared for? A) X-ray of the left arm B) Ultrasound of the left arm C) CT scan D) Lymphangiography

D) Lymphangiography

A client was admitted to the hospital with a pathologic pelvic fracture. The client informs the nurse that he has been having a strange pain in the pelvic area for a couple of weeks that was getting worse with activity prior to the fracture. What does the nurse suspect may be occurring based on these symptoms? A) Hemolytic anemia B) Polycythemia vera C) Leukemia D) Multiple myeloma

D) Multiple myeloma

Your client was admitted to the emergency department after an accident with a chain saw. The client is exhibiting signs and symptoms of acute hypovolemic anemia from severe blood loss. What signs and symptoms would you assess for? A) Malabsorption disorders B) Postural hypotension C) Fatigue D) Reduced urine output

D) Reduced urine output

The nurse is caring for a client with lymphangitis of the right leg who is receiving treatment with a broad-spectrum antibiotic. The nurse is giving a bath and observes the right leg is larger than it was 2 hours ago and the client feels hot. What is the first action by the nurse?

Notify the physician.

The nursing instructor is discussing disorders of the hematopoietic system with the pre-nursing pathophysiology class. What disease would the instructor list with a primary characteristic of erythrocytosis? A) Polycythemia vera B) Sickle cell disease C) Aplastic anemia D) Pernicious anemia

A) Polycythemia vera

12. A client is experiencing chronic hypovolemic anemia as evidenced by laboratory results. What symptoms does the nurse expect to find for this client when collecting objective data? A) Postural hypotension B) Urinary output of 10 mL/hr C) Altered consciousness D) Extreme pallor

A) Postural hypotension

The nurse is instructing a client about taking a liquid iron preparation for the treatment of iron-deficiency anemia. What should the nurse include in the instructions? A) Do not take medication with orange juice because it will delay absorption of the iron. B) Iron may cause indigestion and should be taken with an antacid such as Mylanta. C) Dilute the liquid preparation with another liquid such as juice and drink with a straw. D) Discontinue the use of iron if your stool turns black. Ans:

C) Dilute the liquid preparation with another liquid such as juice and drink with a straw

The nurse is caring for an older adult client who has a hemoglobin of 9.6 g/dL and a hematocrit of 34%. To determine where the blood loss is coming from, what intervention can the nurse provide? A) Observe stools for blood. B) Observe the gums for bleeding after the client brushes teeth. C) Observe the sputum for signs of blood. D) Observe client for facial droop.

A) Observe stools for blood.

Which client does the nurse recognize as most likely to be diagnosed with non-Hodgkin's lymphoma rather than Hodgkin's lymphoma? A) A 55-year-old client with AIDS B) A 35-year-old client with type 2 diabetes mellitus C) A 20-year-old client with infectious mononucleosis D) A 40-year-old client with Reed-Sternberg cells in an axillary lymph node

A) A 55-year-old client with AIDS

A client comes to the walk-in clinic complaining of weakness and fatigue. While assessing this client, you find evidence of petechiae and ecchymoses. You note that the spleen appears enlarged. What would you suspect is wrong with this client? A) Aplastic anemia B) Pernicious anemia C) Iron-deficiency anemia D) Agranulocytosis

A) Aplastic anemia

2. A client has just been admitted to your unit with a diagnosis of Hodgkin's disease. When doing the initial assessment, what pertinent questions should the nurse ask the client to help determine the correct nursing diagnosis? A) Are you experiencing fever, chills, or night sweats? B) Do you use artificial respirators? C) Have you ever had a blood transfusion? D) Have you ever experienced fractures?

A) Are you experiencing fever, chills, or night sweats?

The nurse is providing instruction on the use of compression garments for the client with lymphedema. What should be included in the instructions? Select all that apply. A) Purchase two compression garments. B) Change the garment in the morning and in the evening. C) Limit the time the garment is not worn to 30 to 60 minutes. D) Replace a compression garment every month. E) Place the garment in the dryer after washing.

A) Purchase two compression garments. B) Change the garment in the morning and in the evening. C) Limit the time the garment is not worn to 30 to

Parents arrive to the clinic with their 5-year-old child and inform the nurse the child has just been diagnosed with sickle cell disease. The parents ask the nurse how this could have happened and which one of them is the carrier. What is the best response by the nurse? A) "Most likely, the father is the carrier of the gene." B) "The trait is passed down through the mother." C) "The child must inherit two defective genes, one from each parent." D) "It is an acquired, not a hereditary disorder."

C) "The child must inherit two defective genes, one from each parent."

A client with sickle cell disease informs the nurse that he is having chest pain. The nurse hears the client coughing, wheezing, and breathing rapidly. What does the nurse suspect is occurring with this client? A) Vaso-occlusive crisis B) Pneumocystis pneumonia C) Acute chest syndrome D) Acute muscular strain

C) Acute chest syndrome

client diagnosed with polycythemia vera has come into the clinic because he has developed a nighttime cough, fatigue, and shortness of breath. What complication would you suspect in this client? A) Stroke B) Tissue infarction C) Congestive heart failure D) Pulmonary embolus

C) Congestive heart failure

32. A client is suspected of having leukemia and is having a series of laboratory and diagnostic studies performed. What does the nurse recognize as the hallmark signs of leukemia? Select all that apply. A) Diarrhea B) Nausea and vomiting C) Frequent infections D) Fatigue from anemia E) Easy bruising

C) Frequent infections D) Fatigue from anemia E) Easy bruising

A young client has just been diagnosed with lymphoma. The client asks you what a lymphoma is. What would be your best answer? A) It is a group of cancers that affect the body. B) It is a group of cancers connected to the hematopoietic system. C) It is a group of cancers that affect the lymphatic system. D) It is a group of cancers connected to the cardiovascular system.

C) It is a group of cancers that affect the lymphatic system.

A client with multiple myeloma is complaining of severe pain when the nurse comes in to give a bath and change position. What is the priority intervention by the nurse? A) Inform the client that the position must be changed, and then you will give her pain medication and omit the bath. B) Inform the client that she will feel better after receiving a bath and clean sheets. C) Obtain the pain medication and delay the bath and position change until the medication reaches its peak. D) Inform the client that the bath and positioning is an important part of client care and will be done right after pain medication administration.

C) Obtain the pain medication and delay the bath and position change until the medication reaches its peak.

Your client is receiving chemotherapy for a diagnosis of lymphosarcoma. The client experiences nausea. What measures should the nurse suggest to help the client reduce the feeling of nausea? A) Administer immunosuppressive drugs. B) Apply ice to the skin for brief periods. C) Offer clear liquids such as carbonated beverages, water, and ice pops. D) Advise bed rest as much as possible.

C) Offer clear liquids such as carbonated beverages, water, and ice pops.