canvas adaptive questions

A client with metastatic breast cancer is started on a multiple drug regimen that includes docetaxel. The nurse assesses the client for which nontherapeutic effects of docetaxel? Select all that apply.

-alopecia -febrile neutropenia -hypersensitive reaction Alopecia is a nontherapeutic response to docetaxel. Docetaxel affects interphase and mitosis of the cell cycle. Febrile neutropenia is a common nontherapeutic effect. Clients should concurrently receive a growth factor support agent such as pegfilgrastim when given a regimen of docetaxel. Hypersensitivity reactions (e.g., flushing, rash, local eruption) are common nontherapeutic reactions, particularly within the first few minutes of the infusion

ingestion of how much percentage of iron is considered mild to moderately toxic?

20 to 60 mg/kg of iron

What does a nurse consider the most significant influence on many clients' perception of pain when interpreting findings from a pain assessment?1 Age and sex2 Physical and physiological status3 Intelligence and economic status4 Previous experience and cultural values

4. previous experience and cultural values Interpretation of pain sensations is highly individual and is based on past experiences, which include cultural values. Age

ingestion of how much percentage of iron is considered fatal?

60 mg/kg (here, 65 mg/kg) is severely toxic and may be fatal.

Nuetropenia

An abnormally low count of a type of white blood cell (neutrophils)

arcus sneilis

Arcus senilis is a gray or white arc visible above and below the outer part of the cornea — the clear, domelike covering over the front of the eye

Docetaxel

Chemotherapy It can treat breast, lung, prostate, stomach, and head and neck cancer

stage 3 (NREM)

During stage 3 of non-rapid eye movement (NREM) sleep, the vitals slow but remain stable

The health care provider prescribes a low-fat, 2 g sodium diet for a client with hypertension. The nurse should explain that the purpose of restricting sodium is to do what?

Prevent reabsorption of water in the distal tubules Sodium cause reabsorption of water in the kidneys' renal tubules.When dietary intake of sodium is decreased, water is not reabsorbed, and edema is reduced. A decrease in sodium will prevent the reabsorption of water

superficial laceration

Superficial Laceration: Not Stitched. A laceration is a cut through the skin. A laceration requires stitches or staples if it is deep or spread open

On reviewing the medical history, the nurse finds that the client is prescribed mycophenolate mofetil for late graft loss. Which other medications could also be co-administered? Select all that apply.

Tacrolimus Cyclosporine Mycophenolate is a lymphocyte-specific inhibitor of purine synthesis with suppressive effects on both T and B lymphocytes. Tacrolimus and cyclosporine are co-administered with mycophenolate as it shows additive effect because it acts later in the lymphocyte activation pathway by a different mechanism, reducing late graft loss.

Past Pointing Test

a test for defective functioning of the vestibular nerve in which a subject is asked to point at an object with eyes open and then closed first after rotation in a chair to the right and then to the left and which indicates an abnormality if the subject does not past-point in the direction of rotation

pedal edema

accumulation of fluid in the feet or ankles

astigmatism

defective curvature of the cornea or lens of the eye

hyperopia

farsightedness (unable to see objects closely)

Arcus senilis is very common

for the older adult

Lipid deposits may lead to the formation of a grey ring in the cornea

for the older adult

symptoms related to weight loss and dry skin

heart rate- INCREASED blood pressure- DECREASED

presbyopia

impairment of vision as a result of old age

spironolactone

It can treat high blood pressure. It can also treat fluid retention (edema) and high levels of the hormone aldosterone. It is critical to monitor and manage serum potassium in patients with severe heart failure receiving ALDACTONE. Avoid using other potassium-sparing diuretics - always monitor patients for hyperkalemia when using this medication

Clients are sent to an emergency department for care, and tags are given to the clients based on a priority basis. Which client should be given a red tag?

- a patient with 25 & total body burns -any patient with between 15% and 40% should be tagged red, This condition is critical because untreated burns are prone to fluid and electrolyte problems and life-threatening infections.

After gastric surgery a client has a nasogastric tube in place. What should the nurse do when caring for this client?

- monitor signs of electrolyte imbalance Gastric secretions, which are electrolyte rich, are lost through the nasogastric tube; the imbalances that result can be life threatening.

A client has been admitted with a urinary tract infection. The nurse receives a urine culture and sensitivity report that reveals the client has Vancomycin Resistant Enterococcus (VRE). After notifying the physician, which action should the nurse take to decrease the risk of transmission to others?

- move patient to private room contact precautions are used for patients with suspected or known infections. VRE can be spread both by indirect and direct contact

The registered nurse teaches the student nurse regarding the priority of care provided to clients with eye injuries due to chemical exposure. Which activity performed by the student nurse indicates effective learning?

- perform ocular irrigation Ocular irrigation with saline solution should be performed immediately in the client with eye injuries due to chemical exposure.

The nurse suspects fluid volume deficiency in a client who complains of weight loss and skin dryness. Which other finding might confirm the nurse's suspicion

-darkened urine The deficient fluid volume causes darkened urine. Heart rate is increased, not decreased, in clients with fluid volume deficiency. Blood pressure is decreased, not increased, and the specific gravity of the urine is increased, not decreased, with fluid volume deficiency.

The nurse prepares an intravenous solution of lactated Ringer solution to replace the T-tube output of a client who had a cholecystectomy and common bile duct exploration. Which condition will improve if the administration of lactated Ringer solution is effective?

-metabolic acidosis Lactated Ringer solution is an alkaline solution that replaces bicarbonate ions lost from T-tube bile drainage, thus preventing or treating acidosis.

Lactated Ringer's Solution

A sterile crystalloid isotonic IV solution of specified amounts of calcium chloride, potassium chloride, sodium chloride, and sodium lactate in water.

romberg test

assesses ability of vestibular apparatus in inner ear to help maintain standing balance

side effects of docetaxel

infections, neutropenia, anemia, febrile neutropenia, hypersensitivity, thrombocytopenia, neuropathy, dysgeusia, dyspnea, constipation, anorexia, nail disorders, fluid retention, asthenia, pain, nausea, diarrhea, vomiting, mucositis, alopecia,

myopia

nearsighted (unable to see far away)

A client is taking an antithyroid medication for hyperthyroidism. The nurse provides education about serious health problems that may develop if the medication is not effective and tachycardia continues. The nurse instructs the client to seek medical attention immediately if any of the problems occur. Which should be included in the teaching? Select all that apply.

pedal edema weight gain weight gain and pedal edema are both signs of heart failure associated with tachycardia involves with the hyperthyroidism

he most abundant extracellular fluid cation and regulates serum (extracellular) osmolarity, as well as nerve impulse transmission and acid-base balance.

sodium

rinne test

test for conductive hearing loss

weber test

test for sensorineural hearing loss

audiometry test

tests hearing levels

Which is a lifestyle factor that can affect sleep?

-A change in evening mealtime is a lifestyle factor that can affect sleep

What are the priority nursing interventions for a client with neutropenia in an emergency department? Select all that apply.

-obtain blood cultures as soon as possible -Administer antibiotic STAT as prescribed. Identifying the causative agent for neutropenia is important for starting treatment. Therefore the priority nursing intervention is to obtain blood cultures immediately and administer antibiotic STAT as prescribed to the client

vestibular system

three semicircular canals that provide the sense of balance, located in the inner ear and connected to the brain by a nerve