Elevating the head of the bed 30° avoids pressure on the sella turcica and alleviates headaches. Options A, B, and D: Trendelenburg, Valsalva maneuver, and coughing all increase the intracranial pressure.
Three months after surgery and chemotherapy the patient is likely to be feeling the after-effects, which often includes anemia because of bone-marrow suppression. Option B: There is no evidence that the patient is immunosuppressed, and fatigue is not a typical symptom of immunosuppression. Options C and D: The information given does not indicate that depression or dehydration is a cause of her symptoms.
Radiation treatment for other types of cancer can result in leukemia. Some hobbies and occupations involving chemicals are linked to leukemia. Option D: he incidence of leukemia is higher in twins than in siblings.
The client with acute leukemia has bleeding tendencies due to decreased platelet counts, and any injury would exacerbate the problem. The client would require close monitoring for hemorrhage, which is of higher priority than the diagnoses in answers A, C, and D, which are incorrect.
A patient with congestive heart failure and dyspnea may have pulmonary edema, which can cause severe hypertension. Therefore, taking the patient's blood pressure should be the first action. Option A: Lying flat on the exam table would likely worsen the dyspnea, and the patient may not tolerate it. Option B: Blood draws for chemistry and ABG will be required, but not prior to the blood pressure assessment.
When there are fewer red blood cells, there is less hemoglobin and less oxygen. Therefore, the client is often short of breath. Options A, C, and D: The client with anemia is often pale in color, has weight loss, and may be hypotensive.
Please select 3 correct answers
Polycythemia vera is a condition in which the bone marrow produces too many red blood cells. This causes an increase in hematocrit and viscosity of the blood. Patients can experience headaches, dizziness, and visual disturbances. Cardiovascular effects include increased blood pressure and delayed clotting time. Option A: Weight loss is not a manifestation of polycythemia vera.
The neutropenic patient is at risk of infection. Changing gloves immediately after use protects patients from contamination with organisms picked up on hospital surfaces. This contamination can have serious consequences for an immunocompromised patient. Option A: Changing the respiratory mask is desirable, but not nearly as urgent as changing gloves. Options C and D: Minimizing contact and conversation are not necessary and may cause nursing staff to miss changes in the patient's symptoms or condition.
Nitroglycerin is a potent vasodilator and often produces unwanted effects such as headache, dizziness, and hypotension. Patients should be counseled, and the dose titrated, to minimize these effects. In spite of the side effects, nitroglycerin is effective at reducing myocardial oxygen consumption and increasing blood flow. Option A: The patient should not stop the medication. Option B: Nitroglycerine does not cause bleeding in the brain.
Validity is ensuring that the instrument contains appropriate questions about the research topic
Random sampling gives equal chance for all the elements in the population to be picked as part of the sample.
Ethnography is focused on patterns of behavior of selected people within a culture
Madeleine Leininger developed the theory on transcultural theory based on her observations on the behavior of selected people within a culture.
Initiate a group interaction will be an opportunity to discuss the problem in the open.
An extraneous variable is not the primary concern of the researcher but has an effect on the results of the study. Adult patients may be young, middle or late adult.
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NCLEX-RN Test #18
