A patient receiving chemotherapy for lung cancer presents with a sodium level of 120 mEq/L, reports extreme fatigue and weakness, and has decreased urine output over the past 24 hours. Which assessment should the nurse prioritize to evaluate for a critical complication of syndrome of inappropriate antidiuretic hormone (SIADH)?
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An older adult patient with acute leukemia is admitted to th…
An older adult patient with acute leukemia is admitted to the oncology unit. They are currently receiving chemotherapy. The patient reports feeling weak and “feverish.” Vital signs: Temp: 101.8°F (38.8°C) HR: 112 bpm BP: 88/54 mmHg RR: 24/min O2 sat: 88% on room air Assessment findings: Chills and fatigue Altered mental status: slightly confused; orient to person and time Decreased urine output Central venous catheter in place Labs: WBC: 1,200/mm³ (reference range: 4500-11000 cells/mm³) Lactate: 3.8 mmol/L (reference range: 0.5-2.0 mmol/L) Creatinine: 1.9* mg/dL (reference range: 0.6-1.3 mg/dL) Which interventions should the nurse implement immediately? Identify each as indicated or contraindicated. Obtain blood cultures [1] Initiate fluid resuscitation [2] Begin antibiotics when cuture results are available [3] Apply supplemental oxygen [4] Administer prescribed broad-spectrum antibiotics [5]
A nurse is caring for a patient with leukemia and asks why t…
A nurse is caring for a patient with leukemia and asks why the patient is still at risk for infection when the white blood cell count (WBC) is high. Which response by the nurse provides a correct explanation?
The nurse is providing care to a patient who will have a bon…
The nurse is providing care to a patient who will have a bone marrow transplant. Which statement by the nurse demonstrates a correct understanding of the procedure?
The nurse is caring for an adult patient receiving chemother…
The nurse is caring for an adult patient receiving chemotherapy for non-Hodgkin lymphoma who was admitted for evaluation of fatigue and mouth sores. The nurse reviews the morning laboratory results: WBC: 1.2 × 10³/µL (normal 4.5-11 x 10³/µL) Neutrophils: 28% (normal 40-60%) Bands: 2% (normal
A patient has an order to transfuse two units of packed red…
A patient has an order to transfuse two units of packed red blood cells (PRBCs). The nurse verifies the pre-transfusion vital signs, and the informed consent form. Patient identification and the unit of blood are also verified with another registered nurse before starting the transfusion. After fifteen minutes the vital signs are assessed and the patient is chilled, with hematuria noted in the Foley catheter. Vital Signs Temperature: 102.2
A nurse is caring for a patient receiving external radiation…
A nurse is caring for a patient receiving external radiation therapy for lung cancer. The patient reports redness, itching, and burning sensation on the skin at the radiation site. Which action should the nurse take to best manage this complication?
A patient is receiving a transfusion of packed red blood cel…
A patient is receiving a transfusion of packed red blood cells and after 15 minutes develops certain symptoms. Based on the assessment data and clinical presentation, which findings should the nurse recognize as possible indicators of a transfusion reaction? (Select all that apply.)
Source: Journey to Eternal Life: Ancient Egyptian Artifacts,…
Source: Journey to Eternal Life: Ancient Egyptian Artifacts, Mummies, and Pyramids, Smithsonian Magazine.Many questions remain about the construction of Great Pyramids of Giza. Most of the stone for the Giza pyramids was quarried on the Giza plateau itself. Marks of the quarry workers are found on several stone blocks giving names of the work gangs such as “craftman-gang”. Part-time crews of laborers probably supplemented the year-round masons and other skilled workers. Egyptians had copper tools such as chisels, drills, and saws that may have been used to cut the relatively soft stone. The hard granite, used for burial chamber walls and some of the exterior finishing, would have posed a more difficult problem. Workmen may have used an abrasive powder, such as sand, with the drills and saws. Knowledge of astronomy was necessary to orient the pyramids to the cardinal points, and water-filled trenches probably were used to level the perimeter. A tomb painting of a colossal statue being moved shows how huge stone blocks were moved on sledges over ground that was first made slippery by using liquid. The blocks were then brought up ramps to their positions in the pyramid. Finally, the outer layer of casing stones was finished from the top down and the ramps dismantled as the work was completed. Source: Dr. Mark Lehner, quoted in “How Egypt’s Great Pyramid Changed Civilization” Scientific American, 2015.When Lehner and his team began excavating the site, they expected to find a handful of buildings where poor, low-status laborers lived. Instead the team uncovered a city whose layout and architecture had been carefully preplanned by Khufu’s regime. The buildings each contained hearths and sleeping platforms for 20 people—the number of men in a work team—plus an extra room that may have been for their supervisor. South of the complex stood the bakeries and breweries, as indicated by the bread ovens and beer jars found in the remains. There are silos for storing grain and an enclosure wall that may have been used as a corral for livestock. West of the bakeries is a neighborhood that boasted big houses. The garbage dumps in this area showed that the residents were eating a lot of very expensive veal, and clay seals found near by have the titles of high-ranking individuals, suggesting that the buildings served as the homes for the city’s administrators. Far from being treated little better than slaves, the estimated 6,000 residents appear to have lived quite comfortably. After a long day’s work of unloading the barges, the pyramid builders would have headed into town to eat. The smell of baking bread and brewing beer would have drifted from the bakeries. Meat would have been offered, too—probably goat for the crew, beef for the foreman. And remains of ceramic shipping containers suggest that they may have had access to olive oil, a luxury unavailable to most Egyptians. Questions: 1. Based on these sources, what do experts know about the construction of the pyramids? 2. What evidence does Mark Lehner use to study the lives of the pyramid workers? Your answer must be in your own words and supported by specific evidence from the reading. Your answer must be a minimum of 75 words.
After receiving a disappointing grade, Sariah tells herself…
After receiving a disappointing grade, Sariah tells herself that she may not get into college because she is a lazy and unmotivated person and that her future is doomed. Given the role of ________ in psychological disorders, Sariah is highly likely to develop ________.