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A patient has a chest wall contusion as a result of being struck in the chest with a baseball bat. Which initial assessment finding is of most concern to the emergency department nurse?

A nurse is teaching a 40-year-old woman about the importance of performing monthly breast self-examinations (BSEs). After the teaching session, which of the following patient statements indicate that the teaching has been effective? Select all that apply.

A patient who has acute myelogenous leukemia (AML) is considering treatment with a hematopoietic stem cell transplant (HSCT). Which approach would the nurse take?

An otherwise healthy 25-year-old male arrived to the emergency department today with complaints of sudden shortness of breath and left-sided chest pain. A chest x-ray confirmed a spontaneous left-sided closed pneumothorax. A chest tube was inserted into his left midaxillary area in the emergency department and he was admitted and transported to a medical unit in the hospital. Currently he is alert, oriented, and anxious. He verbalized 6/10 pain using the pain intensity scale. Vital signs: Blood pressure=138/80 mm Hg, pulse = 115 bpm, respirations = 24 breaths per minute and shallow. Left-sided breath sounds are absent upon auscultation. Oxygen saturation is 91%. His chest tube is attached to a three-chamber wall suction chest drainage unit.

A patient who is lethargic with deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 35 mm Hg, and HCO3 16 mEq/L. How would the nurse interpret these results?

A patient who had surgery for a perforated gastric ulcer has been receiving nasogastric suction for 3 days and now has a serum sodium level of 127 mEq/L (127 mmol/L). The nurse must develop a plan of care to safely manage the patient’s hyponatremia while minimizing risks. Which interventions would the nurse include in the plan? Select all that apply.

A patient in the emergency department had a chest tube placed for a hemopneumothorax. As the nurse develops the care plan, which actions would promote the patient’s ongoing health and safety? Select all that apply.

The arterial blood gas (ABG) results of a patient with diabetes show metabolic acidosis. Which compensatory finding would the nurse expect?

Scenario: A 48-year-old woman had a lumpectomy after being diagnosed with carcinoma in the left breast. She had her first chemotherapy treatment with cyclophosphamide 2 months ago. Today she is in the outpatient cancer treatment center for her sixth round of chemotherapy; radiation therapy is planned after the tenth chemotherapy treatment is completed. The nurse documents these findings as part of today’s admission assessment: Reports “feeling tired often.” “I have had diarrhea five or six times a day.” “I don’t have much of an appetite.” “I have noticed some blood in my urine, starting yesterday.” “My food doesn’t have any taste to it at all.” The patient has alopecia. Oral mucosa is inflamed with some ulcerations noted in the cheek areas. Vital signs: Temperature 100.5°F (38.1°C), Pulse 88, Respirations 12, blood pressure 118/72 The nurse recognizes that, based on the assessment data and patient’s history, the patient is currently at risk for complications, including __________, _________, and __________.

NGN Case Study Title: Cancer and Chemotherapy Questions 18-23 will address an unfolding case study. Scenario: A 48-year-old woman had a lumpectomy after being diagnosed with carcinoma in the left breast. She had her first chemotherapy treatment with cyclophosphamide 2 months ago. Today she is in the outpatient cancer treatment center for her sixth round of chemotherapy; radiation therapy is planned after the tenth chemotherapy treatment is completed. The nurse documents these findings as part of today’s admission assessment.  Place a check mark next to any of the assessment findings that require follow-up by the nurse.