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Nure 231-47

The document outlines nursing instructions and expected findings for various medical conditions and treatments, including chemotherapy for ovarian adenocarcinoma, acute closed-angle glaucoma, esophageal atresia, hypertrophic pyloric stenosis, and care for a patient with a halo fixation device. It also includes preventive measures for ear infections and trauma. The document emphasizes the importance of specific nursing assessments and patient education.

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George
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34 views1 page

Nure 231-47

The document outlines nursing instructions and expected findings for various medical conditions and treatments, including chemotherapy for ovarian adenocarcinoma, acute closed-angle glaucoma, esophageal atresia, hypertrophic pyloric stenosis, and care for a patient with a halo fixation device. It also includes preventive measures for ear infections and trauma. The document emphasizes the importance of specific nursing assessments and patient education.

Uploaded by

George
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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A client diagnosed with adenocarcinoma of the ovary is scheduled to undergo chemotherapy with

cyclophosphamide after total abdominal hysterectomy with bilateral salpingo-oophorectomy. What


does the nurse instruct the client to do during chemotherapy? Select all that apply.

*Drink copious amounts of fluid and void frequently


*Avoid contact with any individual who has signs or symptoms of a cold

An emergency department nurse is assessing a client with acute closed-angle glaucoma. Which
characteristic of the disorder does the nurse expect the client to exhibit? Select all that apply.

*Nausea
*Eye pain
*Vomiting
*Headache

A nurse is performing an assessment of a newborn with a diagnosis of esophageal atresia (EA) and
tracheoesophageal fistula (TEF). Which findings does the nurse expect to note in the infant? Select all
that apply.

*Drooling
*Excessive oral secretions

A nurse is reviewing the medical record of an infant in whom hypertrophic pyloric stenosis (HPS) is
suspected. Which characteristics associated with the disorder does the nurse expects see documented
in the infant's medical record? Select all that apply.

*Weight loss
*Projectile vomiting
*Distended upper abdomen

A nurse develops a list of home care instructions for a client who is wearing a halo fixation device after
sustaining a cervical fracture. Which instructions should the nurse include? Select all that apply.

*Use a straw to drink.


*Use caution when leaning forward or backward.
*Do not drive, because full range of vision is impaired with the device.

A community health nurse is preparing a poster for a health fair that will include information about the
ways to prevent ear infection or ear trauma. Which prevention measures does the nurse include on the
poster? Select all that apply.

*Keep the volume of headphones at the lowest setting.


*Avoid environmental conditions involving rapid changes in air pressure.
*Clean the external ear and canal daily in the shower or while washing the hair.

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