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Cancer patient. Cancer risks.

Stop using turning booths. Limited alcohols to three drinks per week.

1

Chemotherapy. Fatigue. Pallor. Weakness. Headache. What is the diagnosis.

Activity intolerance.

2

Clients room. Diagones of cancer physician leavce the room. Nurse best option is

Provide emotional support. In copying with diagnosis.

3

Chemotherapy. Tumor has disgusted a stage 1v. T4. N3. Interpretation

Metas razed and there lymp involvement.

4

Thin elderly woman. Wit cancer. Lost 10 pounds. Teaching will be

Eat small frequbg meals.
Drink liquid supp increae nutrients
Eat more warm food and avoid cold. Keep diary and record Intake.

5

Breast cancer patient. Radiation. Initial assess done. Inportant Diagones is.

Risk for infection. Because they are going or radioan p

6

Client wishes to qiet smoking. Will my risk of lunger cancer be the same as a non smoke.t.

Risk of lung cancer will decrease if you quit but will be higher than a non smoker.

7

Thin 86 year old. Lung chance wight chest X-ray.

Determine the client and family wishes regarding diagnosis testing.

8

Gcs scale.

Eye opening.

9

Ventriculostomy for Icp pt who got struck with a hammer.

A cath is places insid the Brian and is attached to a bedside monitor that will continuously assess the Icp.

Highest priority with pt wth vetrio

Increasing restlessness.

10

Norma Icp is 10 to 15. Or 5 to 15. Mmhg.

Signs of increasing Icp.
Find them.
Not correctly all of thesee Headache. Gsc 3. Resp to deep stimuli only. Arms flexed. Bp 168. Cheyenne stroke breathing. Pupil of 4 mm. 2 deep tendon reflex in Lower extremities.

5 to15

11

ECG Tomorow readinf

Stay awake as much as possible tonight.

12

Icu interventions.

Maintain air way.
Elevate head of bed.
Seizure precaution.
Maintain cervical spinal stability.
Provide calm restless. Enviromwnt.

13

Medications for icu.

Osmotic diuretics. Draws water out.

Loop. Decrease water retention. Reduce pressure

Antipyretic. Control fever

Cortical steroid. Prevent edema.

14

Brian Injury. Interrupted family process. Highest priority intervention.

Encourage family to ask questions and express concens

15

Sever head injury. Expects signs of worsening cerebral edema to occur in.

Not 24 hours.
Either 36. 72. 48.

72 hours.

16

Head injury. ICP prioriy intervention is.

Adequate oxygen.

Increasinf Brian pressure decrease amour of blood to the brain. Kelly moneo

17

Early signs of meningitis

Postive. Brudzinki. Not neg.
Nuchal rigidity

Positive kernigs.


( Chills. Seizure. Paralyis. ) not right. Not sure of Nuchal rigidity.

18

Rate 48. Bp 140

Signs of increased Icp.

19

Semicom

Confusion
Comatose
Disoriented.

Definitions.

20

Increased Icp. To reduce stimuli by planning

Room dark and quiet.
Family be quiet. Minimize touch.

"
Elevate head of bed. Place sing on client door that says no visitors allowed. Provide all care at one time to provide periods of rest. "

21

Obtunded patient. Sugar 802. Insulin drip. Blood sugar don't drop more than 50. For which reasons.

I got of wrong.
Increased risk for increaed Icp
Increaed risk for cardiac arrhythmia
Increaed risk for development of diabetic coma.
Increases risk for fluid defici