Answer to Question 1
A, B, C, D
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Because of the common adverse effects of severe bone marrow suppression, fatigue, malaise, rashes, alopecia, ulcerative stomatitis, hepatic toxicity, interstitial pneumonitis, chills, fever, and anaphylaxis, priority nursing diagnosis would include impaired skin integrity related to rash, risk for infection, and risk for bleeding related to severe bone marrow suppression. Because the patient has stomatitis, there is a risk for imbalanced nutrition less than body requirements because eating is uncomfortable and not feeling well will also reduce her appetite. Although fear and anxiety are common with any cancer diagnosis, hopelessness is usually not as common unless the patient receives a terminal diagnosis and, even then, many patients are able to remain hopeful.
Answer to Question 2
A
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Nursing diagnoses related to drug therapy might include ineffective tissue perfusion (total body) related to changes in cardiac output because ramipril is associated with adverse effects such as reflex tachycardia, chest pain, angina, heart failure, and cardiac arrhythmias. Although dermatitis and rash may occur, headaches are not an associated adverse effect of this drug. Benazepril, enalapril, and fosinopril can cause an unrelenting cough but ramipril is not associated with this adverse effect. Impaired body image would not be associated with this drug.
Wound healing by secondary intention.
Nursing process as a system
On May 15, 1916, after deliberating for one hour, an all-white jury in Waco, Texas, found seventeen-
Moderate hash may or may not be significant for diagnosis.
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Effective Leadership and Management in Nursing