a question

1 Cancer treatment therapeutic procedure and nursing consideration

Loss of sensory or motor function of peripheral nerves is caused by exposure to certain anticancer medications. Higher doses of medication lead to greater neuropathy.

NURSING CONSIDERATIONS ● Monitor for loss of sensation in hands and feet, orthostatic hypotension, loss of taste, and constipation. ● Monitor for orthostatic hypotension.

2 Postpartum Disorders: Client Care

Postpartum disorders are unexpected events or occurrences that can happen during the postpartum period.

Deepvein thrombosis

The postpartum client is at greatest risk for a deepvein thrombosis (DVT) that can lead to a pulmonary embolism.

Nursing care PREVENTION OF THROMBOPHLEBITIS Provide the client with education and encouragement pertaining to measures for prevention of DVT. ● Maintain sequential compression device until ambulation established. ● If bed rest is prolonged longer than 8 hr, perform active and passive range of motion to promote circulation in the legs if warranted. ● Initiate early and frequent ambulation postpartum

3 Anxiety Disorders:

NURSING CARE for general anxiety disorders ● Provide a structured interview to keep the client focused on the present. ● Assess for comorbid condition of substance use disorder. ● Provide safety and comfort to the client during the crisis period of these disorders, as clients in severe- to panic-level anxiety are unable to problem solve and focus. Clients experiencing panic-level anxiety benefit from a calm, quiet environment. ● Remain with the client during the worst of the anxiety to provide reassurance. ● Perform a suicide risk assessment

The client attempts to suppress persistent thoughts or urges that cause anxiety through compulsive or obsessive behaviors, such as repetitive handwashing. Obsessions or compulsions are time-consuming and result in impaired social and occupational functioning.

4. Psychotic Disorders: Expected Manifestations for a Client Who Has Schizophrenia

POSITIVE SYMPTOMS: Manifestation of things that are not normally present. These are the most easily identified manifestations. ● Hallucinations ● Delusions ● Alterations in speech ● Bizarre behavior, such as walking backward constantly

NEGATIVE SYMPTOMS: Absence of things that are normally present. These manifestations are more difficult to treat successfully than positive symptoms. ● Affect: Usually blunted (narrow range of expression) or flat (facial expression never changes) ● Alogia: Poverty of thought or speech. The client might sit with a visitor but only mumble or respond vaguely