232 unit 3
A nurse on an oncology unit is providing discharge teaching to an adolescent female client who received a bone marrow transplant for leukemia. Which of the following pieces of information should the nurse include in the teaching? (Select all that apply.) A. "Take your temperature twice each day." B. "You may return to school if you feel strong enough." C. "It is important to wear shoes always." D. "Clean your toothbrush weekly with isopropyl alcohol." E. "Avoid using tampons."
A, C, E
A nurse is providing teaching to a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse provide? (Select all that apply.) A. Take allopurinol as prescribed B. Exercise several times a week C. Limit intake of foods high in purine D. Decrease daily fluid intake E. Avoid citrus juices
A,B,C
Which risk factor(s) places a client at risk for leukemia? (Select all that apply.) a. Chemical exposure b. Genetically modified foods c. Ionizing radiation exposure d. Vaccinations e. Viral infections
A,C,E
A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications? A. Colchicine B. Allopurinol C. Probenecid D. Pegloticase
A. Colchicine
A nurse is teaching to a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. Which of the following client statements indicates an understanding of the teaching? A. "I should take a calcium supplement while on this medication." B. "Regular liver function studies will have to be done while I am taking this medication." C. "I can take NSAIDs to treat mild pain while using this medication." D. "I will be sure to eat 6 small meals a day to prevent hypoglycemia from this medication."
A. I should take a calcium supplement while on this medication
A nurse is caring for an older adult client who has gout and refuses to eat. The client's provider has authorized the client's family to bring food from home. Which of the following foods should the nurse recommend that the client avoid? A. Lentil soup B. Cheese sandwich C. Yogurt D. Raisins
A. Lentil Soup
A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of the following assessments is the nurse's priority? A. Pulmonary function B. CBC C. Urinary output D. Peripheral edema
A. Pulmonary function
A nurse at an ophthalmology clinic is assessing a client referred by the provider for a potential cataract. Which of the following client reports is consistent with cataracts? A. Halos when looking at lights B. Loss of peripheral vision C. Bright flashes of light and floaters D. Eyestrain and headaches with close work
A. halos when looking at lights
A nurse is providing teaching for a client who has a new diagnoses of dry macular degeneration. Which of the following instructions should the nurse include in the teaching? A. increase intake of deep yellow and orange veggies B. Admin eye drops twice a day C. Avoid bending at the waist D. Wear an eye patch at night
A. increase intake of deep yellow and orange veggies
The nurse is assessing a client with chronic leukemia. Which laboratory test result(s) is (are) expected for this client? (Select all that apply.) a. Decreased hematocrit b. Abnormal white blood cell count c. Low platelet count d. Decreased hemoglobin e. Increased albumin
ABCD
What treats multiple myeloma and osteoporosis?
AlenDRONATE
A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?
Allopurinol
A nurse is assessing a client who is experiencing an obstruction of the flow of the vitreous humor in the eye. This manifestation is consistent with which of the following eye disorders? A. Retinopathy B. Glaucoma C. Cataracts D. Macular degeneration
B. Glaucoma
A nurse is monitoring the laboratory values of a male client who has leukemia and is receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following laboratory values should the nurse report to the provider? A. BUN 18 B. platelets 78,000 C. hemoglobin 14.2 D. AST 35
B. Platelets 78,000
A nurse is admitting a child who has acute lymphocytic leukemia. Which lab value would you expect? A. platelets 500,000 B. RBC 2.5 million C. WBC 4000 D. hct 60%
B. RBC 2.5 million
A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider? A. platelets 150,000 B. hgb 6 C. WBC 6,000 D. potassium 4.5
B. hgb 6
A nurse is caring for a client who has diabetes mellitus and reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following diseases? A. cataracts B. open angle glaucoma C. macular degeneration D. angle closure glaucoma
B. open angle glaucoma
A nurse is caring for a male older adult client who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease? SATA A. sex B. genetics C. Hypertension D. Age E. diabetes mellitus
BCDE
alendronate class
Bisphosphonate
A nurse is caring for a client who has systemic lupus erythematosus (SLE) and is concerned about skin lesions on her face and neck. The client asks the nurse, "What should I do about these spots?" Which of the following responses should the nurse give? A. "Keep the lesions covered with a light sterile dressing when going outdoors." B. "Rub lesions with a washcloth to dry after washing." C. "Apply moisturizer after bathing the lesions with warm water." D. "Apply antibiotic cream twice per day until scabs form on the lesions."
C. Apply moisturizer after bathing the lesions with warm water
A nurse is performing medication reconciliation for a newly admitted client who has rheumatoid arthritis (RA). Which of the following medications should the nurse identify as the treatment for this condition? A. Misoprostol B. Dantrolene C. Celecoxib D. Colchicine
C. Celecoxib
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects? A. Nausea B. Metallic taste C. Fever D. Drowsiness
C. Fever
A nurse is providing teaching for a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective? A. "I should start taking this medication at 800 mg daily." B. "I will have an increased risk for diabetes with this medication." C. "I will increase my fluids to at least 2 liters per day." D. "I should take this medication twice daily."
C. I will increase my fluids to at least 2 liters per day
A nurse is assessing a client who reports an acute visual disturbance that he describes as a "curtain" pulled over his visual field with occasional flashes of light. The nurse should notify the provider that this client might have which of the following disorders? A. Cataracts B. Angle-closure glaucoma C. Retinal detachment D. Macular degeneration
C. Retinal detachment
A nurse is teaching a client with systemic lupus erythematosus who has a new prescription for prednisone. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Hypoglycemia B. Tendinitis C. Infection D. Weight loss
C. infection
A nurse is assessing a client who has a new diagnosis of acute angle-closure glaucoma. The nurse should anticipate the client to report which of the following manifestations? A. Multiple floaters B. Flashes of light in front of the eye C. Severe eye pain D. Double vision
C. severe pain
Osteoporosis treatment
Calcium, Vit D, weight bearing exercise, estrogen & Bisphosphonates
A nurse is teaching a client who has a new diagnosis of primary open-angle glaucoma (POAG). Which of the following pieces of information should the nurse include in the teaching? (Select all that apply.) A. Lost vision can improve with eye drops. B. Administer eye drops as needed for vision loss. C. Glasses will be necessary to correct the accompanying presbyopia. D. Driving can be dangerous due to the loss of peripheral vision. E. Laser surgery can help reestablish the flow of aqueous humor.
D, E
A nurse is teaching a client who has severe chronic gout and a new prescription for pegloticase. The client has been taking allopurinol for 1 month. Which of the following instructions should the nurse include about pegloticase? A. "You will take this medication along with allopurinol." B. "You will take this medication by mouth." C. "There are very few adverse effects of this medication." D. "If you experience a flare-up, you can take an NSAID while receiving this medication."
D. If you experience a flare-up, you can take an NSAID while receiving this medication
A nurse is planning discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include? A. "Avoid the use of NSAIDs." B. "Stop taking the corticosteroids when your symptoms resolve." C. "Exposure to ultraviolet light will help control the skin rashes." D. "Monitor your body temperature and report any elevations promptly."
D. Monitor your body temperature and report any elevations promptly
A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly licensed nurse. Which of the following pieces of information should the nurse include about osteoarthritis? A. "Osteoarthritis is caused by autoimmune processes." B. "Osteoarthritis leads to a decreased erythrocyte sedimentation rate." C. "Osteoarthritis affects other organ systems." D. "Osteoarthritis can impair a joint on a single side of the body.
D. Osteoarthritis can impair a joint on a single side of the body
A nurse is providing postop teaching to a client following cataract surgery. Which of the following statements should the nurse include? A. you can resume playing golf in two days B. You need to tilt your head back when washing your hair C. You can ger water in your eyes in 1 day D. You need to limit your housekeeping activites.
D. You need to limit your housekeeping activities
A nurse is assessing a client who has a new diagnosis of SLE. Which of the following findings should the nurse expect? A. weight gain B. Petechiae on thighs C. Systolic murmur D. client report of fatigue
D. client report of fatigue
Which statement by a client with leukemia indicates a need for further teaching by the nurse?
I will take a daily laxative to prevent constipation
How does alendronate work?
Pulls calcium from blood stream into bone
A nurse is assessing a client who is dying. Which sign or symptom does the nurse assess to determine whether the client is near death?
Respiratory rate
Multiple Myeloma Treatment
Steroids, Thalidomide, chemotherapy, autologous, marrow transplant, Bortezomib
A nurse is performing discharge teaching for a client who has systemic lupus erythematosus. Which of the following instructions should the nurse include?
Use a sun blocking agent with a sun protection factor of at least 15
A nurse is providing teaching to a client who has a new prescription for hydroxychloroquine to treat mild manifestations of rheumatoid arthritis. which of the following information should the nurse include in the teaching?
Wear sunglasses when out in bright sunshine
A client is starting Celecoxib to treat osteoarthritis. the nurse should instruct the client to watch for and report which of the following adverse effects?
black, tarry stools
Manifestations of cataracts
blurred vision and white pupils
risk factors for gout
diuretics, alcohol, BMI over 30
expected findings for early stage Hodgkins lymphoma
enlarged lymph nodes
How often should people over 65 get eye exams?
every 1-2 years
A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the clients history is a contraindication to this medication
history of gastric ulcers
Lab findings for lupus
positive ANA titer, 2+ urine protein, elevated BUN
