405 Quiz 1 Study Set

A client with megaloblastic anemia reports mouth and tongue soreness. What instruction will the nurse give the client regarding eating while managing the client's symptoms? "Eat small amounts of bland, soft foods frequently." "Eat larger amounts of bland, soft foods less frequently." "Eat cold, bland foods with a large amount of water." "Eat low-fiber blended foods only."

"Eat small amounts of bland, soft foods frequently."

A home care nurse visits a client diagnosed with atrial fibrillation who is ordered warfarin. The nurse teaches the client about warfarin therapy. Which statement by the client indicates the need for further teaching? "I'll watch my gums for bleeding when I brush my teeth." "I'll use an electric razor to shave." "I'll eat four servings of fresh, dark green vegetables every day." "I'll report unexplained or severe bruising to my doctor right away."

"I'll eat four servings of fresh, dark green vegetables every day."

The nurse is auscultating the lungs of a lethargic, irritable 6-year-old boy and hears wheezing. The nurse will most likely include which teaching point if the child is suspected of having asthma? "I'm going to have the respiratory therapist get some of the mucus from your lungs." "I'm going to have this hospital worker take a picture of your lungs." "We're going to go take a look at your lungs to see if there are any sores on them." "I'm going to hold your hand while the phlebotomist gets blood from your arm."

"I'm going to have this hospital worker take a picture of your lungs."

A young school-age child who is being treated for cancer has constipation and loss of appetite. What nursing interventions should the nurse suggest to the family? Select all that apply. Add high-fiber snacks such as popcorn and washed apples to the diet. Increase gross motor activities such as family walks. Use a rectal suppository at the same time each day. Provide adequate private time in the bathroom.

Add high-fiber snacks such as popcorn and washed apples to the diet. Increase gross motor activities such as family walks. Provide adequate private time in the bathroom.

The nurse is reviewing the long-term treatment plan with a client diagnosed with Hodgkin lymphoma. Which recommendations will the nurse provide to reduce the client's risk of developing secondary malignancies? Select all that apply. Avoid excessive sunlight. Restrict use of tobacco. Reduce intake of alcohol. Limit the intake of citrus fruits. Avoid foods high in carbohydrates.

Avoid excessive sunlight. Restrict use of tobacco. Reduce intake of alcohol.

The nurse cares for a client with acute myeloid leukemia with severe bone pain. What pathophysiological concept does the nurse understand is the reason for the client's pain? Abnormal blood cells deposit in small vessels. Bone marrow expands. Lymph nodes expand. Abnormal blood cells crystalize.

Bone marrow expands.

Which of the following are immunosuppressants that prevent the patient's lymphocytes from destroying the stem cells in a patient diagnosed with aplastic anemia? Select all that apply. Cyclosporine Corticosteroids ATG Cyclophosphamide Filgrastim

Cyclosporine Corticosteroids ATG Cyclophosphamide

An 8-year-old with cystic fibrosis has had a noted decline on the growth chart. Which nursing intervention is best for maintaining adequate nutrition? Provide high caloric meals to the client's liking. Delay pancreatic enzymes until food enters the small intestine. Encourage high calorie, high protein snacks. Limit sodium to a 2 gram sodium restricted diet

Encourage high calorie, high protein snacks

A nurse prepares a client for a bone marrow biopsy who is suspected of having acute myeloid leukemia. What results from the bone marrow biopsy does the nurse expect? Excess of immature leukocytes Excess of immature erythrocytes Deficiency of neutrophils Deficiency of erythrocytes

Excess of immature leukocytes

A client was admitted to the hospital with the following laboratory values: hemoglobin 5 g/dL, leukocyte count 2000/mm3, and a platelet count of 48,000/mm3; abnormally shaped erythrocytes and hypersegmented neutrophils were seen. The platelets appear abnormally large. A bone marrow biopsy was competed and revealed hyperplasia. Based on this information, the nurse determines that client most likely has which diagnosis? Folic acid deficiency Sickle cell anemia Hemolytic anemia Thalassemia

Folic acid deficiency

A client with severe anemia reports symptoms of tachycardia, palpitations, exertional dyspnea, cool extremities, and dizziness with ambulation. Laboratory test results reveal low hemoglobin and hematocrit levels. Based on the assessment data, which nursing diagnoses is most appropriate for this client? Imbalanced nutrition, less than body requirements, related to inadequate intake of essential nutrients Risk for falls related to complaints of dizziness Fatigue related to decreased hemoglobin and hematocrit Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit

Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit

The nurse provides care for an older adult client, diagnosed with anemia, who has a hemoglobin of 9.6 g/dL and a hematocrit of 34%. To determine the cause of the client's blood loss, which is the priority nursing action? Observe the client's stools for blood. Evaluate the client's dietary intake. Monitor the client's body temperature. Monitor the client's blood pressure.

Observe the client's stools for blood.

A client with suspected multiple myeloma is reporting back pain. What is the priority nursing action? Have the client lie on a hard surface. Have the client rest. Encourage ambulation. Send the client for a spinal x-ray study.

Send the client for a spinal x-ray study

A client with multiple myeloma presents to the emergency department and reports excessive thirst and constipation. Family members report that the client has been confused for the last day. Which laboratory value is most likely responsible for this client's symptoms? Platelet count 300,000/mm3 Serum calcium level 13.8 mg/dl Serum sodium level of 133 mEq/L Hemoglobin of 9.8 g/dl

Serum calcium level 13.8 mg/dl

The nurse is caring for a 17-year-old girl in the terminal phase of osteosarcoma. Which action demonstrates integration of the recommendations of the American Academy of Pediatrics (AAP) Committee on Bioethics? Telling the child exactly what to expect of further treatments. Encouraging the child to support the wishes of her parents. Explaining the prognosis using accepted clinical terminology. Allowing the child to listen during discussions of the care plan.

Telling the child exactly what to expect of further treatments.

In caring for a child with sickle cell disease, the highest priority goal is: the caregiver's anxiety will be reduced. the child's skin integrity will be maintained. the family will verbalize understanding of the disease crisis. The child's fluid intake will improve.

The child's fluid intake will improve.

The nurse is caring for a patient who will begin taking long-term biphosphate therapy. Why is it important for the nurse to encourage the patient to receive a thorough evaluation of dentition, including panoramic dental x-rays? The patient is at risk for tooth decay. The patient will develop gingival hyperplasia. The patient can develop osteonecrosis of the jaw. The patient can develop loosening of the teeth.

The patient can develop osteonecrosis of the jaw.

A child has been admitted to the pediatric unit with pneumonia. The nurse is preparing to administer the prescribed medication to the child to help reduce the viscosity of the child's secretions. Which medication would the nurse most likely give? guaifenesin albuterol dextromethorphan ipratropium

guaifenesin

A nurse is caring for a newborn whose screening test result indicates the possibility of sickle cell anemia (SCA) or sickle cell trait. The nurse would expect the test result to be confirmed by which lab tests? reticulocyte count peripheral blood smear erythrocyte sedimentation rate hemoglobin electrophoresis

hemoglobin electrophoresis

The nurse is providing care at a local clinic that treats children with hemophilia. The nurse understands that if bleeding is not treated effectively, the children are at high risk for development of chronic disabling disease involving the: joints. heart. liver. kidneys.

joints

What are important considerations when the nurse is planning care for the family of a child with cancer? Select all that apply. child's gender prognosis of cancer family's coping strategies prevention and alleviation of pain monitoring for side effects of treatment stage of grief of child, parents, and siblings

prognosis of cancer family's coping strategies prevention and alleviation of pain monitoring for side effects of treatment stage of grief of child, parents, and siblings

The nurse has received the morning report on a group of pediatric clients. For which pediatric client should the nurse prioritize care? infant with rhinorrhea, coughing, and oxygen saturation of 92% toddler with a temperature of 100.4°F (38°C), and a harsh, barking cough preschool-aged child with crackles in the right lower lobe and chest pain school-age child with dysphagia, drooling, and a hoarse voice

school-age child with dysphagia, drooling, and a hoarse voice

A client with severe chronic anemia is receiving ongoing transfusion therapy. The nurse frequently assesses the client for what major complication of this therapy? toxic iron overload fibrin clots chronic idiopathic thrombocytic purpura vaso-occlusive crisis

toxic iron overload

If there is a foreign body in the larynx, how will the client present? edematous speaks clearly quietly with stridor

with stridor

A client who is undergoing chemotherapy for AML reports pain in the low back. What is the nurse's first action? Refer the client to a chiropractor. Place heating pads on the client's back. Administer pain medication, as ordered. Assess renal function.

Assess renal function

An elderly client is hospitalized for induction of chemotherapy to treat leukemia. The client reports fatigue to the nurse. What nursing intervention would best address the client's fatigue? Have the client maintain complete bedrest. Assist the client to sit in a chair for meals. Talk to the family about not visiting so the client can obtain rest. Provide sedentary activities only, such as watching television.

Assist the client to sit in a chair for meals.

The health care provider prescribed an alkylating agent for a child's chemotherapy. Which best describes an action produced by these types of agents? They are cell cycle-nonspecific, destroying both resting and dividing cells. They damage cells by acting as a substitute for a natural metabolite in an important molecule. They are synthesized naturally by various bacterial and fungal agents. They are most active in the S phase and act similarly to normal cellular metabolites necessary for cell replication.

They are cell cycle-nonspecific, destroying both resting and dividing cells.

The nurse is caring for a child in sickle cell crisis. To best promote hemodilution, the nurse would expect to administer how much fluid per day intravenously or orally? 150 ml/kg of fluids 110 ml/kg of fluids 130 ml/kg of fluids per day 120 ml/kg of fluids per day

150 ml/kg of fluids