Cell Regulation Quiz

A nurse is contributing to the plan of care for an older client who has WBC of 2000mm after three rounds of chemotherapy. Which of the following interventions should the nurse include in the plan?

Serve cooked fruit with meals

Early detection of colorectal. FOBT and colonoscopy at what interval after age 50?

10 years

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? I will store the medication at room temperature I will take the medicine every morning on an empty stomach I will spit the medication out after swishing it around my mouth I will only need to take this medication for a few days

"I will store the medication at room temperature" Nystatin oral suspension should be stored at room temperature.

A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take? - Tell the client to expect dark stools following chemotherapy. - Have the client floss 4 times daily. - Have the client swish with commercial mouthwash before therapy. - Administer an antiemetic prior to the procedure.

- Administer an antiemetic prior to the procedure. The nurse can help prevent nausea and vomiting by administering an antiemetic prior to chemotherapy, and to tell the client to continue taking medication until nausea and vomiting resolve.

A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent CBC is shown below. It is important for the nurse to consider which of the following for the client? WBC - 1,400/mm3RBC - 4.3 x 10^12/L Hgb - 12.1 g/dL Hct - 36.5% Platelets - 170,000/mm3 Albumin - 4.5 g/dL - The client has an increased risk for bleeding. - The client should receive a diet with increased protein. - The client has an increased risk of infection. - The client should receive an erythropoiesis stimulating agent.

- The client has an increased risk of infection. The low WBC count (expected range is 5,000-10,000/mm3) places the client at increased risk for infection. The nurse should assess the client's skin and mucous membranes, lung sounds, and venous access sites every 8 hr for signs of infection.

A nurse is creating the plan of care for a client who is immunosuppressed. Which of the following precautions should the nurse include in the plan? (Select all that apply) -Don a mask, gloves, and gown -Restrict visitors who have active infections -Limit the client from bathing daily -Instruct the client to eat cooked foods only -Dispose of all linen in the trash after use

-Don a mask, gloves, and gown-Restrict visitors who have active infections-Instruct the client to eat cooked foods only MY ANSWER Don a mask, gloves, and gown is correct. The nurse should wear a mask, gloves, and gown to protect the client from contacting an infection from bacteria or virus.Restrict visitors who have active infections is correct. The nurse should restrict visitors who have an active infection to protect the client.Limit the client from bathing daily is incorrect. The nurse should have the client bathe daily to clean bacteria off the skin that can cause an infection.Instruct the client to eat cooked foods only is correct. The nurse should instruct the client eat only cooked foods to protect the client from bacteria in raw foods.Dispose of all linen in the trash after use is incorrect. The nurse should place used linens in a linen bag to be washed.

A nurse is reviewing the laboratory results of a client who is postoperative. Which of the following laboratory findings should the nurse identify as an indication of postoperative infection? (Select all) 1) Increased band neutrophils 2) Elevated erythrocyte sedimentation rate (ESR) 3) Absence of ketones in urine 4) Negative leukocyte esterase in urine 5) Increased hemoglobin

1, 2 Increased band neutrophils is correct. Neutrophils, a type of white blood cell, protect the body from bacterial invasion through phagocytosis. The expected reference range for mature neutrophils is 2,500 to 8,000/mm3. In cases of infection, however, neutrophils are unable to keep up the body's defenses and the bone marrow releases immature neutrophils, called band cells or band neutrophils. This imbalance of immature neutrophils outnumbering mature neutrophils is termed bandemia.Elevated erythrocyte sedimentation rate is correct. The erythrocyte sedimentation rate measures the rate at which red blood cells settle in plasma over a specific time period. An increased rate, which means the red blood cells are settling faster than expected, can indicate an acute or chronic infection.Absence of ketones in urine is incorrect. Ketones are the end product of the breakdown of fatty acids and are present in urine when a client has poorly controlled diabetes in conjunction with hyperglycemia.Negative leukocyte esterase in urine is incorrect. Leukocyte esterase is an enzyme found in white blood cells. Their presence in a urinalysis indicates an infection in the urinary tract.Increased hemoglobin is incorrect. Hemoglobin is a molecule produced by the red blood cells for the purpose of carrying oxygen to the cells of the body. An increase in hemoglobin level in a client who is postoperative mostly likely indicates dehydration. Typically, a client who is postoperative will have a decreased hemoglobin level due to blood loss that occurred during surgery.

A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available in fluconazole 400 mg in 0.9% sodium chloride 200 ml to infuse over 2 hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to whole/10th)

100 ml/hr

A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Check the value of the client's current platelet count.

A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. what should be included ?

Clients should have a yearly test for fecal occult blood According to the American Cancer Society, all clients should have a yearly test to check for fecal occult blood.

A nurse is planning care for a client who has immunosuppression following chemo. Which of the following interventions should the nurse include in the plan of care? A. Insert an indwelling catheter to monitor sediment in the urine B. Take the client's temperature once per shift C. Provide the client with fresh fruit to avoid constipation D. Limit the amount of healthcare workers entering the room

D. Limit the amount of healthcare workers entering the room The nurse should limit the number of health care workers entering the client's room to prevent possible overexposure to microorganisms that can lead to an infection.

A nurse is planning care for a client who has leukemia and a platelet count of 130,000/mm3. Which of the following interventions should the nurse include in the plan of care?

Limit IM injectionsThe nurse should plan to limit IM injections or venipunctures to prevent harm to the client. If venipuncture is necessary, the nurse should hold pressure to the site for 10 min afterward.

A nurse is planning care for a client with an absolute neutrophil count less than 1000/mm3. Which of the following interventions should the nurse include in the plan of care?

Limit visitors to healthy adults The expected reference range of absolute neutrophil count is 2500 to 8000/mm3. This client has a reduced absolute neutrophil count (neutropenia) and is immunosuppressed. A client who has neutropenia is at an increased risk for infection. The nurse should restrict visitors for a client who has neutropenia to healthy adults to reduce the risk for infection.

A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take? Review laboratory test results for low hemoglobin. Observe for signs of infection. Monitor the mouth for signs of xerostomia. Examine the skin for generalized urticaria.

Observe for signs of infection. Radiation therapy to sites containing bone marrow (such as the sternum) can lower the WBC count (leukopenia), thus increasing the client's risk for infection. Screening the client for signs of infection is essential at this time.

A nurse is evaluating client's laboratory results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) laboratory value is indicative of what diagnosis?

Prostatic Cancer An increased PSA level is indicative of a prostate cancer diagnosis, as well as other prostate problems.

A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider? WBC 2300/mm3 RBC 5 mill Hemoglobin 12 Platelets 155,000/mm3

WBC 2300/mm3 This WBC finding is below the expected reference range. Chemotherapy treatment can cause leukopenia; the nurse should report this finding to the provider and implement precautions to protect the client from infection.

A nurse is planning care for a client who is being treated with chemo and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care? a. All visitors from entering the client's room b. Fresh flowers and potted plants in the room c. Oral fluid intake to between meals only d. Activities that could result in bleeding

b. Fresh flowers and potted plants in the room Clients who are receiving chemotherapy and radiation therapy are likely to become immunocompromised as a result of neutropenia, a decreased white blood cell (WBC) count. Because micro-organisms are likely to be present on fresh flowers and plants, immunocompromised clients are instructed not to accept such gifts into the room. In addition, the client is instructed to eat only thoroughly cooked meats and thoroughly washed fruits and vegetables. Immunocompromised clients are more susceptible to infection and illness from food-borne bacteria than other clients.

A nurse is planning care for a client who is to undergone a stem cell transplant. Which of the following actions should the nurse plan to take?

b. Keep blood pressure equipment in the client's room The nurse should keep and use dedicated equipment, such as blood pressure monitor, stethoscope and thermometer in the client's room to prevent the spread of infection from client to client.

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching? a. "I will take the antiemetic as soon as the chemotherapy infusion is complete." b. "I will run my toothbrush in the dishwasher every month." c. "I'll call my doctor if I notice any unusual menstrual bleeding." d. "I will avoid crowds to keep from infecting others."

c. "I'll call my doctor if I notice any unusual menstrual bleeding." Clients should be taught bleeding precautions and to report bruising or excessive bleeding.

A nurse is assessing a clients immune function by reviewing the lab values of the cellular response of the T cells. The nurse should recognize that which of the following conditions is affected by the t cells?

transplant rejection