Finals
31. An effective drug given intravenously to block receptors on the ????>
- Granistron (Kytril)
The human insulin whose onset of action occurs within how many minutes is Humalong?
15
Once blood is removed from refrigeration what is the length of time allotted for the blood to transfuse?
4 hours
A patient age 53, has discovered a lump in her breast while performing her monthly breast se;d- examination. Which action is recommended next for this patient?
A prompt examination by her physician is needed
The only definitive way to determine the presence of malignant cells is to perform what?
A tissue biopsy
A nurse is teaching a group of adults about cancer warning sign presents to the group a list of the seven warming signs of cancer. The nurse determines that further teaching is necessary if a member of the group states that which of the following is a warning sign?
Absence or decreased frequency of menses
Chemical means of pain management include the use of opioids and nonopioids. A valuable nonopioid analgesic in the treatment of certain levels of cancer pain is?
Acetaminophen
A patient comes to the emergency department with dyspnea, wheezing, and urticaria over the arms and face after being stung by a bee, the nurse will begin immediate care for this patient because he is having?
Anaphylactic Reaction
A patient is undergoing immune therapy on a perinial basis, with this form of treatment she receives?
Increased amounts in concentration in 6 week cycles
A 25 year old male patient with sever rhinitis ask the nurse what is causing his nose to run, the symptoms are caused by a reaction to a substance usually a protein that causes a formation of an antibody and reacts specifically with an antibody called?
Antigen
Which is a type of biopsy?
Aspiration
A patient has been admitted with pernicious anemia and has asked the nurse to tell him which type of disorder pernicious anemia is, the nurse tell him it is an immune disorder that results from failure of the tolerance to one's self. Responding immunologically to one's own cell is called?
Autoimmune Disorder
A patient age 62, has been receiving eternal radiation and chemotherapy for oropharyngeal carcinoma. His oral mucosa is denuded and edematous. He has ulcerations over his bucca and tongue, and his saliva is thick and ropey. Which intervention does the nurse teach to this patient?
Avoid hot beverages
The patient is a newly diagnosed diabetic. Until he has his diabetes under control, which test will furnish valuable immediate feed back information?
BS
Produces mucus-like lubrication near the outlet of the vagina?
Bartholin's gland
Which food is recommended by the national cancer institute to reduce a person's caner risk?
Broccoli
A nurse answers the call bell of a client who has internal radiation implant. The client's states that the implant fell out and the nurse see's it lying in the client's bed. Which action should the nurse take first?
Call the radiation department
Lower narrow, portion of the uterus?
Cervix
The structure containing erectile tissue?
Clitoris
The mid piece of the sperm
Contains mitochondria
A patient has experienced and anaphylactic reaction and is being monitored to ensure she is stable, a nursing diagnosis for her would be?
Decrease cardiac output
A patient has asked why she needs to exercise. Te nurse tells her that if the diabetics patient excesses, then the insulin requirement?
Decreases
Another term for hyperglycemia reaction is?
Diabetic keto Acidosis DKA
A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesias and convulsion. The nurse notices he is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. The nurse must prepare family for the next step in treatment, which is ?
Dialysis
When assessing a patient of hypersensitivity, the nurse should?
Discuss seasonal occurrence of signs and symptoms
A patient age 43, had a biopsy of a lump in her right breast that reveled a benign tumor. The nurse explains to her that a benign tumor differs from a malignant tumor in that benign tumor?
Do not spread to other tissues and organs
The LPN/LVN has arrived at the patients bed site with unit of packed cells to be connected to an IV that is infusing. When the RN arrives what is the first thing the nurses must do?
Do the checks to ensure that the donor and receiving number match according to policy
A nurse is teaching a group of high school males how to perform a Testicular self-exam (TSE). The nurse would make which of the following suggestions during the class?
Do the exam after a warm bath or shower
A cancer patient who has been receiving cytotoxic drugs has been having frequent sinus infections, during the planning of care the nurse must remember this frequency of infections is an indication of possible?
Drug induced immuno suppression
Tightly coiled tube that lies along the top and sides of the testes ?
Epidydymus
After a bee sting a patients face becomes edematous and she begins to wheeze, based on this assessment the nurse will be prepared to administer?
Epinephrine
During a patient history the nurse notices that the patient has had 5 upper respiratory infections in the past 18 months, the nurse begins to suspect that the patient may have an immune deficiency disease because the first evidence of this disease is?
Increased susceptibility to infections
A patient age 42 develops a sever angioedema involving her face, hands and feet with burning and stinging of the lesions. During the assessment which significant risk factor for allergies does the nurse recognize?
Family history of Allergies
Seeking medical attention when any cancer warning signs occur is frequently delayed because of?
Fear of the possible diagnosis of cancer and hoping signs will go away
Fingerlike projection on the funnel shaped end of the oviduct
Fimbriae
A patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin's disease. After 2 weeks of treatment, he tells the nurse that he is so tired he can hardly get out of bed in the morning. Which is an appropriate goal for him?
Frequent rest periods are helpful
The rounded top of the uterus?
Fundus
A patient age 47, is undergoing skin testing with intercutanious injections in the forearm to identify allergens to which she in sensitive, immediately after one of the injections the patient complains of itching at the site, weakness and dizziness which action by the nurse is most appropriate initially?
Give 0.22-0.5 ml of epinephrine of 1/1000 subcutaneously
The diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8-12 weeks?
Glycoslates hemoglobin (HbA1c)
What precautionary safety measure should the nurse take with a patient receiving first time intradermal injections for allergy testing?
Have the patient remain for 20min after the injection
A patient is admitted to the unit for an autologous bone marrow transplant. Suring teaching the nurse would tell the patient that the bone marrow for transplant will come from?
Her own marrow
A nurse discusses the risk factors associated with gastric cancer as part of the health promotion program; the nurse determines that further teaching is necessary if the member attending the program states that which factor is a risk?
High Meats and carb consumption
The delay major process that leads to organ transplant rejection is?
Hypersensitivity
A patient age 53, is receiving chemotherapy for Hodgkin's disease, stage IV. He is experiencing stomatitis. Which nursing diagnosis would be identified for planning the nursing interventions for this patient?
Imbalanced nutrition: less than body requirements
A patient age 59, has lost 10 pounds in the first 3 weeks of her radiation therapy and does not eat because nothing taste good. Which is an appropriate nursing diagnosis for her?
Imbalanced nutrition: less than body requirements related to anorexia.
In the nursing interventions for a patient receiving external radiation treatments for a malignancy, the nurse must remember to?
Instruct the patient to avoid irritating the "ports" by not lying on that part of the body and not wearing constricting clothing
A nurse is teaching a local women's church group about the risk of cervical cancer. The nurse determines that further teaching is necessary if a group member states that which of the following is a risk factor?
Intercourse with circumcised males
A patient age 72, is receiving chemotherapy for treatment of malignant lymphoma. Chemotherapy agents work by?
Interfering with the cell's ability to reproduce
A patient age 58, has cancer and is hospitalized for chemotherapy. Administration of doxorubicin in combination with other chemotherapeutic agents is planned for her. Her husband rarely visits while she is in the hospital. She tells that nurse that she thinks that her husband does not care for her anymore since she has become ill. On one occasion when the patients husband was present, he told the nurse he just can't stand to see his wife so ill and did not know what to say to her. The nurse identifies which nursing diagnosis in this situation?
Interrupted family processes related to effect of illness on family members
Signs and symptoms of hypoglycemia include?
Irritability,tremors, and personality changes
Using the TNM staging classification system, a tumor staged as T4N3M2 would mean what?
Large tumor, lymph node involvement and distant metastasis
Methods of early cancer detection include?
Mammogram baseline at age 35 to 39, then every year after age 50 for women.
A liver transplant patient receiving .......? What nursing goal is critical for this patient?
Minimize his risk for infection
Patient age 20 has type 1 diabetes, and normally walks every evening as a part of her exercise regimen. She now enrolls in a swimming class to meet physical education requirement. Which adjustment in her treatment plan will the nurse help the patient make?
Monitor her glucose level before, during, and after swimming to determine the need for alterations in food or insullin
The muscle layer if the uterus?
Myometrium
The nurse instructs a patient who has been smoking for 5 years about the warning signs cancer. The nurse tells him that one of the caner's seven warning signals include?
Nagging cough or hoarseness
Before insertion of the radioactive implant, the nurse tells the patient what to expect while it is in place, which statement is accurate?
Nurses will always be available, but they will spend only short periods of time at your bedside
Nursing interventions for the nursing diagnosis of Imbalanced nutrition: less than body requirements would include all these except?
Offer three regular meals of highly nutritious foods
Tube that carries eggs from the ovary to the uterus?
Oviduct
A client with cancer is at risk for experiencing vena cava syndrome. The nurse would monitor this client for which of the following as an early sign of this oncological emergency?
Periorbital edema
The patient age 63, has a diagnosis of cancer of the prostate gland with metastasis and is experiencing cachexia, this state is best described by the characteristic of?
Poor health, malnutrition and wasting
A nurse is orienting a new nurse to the care of a client who has internal radiation implant. The nurse includes which of the following instructions in discussion with the orientee?
Pregnant women are not allowed in the client's room
The following characteristics are common in malignant tumors?
Progress and destroy surrounding tissues while spreading to distant parts of the body
A patient age 39, has been receiving chemotherapy for treatment of her cancer of the breast. She has a white blood cell count of 1,600/mm. A person who has leukopenia has a special need for which nursing intervention?
Protection against infection
Which are characteristics of malignant tumors?
Rate of growth varies; rarely contained within a capsule
A 72 year old female patient is admitted with a diagnosis of immunodeficiency disease, the primary nursing goal would be to?
Reduce infection
A patient has been told she will have to a palliative surgery for her ovarian cancer. She wants to know what type of surgery that is and how it will help her. The nurse tells her that the surgery will?
Reduce symptoms
A long-term complication of diabetes mellitus is?
Renal Failure
A client with cancer develops white patches on the mucos membrane of the oral cavity. The nurse noting this would?
Report these symptoms, which are consistent with candidiasis
A patient age 28 is treated at the clinic with an injection of long acting penicillin for streptococcal infection, her history reveals that she has received penicillin with no allergic responses, when the penicillin injection is administered which information should be given to the patient by the nurse?
She must wait in the clinic area for 20 min before she is discharged
A patient is undergoing internal radiation, in planning her care for the day the nurse remembers to?
Stand at the greatest distance away from the site where an internal radiation device is in the patient's body
The nurse arrives at the bed side of the patient who has had a unit of packed cells infusing in his right arm for 35 minutes, he is complaining of chills, itching and shortness of breath. The next actionof the nurse would be to?
Stop the transfusion and IV and administer saline
A patient is recovering from a kidney transplant, he is receiving cyclosporine after surgery, the purpose of this drug is to?
Suppress the immune system
A patient has a history of allergic reactions to bee stings, which action should the nurse teach to avoid anaphylactic reaction to bee stings?
Take extra precautions when out doors
A patient age 63, has terminal cancer of the liver and is care for by his wife at home. His abdominal pain has become increasingly severe, and he now says it is intense most of the time. The nurse recognizes that teaching regarding pain management has been effective based on which measure implemented by this patient?
Taking analgesics around the clock on a regular schedule, using additional doses for breakthrough pain
A patient who has suffered an allergic reaction to a bee sting is stabilized and prepared for discharge from the clinic. During discussion in prevention and management of further reaction, the nurse identifies a need for additional teaching based on which comment?
Taking maintenance doses of cortical steroids to prevent reaction to stings
The essential gonads of the male reproductive system are?
Testes
The scrotum contains which structure?
Testies and epidydymus
The nurse has held a unit conference on the specific immune response, which statement by a colleague indicates an understanding of cell mediated response. Cell mediated responses are?
The direct act of activated T-cells lymphocytes
The patient receiving radiation therapy often has skin markings left on the side after treatment. What is most appropriate nursing implication regarding these markings?
They are guidelines for treatment and should be left alone
Which is a factor that contributes the extent of an allergic response to an allergen?
Time of year in which one is exposed
A patient age 56, has been advised that his prostate-specific antigen (PSA) level is elevated. The physician then performed a digital rectal exam. Which procedure is indicated next?
Transrectal ultrasound
The tube that carries sperm out of the body and is part of the urinary system is the?
Urethra
Which sign and symptom is a sign of a mild reaction as a result of a blood transfusion?
Urticaria
A patient receiving chemotherapy has been told he had thrombocytopenia. He is getting ready to do his morning care. Which is an appropriate teaching measure to include?
Use an electric shaver
Essential organ of the female reproductive, it receives sperm?
Vagina
To prevent lipodystrophy, the nurse should administer insulin?
at room temperature
Sperm cells develops in what?
seminiferous tubules
