HCC III Cell Reg 2021 ATI

A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child.

A child who has nephrotic syndrome A child who has leukemia is at risk for infection. Nephrotic syndrome is not an infections disorder and poses no risk to a child who has leukemia.

A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestation of cancer? (Select all that apply)

A nonhealing sore is correct. A client who has cancer might exhibit a nonhealing sore Change in bowel pattern is correct. A client who has cancer might exhibit a change in bowel pattern. Change in moles is correct. A client who has cancer might exhibit a change in the appearance of warts or moles. Nagging cough is correct. A client who has cancer might exhibit a nagging cough.

A nurse is assessing a lesion on a client who has basal cell carcinoma The nurse should expect which of the following findings?

A pearly, shiny nodule. The most common presentation of basal cell carcinoma is a nodular lesion with well-defined borders that has a pearly or shiny appearance.

A nurse on oncology is preparing to administer doxorubicin to a client who has breast cancer Prior to beginning the infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which of the following reason is this verification necessary?

An excess amount of doxoribicin can lead to cardiomyopathy Doxorubicin is an antineoplastic antibiotic used in the treatment of various cancers. Irreversible cardiomyopathy with congestive heart failure can result from repeated doses of doxorubicin, and prolonged use can also cause severe heart damage, even years after the client has stopped taking it. The maximum cumulative dose a client should receive is 550 mg/m2 or 450 mg/m2 with a history of radiation to the mediastinum.

After radiation treatment, a client reports dryness, redness, and scaling of his skin occurring within the designated radiation treatment markings. The nurse should instruct the client to take which of the following actions?

Apply hydration lotions The nurse should instruct the client to gently apply hydrating lotions that do not contain metal,, alcohol, or perfume.

A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include?

Basal cell carcinoma has a low incidence of metastasis. Basal cell carcinoma is a localized lesion that seldom metastasizes.

A nurse is caring for a client who is 1-day postoperative following a total laryngestomy and has begun a soft diet. The client is not eating well and tells the nurse that the hospital food has no taste. Which of the following responses is appropriate for the nurse to make?

Because of your surgery, you have an altered ability to smell and taste Clients who have lost their larynx commonly complain of poor ability to smell and taste. This is because they now breathe through the tracheal stoma, rather than the mouth and nose which bypasses the location of the olfactory and gustatory nerve cells.

A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate?

Bleeding The nurse should initiate bleeding precautions for a child who has a low platelet count. Bleeding precautions involve specific measures to reduce the risk of bleeding, such as using soft-bristled toothbrushes, avoiding IM injections, and preventing constipation.

A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?

Bleeding from gums Bleeding from the gums is directly related to myelosuppression due to inhibited bone marrow production of blood cells and platelets.

A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which o the following should the nurse plan to include in the teaching?

Bottled water is an appropriate choice to increase fluid intake Clients who have neutropenia are at risk for foodborne illness. Bottled water prevents client exposure to pathogens that may be found in other water sources.

A nurse is reviewing the laboratory results of a client who was admitted with a history of multiple myeloma. The nurse should expect to find and increased in which of the following laboratory values?

Calcium The nurse should expect the calcium level of a client who has a s history of multiple myeloma to increased due to the destruction of bone.

A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should then nurse take?

Check the results of the client's most recent CBC The client might have anemia as a result of myelosuppression (bone marrow suppression) from the chemotherapy. If so, she might require treatment for the anemia (transfusion, medication) and the provider might have to delay further chemotherapy until her blood counts are higher.

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. The nurse should recognize that the bleeding is likely due to the adverse effect of the chemotherapy and needs to be evaluated further, Bleeding gums is a sign of throbocytopenia (decreased platelet count) secondary to bone marrow suppression, which can be life-threatening in a client who is receiving chemotherapy.

A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?

Combing her hair Abduction of the arm is the most difficult, and usually the last, type of movement to be regained by a client following a mastectomy.

A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect? (Select all that apply

Decreased platelet count is correct. The nurse should expect to see a decreased platelet count due to bone marrow suppression from the chemotherapy treatment. Decreased leukocyte count is correct. The nurse should expect to see a decreased leukocyte count due to bone marrow suppression from the chemotherapy treatment Decreased erythrocyte count is correct. The nurse should expect to see a decreased erythrocyte count due to bone marrow suppression from the chemotherapy treatment.

A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?

Do not apply heat to the area of irradiation. This instruction will help the client avoid tissue damage. Radiated tissue becomes thinner and might lack tissue receptors that would otherwise alert the client to a potential burn injury. When outdoors or in sunshine, the client should wear protective clothing over the area of irradiation.

A nurse is caring for a client scheduled to receive external radiation to the neck for cancer or the larnyx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be

Dysphagia Radiation therapy does not hurt while it is being given. But the side effects that people may get from radiation therapy can cause pain or discomfort. Only the area of treatment is affected by the radiation, so dysphagia (trouble swallowing) would be an expected side effect. Other possible side effects include hoarseness, xerostomia (dry mouth), loss of taste, and skin redness.

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

Eating a high fiber diet will reduce my risk for developing skin cancer. A high-fiber diet is recommended to reduce the risk for colon cancer.

A nurse is reviewing the provider's history and physical form for a client who has advanced multiple myeloma. Which of he following findings should the nurse expect?

Ecchymoses A client who has multiple myeloma has an overgrowth of plasma cells in the bone marrow, which leads to a reduction in other types of blood cells. As the platelets are affected, the client is prone to bleeding a bruising.

A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy. The nurse should inform the client to expect which of the following adverse effects from the treatment?

Fatigue The nurse should inform the client to expect fatigue with her radiation treatment. Fatigue occurs regardless of the radiation target site.

A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching?

Hair loss is common and includes eyebrows and eyelashes This nursing statement is correct, because alopecia occurs as a whole-body hair loss for most clients administered chemotherapy.

A nurse is caring for a client who has cancer and a new prescription of ondansetron to treat chemotherapy-induced nausea. For which if the following adverse effects should the nurse monitor?

Headache Headache is a common adverse effect of ondansetron. Analgesic relief is often required

A nurse is assessing a clinet at a dermatology clinic. Which of the following findings places the client at risk for developing malignant melanoma?

History of chronic skin irritation. Clients who have a history of chronic inflammatory skin irritations are increased risk for skin cancer. Other risk factors exposure to chronic sunlight, chemical pollution, and immunosuppression.

A nurse is assessing a client who has a ling hisotry of cmoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

Hoarseness. Laryngeal cancer, a malignant tumor of the larynx, is most often caused by long exposure to tobacco and alcohol. Hoarseness that does not resolve for several weeks is the earliest manifestation of cancer of the larynx because the tumor impedes the action of the vocal cords during speech. The voice may sound harsh and lower in pitch than normal.

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?

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 caring for a client who is 9 days postoperative following a total laryngextomy. the nurse removes the client's NG tube and initiates oral feedings. Which of the following statements should the nurse make?

It is no longer possible for you to choke or aspirate food. The surgical procedure of total laryngectomy provides complete anatomical separation of the trachea and esophagus. Choking and aspiration of food and liquids is no longer possible.

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 caare?

Limit IM injections The 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 who has an absolute neutrophil count less than 1,000/mm3. Which of the following interventions should the nurse include in the plan?

Limit visitors to healthy adults. the expected reference range of absolute neutrophil count 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 assessing a client who reports a nevus that has increased in size and an irregularly shaped lesion that varies in color. These findings are consistent with which of the following medical diagnoses?

Malignant melanoma These findings are consistent with malignant melanoma, which is associated with changes in preexisting nevi.

A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the client to report which of the following findings as an adverse affect of the medication?

Nosebleeds Nosebleeds are an adverse effect of bevacizumab and should be reported to the provider. The client has an increased risk when taking this medication for severe bleeding from nosebleeds, vaginal bleeding GI bleeding, intracranial bleeding and pulmonary bleeding, which may be caused from the development of thrombocytopenia and other blood disorders.

A nurse is caring for a client who is receiving radiation therapy to treat ling cancer. Which of the following actions should the nurse take?

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 caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion?

Purple-ish in color Dark pigmentation of the lesion is an expected finding of malignant melanoma. Colors are varied and can include red, white and blue tones.

A nurse is caring for an older adult client who has a EBC of 2,000/mm3 after three rounds of chemotherapy. Which of the following actions should the nurse take?

Sever cooked fruit with meals The nurse should serve cooked fruits with meals to prevent possible bacterial contamination from raw fruit.

A nurse is providing teaching to a client who has superficial lesion and has had a biopsy indicated malignant melanoma. The nurse should include which of the following options has the treatment of choice?

Surgical excision Surgical excision is the treatment of choice for superficial lesions of malignant melanoma

A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse effects should the nurse include in the teaching?

Tinnitus Tinnitus and hearing loss are adverse effects of cisplatin

A charge nurse is teaching a group of health care workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching?

Use chlorhexidine to wash hands if the client is immunosuppressed The CDC recommends health care workers use chlorhexidine for hand washing when providing care to a client who is immunosuppressed.

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 The 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 client who has chronic lymphocytic leukemia is starting chemotherapy treatments and asks if she needs to make any dietary changes. Which of the following statements should the nurse make?

You should avoid drinking liquids before the treatment. Clients should be encouraged to decrease fluid intake just before treatments because fluids may cause nausea and vomiting.