N3 PR

A client with newly diagnosed multiple myeloma asks, "How long do you think I have to live?" What is the most appropriate response by the nurse?

"Tell me about your concerns as of the moment."

When receiving chemotherapy for non-Hodgkin lymphoma, a client states, "I get so sick to my stomach. The medication is useless." What is the best response by the nurse that uses the technique of paraphrasing?

"You don't think the medication is helping you."

Which diagnostic test is performed under general anesthesia to detect non-Hodgkin lymphoma and requires the client to sign an informed consent form?

A mediastinoscopy

A 4-year-old child diagnosed with sickle cell anemia is at a high risk of acquiring pneumococcal diseases even after receiving one or two doses of the pneumococcal conjugate vaccine (PCV). Based on the immunization protocol, what dose of PCV should the nurse administer?

Administer two more doses of PCV

A client is considered to be in septic shock when what changes are assessed in the client's labwork?

An increased serum lactate level

A client's laboratory report shows the presence of bone marrow suppression, reflected by a decreased number of thrombocytes. After reviewing the client's medical history, the practical nurse finds that the client has been undergoing therapy with an antiproliferative immunosuppressant drug. Which medication may have caused the client's condition?

Azathioprine

While assessing a client with presence of neurotoxicity, lymphoma, and hypertension, the medical history reveals that the client is on immunosuppressant drug therapy. Which drug class might have caused these conditions?

Calcineurin inhibitors

The nurse observes that a client with sickle cell anemia and on a blood transfusion regimen has cardiac dysrhythmias due to iron overdose toxicity. Which medication is most beneficial to this client?

Deferoxamine

A client develops peritonitis and sepsis after the surgical repair of a ruptured diverticulum. What signs should the nurse expect when assessing the client? Select all that apply.

Fever Tachypnea Abdominal rigidity

A client with multiple myeloma is scheduled to have a chest x-ray and bone scan. What is the priority responsibility of the nursing and radiology staff?

Handle the client with supportive movements.

When changing a postoperative client's dressing, the nurse washes hands before changing the dressing. Which type of asepsis is the nurse using?

Medical asepsis

A nurse is assessing a client with cardiogenic shock. Which clinical findings should the nurse expect? Select all that apply.

Pallor Agitation Tachycardia Narrow pulse pressure

A client undergoes a bowel resection. When assessing the client 4 hours postoperatively, the nurse identifies which finding as an early sign of shock?

Restlessness

The nurse is caring for a client with chronic pain who is on opioid treatment. The client has constipation, nausea, vomiting, level 3 sedation, respiratory rate of 8 breaths per minute, and pruritus. Which conditions of the client should the nurse consider as highest priority? Select all that apply.

Sedation Respiratory rate

A healthcare provider in the emergency department identifies that a client is in cardiogenic shock. Which type of drug does the nurse anticipate will be prescribed?

Sympathomimetic

A client with cellulitis of the leg asks why bed rest has been prescribed to prevent sepsis. Which purpose will the nurse explain to the client?

This limits muscle contractions that may force causative organisms into the bloodstream.

To prevent septic shock in the hospitalized client, what should the nurse do?

Use aseptic technique during all invasive procedures.