NCLEX Mod 4

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A nurse is reviewing the clinical record of a client with a diagnosis of benign prostatic hyperplasia (BPH). Which test result will the nurse check to confirm the diagnosis?

Biopsy of prostatic tissue

A client with multiple myeloma asks how the disease and therapy progresses. What would be appropriate to include in the client's teaching?

Blood transfusions may be necessary.

A client has glomerulonephritis. To prevent future attacks of glomerulonephritis, the nurse planning discharge teaching includes which instruction?

"Seek early treatment for respiratory infections."

A client with cancer is scheduled for a bone scan to determine the presence of metastasis. The nurse evaluates that the teaching before the scheduled bone scan is effective when the client makes which comment?

"A substance of low radioactivity will be injected into my vein and my body inspected by an instrument to detect where it is deposited."

A client with multiple myeloma who is receiving chemotherapy has a temperature of 102.2° F (39° C). The temperature was 99.2° F (37.3° C) when it was taken 6 hours ago. What is a priority nursing intervention in this case?

Administer the prescribed antipyretic and notify the primary health care provider.

A client who is suspected of having leukemia has a bone marrow aspiration. What should the nurse do Immediately after the procedure?

Apply brief pressure to the site.

A young adult male client is undergoing tests to confirm the diagnosis of Hodgkin lymphoma. The wife states, "Don't you think it is unlikely for someone like my husband to have cancer?" The nurse's response is based on what information about Hodgkin lymphoma?

Diagnosed during adolescence and young adulthood

A client has a body temperature of 102.8° F along with chills; dysuria; urethral discharge; and a boggy, tender prostate. Which organism is responsible for this condition?

Escherichia coli

A nurse is caring for a client with a diagnosis of benign prostatic hyperplasia (BPH). Which information about this condition is important for the nurse to consider when caring for this client?

It predisposes to hydronephrosis.

A client is diagnosed with acute lymphoid leukemia and is receiving chemotherapy. The nurse should monitor what thrombocytopenic side effects of chemotherapy? Select all that apply.

Melena, Purpura, Hematuria

The nurse is caring for a client who has been diagnosed with glomerulonephritis. Which initial urinary finding supports this diagnosis?

Proteinuria


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