Term 3 Final!!!!!

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

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.

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.

Methods of early cancer detection include?

-Mammogram baseline at age 35 to 39, then every year after age 50 for women.

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

Parietal dialysis differ from hemodialysis ?

-Paritial is accessing Dialazizing Membrane

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.

Regarding chronic kidney disease are true except?

-Rarely candidates for hemodialysis or kidney transplant

Which are characteristics of malignant tumors?

-Rate of growth varies; rarely contained within a capsule

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

The only definitive way to determine the presence of malignant cells is to perform what?

-A tissue biopsy

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

When obtaining a urine sample from a catheterized or non catheterized patient its important to do the following except?

-Collect from foley bag

2. 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

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

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.

Pt with bladder cancer, pt don't understand procedure wants the nurse response?

-Tell me what u understand about the treatment from discussion with your doctor

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

Concepts related to End stage renal disease include all of the following except?

-develop suddenly and is reversible

Routine urinary catheter care do all of the following except?

-don't rest bag on floor

Education for pt with cystitis important to include?

-early detection -encourage at least 2000ml per day a

How does Kidney maintain acid based balance?

-excretion of hydroions

Acute renal failure differ from chronic renal failure?

-occur abruptly and is irreversible - returns to near normal function in recovery phase

AVFistula in patent?

-palpation over the fistula

How many liters of urine excreted per day?

1-2 thousand liters

Normal serum potassium?

3.5-5.5

Minimal urinary output?

30 mL

Once blood is removed from refrigeration what is the length of time allotted for the blood to transfuse?

4 hours

Post op nephrectomy pt not a priority in initial assessment?

making sure pt has regular diet for evening meal

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

The presence of Albumin in the urine is called?

Albuminuria

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 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

Suppression of urine formation?

Anuria

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

Hemodialysis when permenate is required , is called ?

Fistula

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

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

Chronic renal failure hemodialysis, high dose of med, when should nurse administer?

on return from dialysis

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

Nursing interventions for a patient paritalnephritis include all of the following except?

restrict fluids

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

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

Post-prandial (after a meal) blood glucose(PPBG)?

Draw a blood sample 2 hours after completion of a meal Elevated plasma glucose over 160mg/dL may indicate Diabetes Mellitus.

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

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

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

Which diagnostic test for diabetes provides a measure of glucose levels for the previous 3 months?

Glycosylated Hemoglobin (HbA1c)

An effective drug given intravenously to block receptors on the ????>....

Granistron (Kytril)

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

15. 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

Most common urinary ?

Illioconduct

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

s/s acute renal failure all the following except?

Increase appetite

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

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 nurse is teaching a local women's church group about the risk of cervical cancer. The nurse determines that further teaching is necessary ifd 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.

Frequently use irrigant for Bladder irrigation?

Isotonic Solution

Using the TNM staging classification system, a tumor staged as T4N3M2 would mean what?

Large tumor, lymph node involvement and distant metastasis

A liver transplant patient receiving .......? What nursing goal is critical for this patient?

Minimize his risk for infection

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

Community resources available for Chronic Renal Failure?

Pastoral care or religious support groups

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 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

Therapeutic Communication with Patients with Chronic Renal Failure about Death and Dying?

Provide emotional support by allowing opportunities for the patient to express concerns and fears and encouraging family interaction Explain plans and procedures before scheduled times Include patient and family in care planning

What is your Renin Hormone?

Raises blood pressure by influencing vasoconstriction

Hemodialysis?

Recorder daily weight, post a sign, shunt.....= All the above

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

Anti Diuretic Hormone?

Released by the Posterior lobe of the pituitary gland when the hypothalamus stimulates release stimulated by dehydration or high sodium intake and a decrease in blood volume Also called Vasopressin

A client with cancer develops white patches on the mucos membrand of the oal cavity. The nurse noting this would?

Report these symptoms, which are consistent with candidiasis

End stage renal disease diatery needs...food highest in potassium?

bananas

Nursing interventions for pt with Nephrotic syndrome include all of the following except????

Restricting protein in the diet

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 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

In oliguric phase of acute renal failure BUN serum and creatine levels rise ?

bun and creatine levels rise and urinary output decrease

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 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

Where are your kidneys located?

The kidneys lie behind the parietal peritoneum (retroperitoneal), just below the diaphragm on each side of the vertebral column.

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

What are your nitrogen Waste?

Urea, Creatinine, Ammonia, and Uric Acid

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

Someone on CVI how can u determine urinary output?

You subtract what you put in