2a

Which second - line medication would the nurse prepare to give after administering epinephrine to a client experiencing an anaphylactic reaction ? Select all that

Dexamethasone Diphenhydramine hydrochloride Hydrocortisone sodium succinate

The nurse is assessing a child receiving chemotherapy for treatment of leukemia . Which side effect would the nurse anticipate

Epistaxis

A client is diagnosed with testicular cancer . Which treatment would be first ?

Radical inguinal orchiectomy

The client's cervical biopsy reveals a stage 0 lesion . Which statement explains this finding

The lesion is carcinoma in situ .

The nurse plans to monitor for signs of autonomic dysreflexia in a client who sustained a spinal cord injury at the T2 level . Which statement explains the nurse's rationale ?

There is damage above the sixth thoracic vertebra .

Which problem is the nurse trying to prevent by encouraging a client with a spinal cord injury to increase oral fluid intake ?

Urinary tract infections

Which emergency care action would the nurse consider a priority for a hospitalized client who develops an anaphylactic reaction after receiving an intravenous medication ? Select

Complete a respiratory status assessment . Contact the Rapid Response Team . Discontinue the intravenous medication .

A nurse is creating a plan of care for a client with rheumatoid arthritis who has severe pain and swelling of the hand joints . Which details about range - of - motion exercises would the plan include ?

Applying heat or cold before the exercises

The nurse is obtaining a health history from the parents of a toddler who has recently been diagnosed with acute lymphocytic leukemia . Which early physiologic changes would the nurse expect the parents to report ? Select all that apply . One , some , or all responses may be correct Pale skin Loss of hair Eating less food Sores in the mouth Purplish spots on the skin

Pale skin Eating less food Purplish spots on the skin

Which short - term goal would a nurse develop when planning care for a client 1 week after the client experienced a spinal cord injury at the T3 level ?

The client will carry out personal hygiene activities . "

A client is admitted to the emergency department after a bee sting . The client has a history of allergies to bees and is having difficulty breathing . The nurse would monitor the client for which life - threatening response ?

Asphyxia

The nurse is caring for a child with an exacerbation of leukemia . The nurse would plan to administer the prescribed analgesic for bone pain at which time ?

At scheduled intervals

A client is scheduled for a modified radical mastectomy . Which nursing intervention is most important in the client's preoperative plan of care ?

Allowing her to express her feelings about surgery

The client asks the nurse how long she will have to take tamoxifen for breast cancer treatment . Which response by the nurse is appropriate ?

O'You'll need to take it for 5 years , after which it will be discontinued

A 26 - year - old woman whose sister recently had a lumpectomy for breast cancer calls the local women's health center and asks for an appointment for a mammogram . Which guidance would the nurse provide the client ?

An appointment should be given for history , assessment and indicated imaging

Which signs and symptoms would the nurse expect when assessing a 4 - year - old child with newly diagnosed acute lymphocytic leukemia ( ALL ) ? Select all that apply . One , some ,

Anorexia Petechiae

Which information about malignant tumors f the on would the nurse consider when providing care for a client with an obstruction of the colon ?

Colon obstructions are usually malignant .

The nurse observes bloody expectorant after a 4 - year - old child with leukemia brushed his or her teeth . Which action should the nurse take next ?

Document and report the incident .

Which information will the nurse provide to a client in a hospice home care program who is prescribed morphine

Dosages of the medication will be given automatically at regular intervals around the clock .

When the nurse tries to bathe a young client with a spinal cord injury who has an incontinence episode the client says , " Leave me alone . Having you care for me is worse than lying in this mess . " Which response is the best ?

During the bath , I'll start teaching you about bowel training . "

Which clinical manifestation would the nurse expect to find in a client with a new diagnosis acute lymphocytic leukemia ( ALL ) ?

Ecchymosis

Which prescribed cytokine medication would the nurse administer to treat chemotherapy induced neutropenia

Filgrastim

The nurse is evaluating a client who has been receiving medical intervention for a diagnosis of Crohn disease . Which expected outcome is most important for this client ?

Gains a half pound ( 0.2 kilograms ) per week

The nurse is eliciting a health history from a client with ulcerative colitis Which factor would the nurse consider to be most likely associated with the client's colitis ?

Genetic predisposition

While caring for a middle - aged adult client after emergent placement of a colostomy as a result of colorectal cancer , the nurse encourages the client's family members to have a colonoscopy done before age 50 years a I annually depending on health care provider recommendations . Which concept is the primary basis for the nurse's recommendations to the client's family ?

Genomics

Which preventive wellness recommendation will the nurse make to a male client who tests positive for the BRCA mutation after his mother and two sisters are found to carry the gene

Get a baseline mammogram at 40 years . Get breast self - examination ( BSE ) training at 35 years . Get a clinical breast examination ( CBE ) every 6 months starting at 35 years .

Which client statement indicates a risk of breast cancer ?

My first child was born when I was 32. " noticed a slight discharge from a nipple . " consume two to four glasses of alcohol a day . "

Which finding indicates that a client is at an increased risk for colorectal cancer ( CRC ) ?

Presence of dark , tarry stools Family history of polyposis 20 - year history of ulcerative colitis Unintentional 20 - pound weight loss Change in bowel pattern for 3 months

Which intervention would the nurse include when teaching a client about self - care after mastectomy to prevent infection and lymphedema

Wear gloves when gardening . Apply a compression sleeve if edema occurs . Consider learning exercises for manual lymph drainage . Avoid blooddraws in the arm on the side of the mastectomy .

The nurse teaches an adolescent who has completed chemotherapy for acute lymphocytic leukemia ( ALL about the administration of mercaptopurine . Which statement by the adolescent indicates teaching has been effective ?

This will help prevent a relapse ! '

Which complication would the nurse suspect when a client who has just started a transfusion of packed red blood cells reports chest pain , flank pain , difficulty breathing and chills

Hemolytic reaction

Which action would the nurse implement when a client develops an anaphylactic reaction ?

Initially , apply oxygen at 90 % to 100 % per nasal cannula Call the Rapid Response Team and have the crash cart retrieved Elevate the head of the bed to 45 degrees . Ensure emergency airway equipment is at the bedside

A child with leukemia is to be discharged home on a protocol that includes several antineoplastic medications . Which would the nurse plan to teach the parent ?

Notify the practitioner if the child has a temperature of 100 ° F ( 37.8 ° C ) to obtain an antibiotic prescription .

An adolescent child is in the terminal stage of cancer . The parents ask how they will know when death is imminent . Which signs and symptoms indicate the physical manifestations of approaching death ? Select all that apply

Decreased thirst Weak pulse Difficulty swallowing Loss of bladder control

A platelet transfusion is to be administered to a child with acute lymphocytic leukemia . Which step would the nurse do first

Administer the platelets rapidly through thOintravenous ( IV ) line .