Cancer/Hypersensitivity/Pain

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication that the client is in the denial phase of the grief process?

"The doctor says I only have a few months to live, but i know he is exaggeration to get me to take my medication

5.) A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections( STIs). Which of the following statements should the nurse include in the teachings?

.) a) Ask about the clients exposure to any past or present STIs

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

1. Change in moles 2. Nagging cough 3. A non healing sore 4. Change in bowel patterns

2.) A nurse in a dermatologist's office is planning an educational session about skin cancer. Which of the following should the nurse include as risk factors for skin cancer?(select all that apply)

1. Previous skin injury 2. Overexposure to ultraviolet light 3. Genetic predisposition

38.)A nurse is caring for a client who was exposed to large amounts of pesticides and is exhibiting vague manifestations associated with this exposure. Which of the following manifestations could be an early vague sign of cancer?(select all that apply)

1. Weight loss 2. Fever 3. Pain

A nurse is caring for a client who had an anaphylactic reaction after a blood transfusion. The nurse reviews the literature to further understand antibody-mediated immunity (AMI). Which of the following information should the nurse confirm about AMI?

9.) AMI is mediated by antibodies produced by B-lymphocytes

A nurse is providing teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information shoudl the nurse include in the teaching?

Change your pet's litter box daily

A nurse is caring for a client who has myasthenia gravis. The nurse should recognize that this disease is caused by which of the following types of hypersensitivities?

Cytotoxic

2.) A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus. The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE?

Exercise

6.) A nurse in an allergy clinic is caring for a client who has a history of seasonal allergy symptoms. The client had a radioallergosorbent test(RAST) completed on a previous visit. The nurse should recognize that an elevation in which of the following immunoglobulins indicates a positive result?

IgE

A nurse is caring for a clent who is receiving chemotherapy and requests information about acupucture to relieve some of the side effects, which of the following findings should the nurse identify as a contraindication to receiving alternative therapy?

Lymphedema

3.) A community health nurse is preparing a public service announcement about lyme disease. Which of the following strategies should the nurse include as an example of secondary prevention?

Notify your provider you have a rash

7.) A nurse is assessing a client who has systemic lupus erythematosus. Which of the following findings is the highest priority for the nurse to report to the provider?

Peripheral edema

nurse is assessing a client for a suspected anaphylactic reaction following a CT scan with contrast media. For which of the following client findings should the nurse intervene?

Stridor(an abnormal, high pitched respiratory sound produced by irregular airflow in a narrowed airway)

10.) A nurse is caring for a client who has delayed hypersensitivity reaction. The nurse should expect which of the following manifestations?

Tissue damage at the site Rationale: nurses should expect the manifestations of edema, induration, ischemia, and tissue damage at the site occurring hours to days after exposure. A positive purified protein derivative test for tuberculosis is an example of a type IV hypersensitivity reaction

8.) A nurse is providing discharge teaching to a client who was recently diagnosed with a latex allergy. Which of the following statements indicates an understanding of the teaching?

Use ink pen (pencil contains latex)

A nurse is teaching a group of teenage clients about the use of condoms for the prevention of sexually transmitted infections(STIs). Which of the following statements should the nurse include in the teaching?

a) Female condoms can help prevent transmission of sexually transmitted viruses

9. A nurse is providing information about pain control for a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates understanding of pain control?

a. " I will call for pain medication before the previous dose wears off"

14.) Which of the following nursing statements should the nurse include in the teaching?

a. "Hair loss is common and includes eyebrows and eyelashes

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following clients statements indicates an understanding of the teaching?

a. "I'll call my doctor if I notice any unusual menstrual bleeding

A nurse is leading a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?

a. "Let's discuss what you mean when you say that you cannot ever return to work"

A nurse is leading a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?

a. "Let's discuss what you mean when you say that you cannot ever return to work"

44. A nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hr. Which of the following actions is the nurse's priority?

a. Administer pain medication

A nurse is caring for a client who is 1 day postoperative following gynecologic surgery and reports incisional pain. Which of the following should the nurse take first?

a. Ask the client to rate her pain on a scale of 0-10

39. 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 of the following should the nurse plan to include in the teaching?

a. Bottled water is an appropriate choice to increase fluid intake

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 the nurse take?

a. Check the results of the client's most recent CBC

13.) A nurse in a providers clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions FCC should the nurse take when the client reports bleeding gums?

a. Check the value of the client's current platelet count A nurse is teaching a client about the side effects of chemotherapy medications.

A nurse in a providers 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?

a. Check the value of the clients platelet count . A nurse is caring for a middle adult client who has just received the diagnosis of

45. A nurse is planning care for a client who requires screening for rectal cancer. Which of the following tests should the nurse anticipate in the client's plan of care?

a. Colonoscopy

18.) A nurse is caring for a client whose partner has end-stage lung cancer. The client states "The doctors say they only have a few months to live, but I know that with treatment they will get better." The nurse should identify that the client is exhibiting which of the following defense mechanisms?

a. Denial

43. A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

a. Determine the location of the pain

A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing?

a. Encourage the client to take slow, deep breaths

12.) A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse several questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make?

a. Encourage the client to write down questions to ask the provider

50.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?

a. Fatigue

16.) A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care?

a. Fresh flowers and potted plants in the room

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

a. Headache i. (Urinary retention is also a common adverse effect)

49.A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

a. I should apply sunscreen prior to going outside, even in the winter months

A nurse is teaching a class about the use of pain medications for clients who have an opioid addiction. Which of the following medications are a nonopioid analgesic

a. Ibuprofen b. Acetaminophen

A nurse is providing an education program about dietary interventions to reduce the risk for prostate cancer. Which of the following information should the nurse include?

a. Increase fatty fish in the diet (increase omega 3-fatty acids and fish to reduce the risk for prostate cancer

48. A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?

a. It's okay to feel scared. Let's talk about what you are afraid of

32.) A nurse is developing an education program about skin cancer for a community center. Which of the following instructions should the nurse plan to include?

a. Keep a body map of skin lesions

A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

a. Limit the number of health care workers entering the room

A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?

a. Nonmaleficence

35.) A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?

a. Poor[At this advanced stag, the prognosis for ovarian cancer is poor.Ovarian cancer is leading cause of death for women with reproductive cancers,survival rates are low b/c it is discovered late]

endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?

a. Post menopausal bleeding

17.) A nurse checks a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?

a. Responsibility

26.) A nurse is preparing a client for a colonoscopy. The client has a family history of colon cancer. Which of the following types of prevention is the nurse demonstrating?

a. Secondary

35.) A nurse is performing a pain assessment for a client who is alert. The nurse should recognize which of the following measures is the most reliable indicator of pain?

a. Self report of pain.

42. A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?

a. Take the medication with food

. A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

a. The client developed a tolerance to the medication

47. A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client? WBC 1,400/mm* 4.3 x 1012 /L 12.1 g/di. RBC Hgb Hct Platelets 170,000/mm3 Albumin 4.5 g/dL

a. The client has an increased risk of infection.

A nurse is caring for a client who was recently diagnosed with an opioid use disorder. They were a student in a local community college but were recently dismissed for failing their classes. Their previous diagnoses include anxiety, Crohn's disease, and chronic back pain due to a gymnastics injury in high school.Which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids?

a. To treat pain and ease anxiety

A correctional nurse is caring for a client who was recently injured in the facility. The client is complaining of pain but is not due to receive any more pain medication for a while. Which of the following interventions could the nurse include to achieve the goal of pain relief?

a. Using distractions like watching TV to keep the clients mind of pain

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?

a. WBC 2300/mm^3

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

a. dysphagia(trouble swallowing)

40. A nurse is caring for a client who reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following components of the PQRST mnemonic?

a. severity

19.) A nurse is teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?

b. Surgical incision

41. A nurse is assessing a client's abdomen who reports stomach pain. Which of the

following actions should the nurse take first? a. Inspect

A nurse is caring for a middle adult client who has just received the diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?

post menopausal bleeding