Cellular Regulation ATI Questions
A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements by the client indicates they understand this type of treatment? A. "I am thinking of getting a second opinion." B. "I am hoping this will limit my discomfort." C. "This treatment should help me live a little longer." D. "This is not working and I plan to stop treatment."
B. "I am hoping this will limit my discomfort."
A nurse is teaching a group of middle adult clients about early detection of colorectal cancer. The nurse should include the American Cancer Society recommendation that men and women beginning at age 50 who are at average risk should have a fecal occult blood test (FOBT) and a colonoscopy at which of the following intervals? A. Five years B. Ten years C. One year D. Two years
B. Ten years
A nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. The nurse should include that which of the following is an adverse effect of this medication? A. Hot flashes B. Insomnia C. Increased appetite D. Constipation
A. Hot flashes
A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil? A. Isosorbide B. Phenytoin C. Metronidazole D. Prednisone
A. Isosorbide
A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child? A. A child who has nephrotic syndrome B. A child recovering from a ruptured appendix C. A child who has rheumatic fever D. A child who has cystic fibrosis
A. A child who has nephrotic syndrome
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.) A. A non healing sore B. Bloating C. Change in bowel pattern D. Change in moles E. Nagging cough
A. A non healing sore C. Change in bowel pattern D. Change in moles E. Nagging cough
After radiation treatment, a client reports dryness, redness, and scaling of his skin occurring within the designated radiation treatment markings. The nurse should instruct the client to take which of the following actions? A. Apply hydrating lotions. B. Apply moist heat. C. Sit in the sun for 10 min per day. D. Wash with plain soap and water.
A. Apply hydrating lotions.
A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching? A. "I will take the antiemetic as soon as the chemotherapy infusion is complete." B. "I will run my toothbrush in the dishwasher every month." C. "I'll call my doctor if I notice any unusual menstrual bleeding." D. "I will avoid crowds to keep from infecting others."
C. "I'll call my doctor if I notice any unusual menstrual bleeding."
A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective? A. Hct 43% B. WBC 8,000/uL C. Albumin 4.2 g/dL D. Calcium 9.4 mg/dL
C. Albumin 4.2 g/dL
A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure? A. A sternal incision B. A chest tube C. Moderate pain D. Pulmonary function studies
B. A chest tube
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). The nurse should expect which of the following findings? A. Urge incontinence B. Critically elevated prostate-specific antigen (PSA) level C. Difficulty starting the flow of urine D. Painful urination
C. Difficulty starting the flow of urine
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? A. Unilateral swelling on the posterior of the vulva B. Extreme abdominal pain with intercourse C. Green, malodorous vaginal discharge D. Postmenopausal bleeding
D. Postmenopausal bleeding
A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood? A. ?Ewing sarcoma B. ?Osteosarcoma C. ?Neuroblastoma D. Wilms' tumor
D. Wilms' tumor
A nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it. Which of the following tests should the nurse expect the provider to use? A. A serum prolactin level B. A Papanicolaou test C. A vaginal ultrasound D. An endometrial biopsy
B. A Papanicolaou test
A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching? A. A Papanicolaou (Pap) test should be performed every 6 months. B. Artificial lubrication can be used to treat vaginal itching and dryness. C. Increased vaginal drainage typically occurs 5 days following surgery. D. Resume sexual intercourse in 2 to 3 weeks.
B. Artificial lubrication can be used to treat vaginal itching and dryness.
During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and flesh-colored with pearly white borders. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?A. Squamous cell carcinoma B. Basal cell carcinoma C. Malignant melanoma D. Actinic keratosis
B. Basal cell carcinoma
A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects? A. Anorexia and malnutrition B. Bleeding from the gums C. Diarrhea and dehydration D. Full body alopecia
B. Bleeding from the gums
A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP).The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first? A. Notify the provider. B. Check the tubing for kinks. C. Adjust the rate of the bladder irrigant. D. Irrigate the catheter.
B. Check the tubing for kinks.
A nurse in a provider's 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. Explain to the client that this is an expected adverse effect. B. Check the value of the client's current platelet count. C. Instruct the client to use an electric toothbrush. D. Have the client make an appointment to see the dentist.
B. Check the value of the client's current platelet count.
A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis
B. Metabolic alkalosis
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. Utilitarianism B. Nonmaleficence C. Fidelity D. Veracity
B. Nonmaleficence
A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take? A. Review laboratory test results for low hemoglobin. B. Observe for signs of infection. C. Monitor the mouth for signs of xerostomia. D. Examine the skin for generalized urticaria.
B. Observe for signs of infection.
A nurse is caring for a client who has chemotherapy- induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms? A. Extremities that turned blue when exposed to cold B. Tingling feeling in the extremities C. Jerking movements of the extremities D. Spasms of the extremities
B. Tingling feeling in the extremities
A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP)and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.) A. Add the amount of bladder irrigation to the total output. B. Use sterile technique when preparing the irrigation solution. C. Ensure the drainage tubing is patent and without obstruction. D. Contact the surgeon if the client reports a continual need to void. E. Notify the surgeon if the urine is bright red in appearance or has large clots.
B. Use sterile technique when preparing the irrigation solution. C. Ensure the drainage tubing is patent and without obstruction. E. Notify the surgeon if the urine is bright red in appearance or has large clots.
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was A. dysphagia. B. hoarseness. C. dyspnea. D. weight loss.
B. hoarseness.
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, "I don't know what I will do if they find I have cancer." Which of the following responses should the nurse make? A. "Why do you think you might have cancer when your diagnosis is a benign condition?" B. "I'm looking at your chart here and I don't see any reason for you to worry about that." C. "I think that's something you need to discuss with your provider." D. "I'm hearing that you are concerned that it might turn out that you have cancer."
D. "I'm hearing that you are concerned that it might turn out that you have cancer."
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. "Antidepressants are not your solution, but this therapy group is." B. "I notice you keep clenching your fists. This needs to stop." C. "You need to work hard on resolving conflict with those closest to you." D. "Let's discuss what you mean when you say that you cannot ever return to work."
D. "Let's discuss what you mean when you say that you cannot ever return to work."
A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make? A. "Using nontraditional treatments is not a good Idea. I'd rather you avoid that route." B. "A lot of people think nontraditional treatments will work, and they find out too late that they made the wrong choice." C. "Your provider is very knowledgeable. If he prescribes chemotherapy, it's the best treatment for you." D. "Tell me more about your concerns about taking chemotherapy."
D. "Tell me more about your concerns about taking chemotherapy."
A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take? A. Tell the client to expect dark stools following chemotherapy. B. Have the client floss 4 times daily. C. Have the client swish with commercial mouthwash before therapy. D. Administer an antiemetic prior to the procedure.
D. Administer an antiemetic prior to the procedure.
A nurse is caring for a client who reports bilateral knee pain after hiking this past weekend in the mountains on rough ground. He says he is concerned because his cousin died from bone cancer recently. Which of the following actions should the nurse take? A. Tell the client that it is unlikely that he has bone cancer. B. Ask the client why he thinks the pain isn't a result of hiking. C. Suggest genetic testing so the client can understand his risks. D. Explain that the provider will see him and determine a course of action.
D. Explain that the provider will see him and determine a course of action.
A nurse is teaching about adverse effects of anastrozole with a client who has advanced breast cancer and is postmenopausal. Which of the following adverse effects should the nurse recommend the client report to the provider? A. Weight gain B. Stomatitis C. Cough D. Musculoskeletal pain
D. Musculoskeletal pain
A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication.After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles? A. Veracity B. Autonomy C. Fidelity D. Nonmaleficence
D. Nonmaleficence
A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab with. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? A. Weight gain B. Mild hearing loss C. Temporary loss of smell D. Nosebleeds
D. Nosebleeds
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching? A. "Eating a high fiber diet will reduce my risk for developing skin cancer." B. "I should check my skin monthly for any changes." C. "I should avoid the use of tanning booths." D. "I should use sunscreen even on cloudy days."
A. "Eating a high fiber diet will reduce my risk for developing skin cancer."
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." B. "Don't worry. The important thing is you have now quit smoking." C. "I understand your fears. I was a smoker also." D. "Your doctor is a great surgeon. You will be fine."
A. "It's okay to feel scared. Let's talk about what you are afraid of."
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. B. The salad bar is a healthy choice when dining out. C. Soft-boiled eggs are an appropriate source of protein. D. Eating at a buffet is a good choice to increase caloric intake.
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. B. Assess the client for a hypersensitivity reaction. C. Evaluate the client for hypercalcemia. D. Examine the client for hepatomegaly.
A. Check the results of the client's most recent CBC.
A nurse is providing teaching to a client who has a new diagnosis of testicular cancer. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Close male relatives are at an increased risk of developing testicular cancer. B. Testicular cancer typically occurs between ages 15 and 35. C. Testicular cancer occurs in both testicles equally. D. Sperm are no longer viable after diagnosis. E. An early manifestation is a painful scrotal lump.
A. Close male relatives are at an increased risk of developing testicular cancer. B. Testicular cancer typically occurs between ages 15 and 35.
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 B. Dependent edema C. Polyuria D. Photosensitivity
A. Headache
A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care? A. "I will have to be admitted to a long-term care facility in order to receive hospice care." B. "I should expect the hospice team to help me manage my dyspnea." C. "Hospice care services are available to patients who are terminally ill regardless of their life expectancy." D. "My oncologist will continue to look for a cure for my cancer while I am receiving hospice care."
B. "I should expect the hospice team to help me manage my dyspnea."
A nurse is instructing a client how to decrease the nausea associated with chemotherapy and radiation. Which of the following statements indicates an understanding of the teaching? A. "I will eat smaller meals if I feel nauseated." B. "I will eat foods that are served at room temperature." C. "I will drink more liquids with my meals." D. "I will increase the amount of unsaturated fats in my diet."
B. "I will eat foods that are served at room temperature."
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer? A. Danazol B. Finasteride C. Fluoxymesterone D. Methyltestosterone
B. Finasteride
A nurse is planning care for a client who has terminal cancer and has a prescription for morphine. Which of the following interventions should the nurse include in the plan of care? A. Instruct the client to take diphenoxylate/atropine 5 mg PO twice a day. B. Instruct the client to actively cough to prevent a buildup of secretions in the airway. C. Instruct the client to stop taking the morphine if itching develops. D. Instruct the client to keep room lights dim during waking hours.
B. Instruct the client to actively cough to prevent a buildup of secretions in the airway.
A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning the infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary? A. An excess amount of doxorubicin can lead to myelosuppression. B. Exceeding the lifetime cumulative dose limit of doxorubicin might cause extravasation. C. An excess amount of doxorubicin can lead to cardiomyopathy. D. Exceeding the lifetime cumulative dose limit of doxorubicin might produce red tinged urine and sweat.
C. An excess amount of doxorubicin can lead to cardiomyopathy.
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when the client reports which of the following manifestations? A. Bladder spasms B. Severe pain. C. An inability to void D. Frequent episodes of painful urination
C. An inability to void
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. Provide the client with articles from the Internet that explain colon cancer stages. B. Assure the client that the provider will explain what has been planned. C. Explain the various options available for treatment based on the cancer stage. D. Encourage the client to write down questions to ask the provider.
D. Encourage the client to write down questions to ask the provider.
A nurse is teaching for a client who is to begin taking tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication? A. Tinnitis B. Constipation C. Urinary retention D. Hot flashes
D. Hot flashes
A client who has chronic lymphocytic leukemia is starting chemotherapy treatments and asks if she needs to make any dietary changes. Which of the following statements should the nurse make?A. "You should avoid drinking liquids an hour before the treatments." B. "Eating low-calorie foods helps prevent nausea." C. "Foods that are higher in fat are usually more appealing." D. "Raw fruits and vegetables will be easier for your body to digest."
A. "You should avoid drinking liquids an hour before the treatments."
A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan? A. Apply pressure to needle stick sites for 10 min. B. Assess core temperatures using a rectal thermometer. C. Measure abdominal girth twice weekly. D. Monitor for the presence of WBCs in the urine.
A. Apply pressure to needle stick sites for 10 min.
A nurse is providing teaching to a client who has cancer about foods that prevent protein-energy malnutrition.Which of the following foods should the nurse include in the teaching? (Select all that apply.) A. Cottage cheese B. Milkshakes C. Tuna fish D. Strawberries and bananas E. Egg and ham omlet
A. Cottage cheese B. Milkshakes C. Tuna fish E. Egg and ham omlet
A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client? A. Leuprolide B. Cyclophosphamide C. Finasteride D. Tamoxifen
A. Leuprolide
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. All visitors from entering the client's room B. Fresh flowers and potted plants in the room C. Oral fluid intake to between meals only D. Activities that could result in bleeding
B. Fresh flowers and potted plants in the room
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 animal fat in the diet. B. Increase fatty fish in the diet. C. Reduce dietary fiber intake. D. Increase complex carbohydrates in the diet.
B. Increase fatty fish in the diet.
A nurse is caring for a client who has metastatic bone cancer. The client states, "I want to go home to die." The family is concerned about meeting the client's care needs at home. Which of the following actions should the nurse take? A. Discuss initiating hospice care with the client and family. B. Write a referral to place the client in a nursing home. C. Talk with the provider about extending the client's hospital stay. D. Inform the client's family that they are responsible for providing palliative care.
A. Discuss initiating hospice care with the client and family.
A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include? A. Do not apply heat to the area of irradiation. B. Do not wash the area of irradiation. C. Use an antibiotic ointment to treat skin breakdown. D. Lubricate the skin lubricated with hypoallergenic lotion.
A. Do not apply heat to the area of irradiation.
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. B. Examine your body every 2 months for lesions. C. Avoid the sun after 3 p.m. D. Limit tanning bed use.
A. Keep a body map of skin lesions.
A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.) A. Lubricate lips with water-soluble ointment. B. Brush teeth with a soft toothbrush. C. Blow nose gently. D. Limit fruit consumption. E. Use a straight edge razor to shave.
A. Lubricate lips with water-soluble ointment. B. Brush teeth with a soft toothbrush. C. Blow nose gently.
A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP)gland. Which of the following assessments should the nurse view to be an indication of a postoperative complication? A. Output of burgundy colored urine B. Pulse rate of 88/min C. Oral temperature of 38.2° C (100.76° F) D. An urge to void despite having an indwelling urinary catheter
A. Output of burgundy colored urine
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/mm3 B. RBC 5 million/mm3 C. Hemoglobin 12 g/dL D. Platelets 155,000/mm3
A. WBC 2300/mm3
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. "Because I'm dark-complected, I won't have to worry about skin cancer." B. "I should apply sunscreen prior to going outside, even in the winter months." C. "I used to lie in the sun all the time, but now I know the tanning bed is a better option." D. "My father was treated for melanoma, but skin cancer isn't related to genetics."
B. "I should apply sunscreen prior to going outside, even in the winter months."
A nurse is caring for a client who has cancer and is 20 weeks pregnant. The client's provider recommends chemotherapy for the client, but the client is uncertain about the recommend treatment. Which of the following statements by the nurse is appropriate? A. "You should take the initial dose." B. "This must be a difficult decision for you." C. "The medication could save your baby's life." D. "You should wait until the baby is born to begin treatment."
B. "This must be a difficult decision for you."
A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process? A. "The doctor has been so good to me. I know he has tried everything he can. It is just my time." B. "I can't believe the doctor graduated from medical school. He doesn't know a thing about treating cancer!" C. "The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication." D. "Even though I am not hurting right now, I don't feel like I have the energy to get out of bed."
C. "The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication."
A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make? A. "I will have your provider discuss the adverse effects with you before the treatment begins." B. "Someone from the American Cancer Society will be here soon to answer your questions." C. "What is it about the adverse effects that concern you?" D. "I agree. Sometimes the adverse effects can be worse than the disease."
C. "What is it about the adverse effects that concern you?"
A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include? A. Women should start yearly mammograms at age 30. B. Clients should have a colonoscopy at age 40 and every 10 years thereafter. C. Clients should have a yearly test for fecal occult blood. D. Women should have a yearly clinical breast examination starting at age 45.
C. Clients should have a yearly test for fecal occult blood.
A nurse is caring for a middle adult female client who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause? A. Urinary retention B. Decreased blood pressure C. Dryness with intercourse D. Elevation in body temperature above 37.8° C (100° F)
C. Dryness with intercourse
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. Alopecia B. Diarrhea C. Fatigue D. Anorexia
C. Fatigue
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.) A. Dark skin B. Under 40 years of age C. Overexposure to ultraviolet light D. Previous skin injury E. Genetic predisposition
C. Overexposure to ultraviolet light D. Previous skin injury E. Genetic predisposition
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. Good B. Guarded C. Poor D. Very good
C. Poor
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/mm3 RBC 4.3 x 10¹²/L Hgb 12.1 g/dL Hct 36.5% Platelets 170,000/mm3 Albumin 4.5 g/dL A. The client has an increased risk for bleeding. B. The client should receive a diet with increased protein. C. The client has an increased risk of infection. D. The client should receive an erythropoiesis stimulating agent.
C. The client has an increased risk of infection.
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 not been taking the medication properly. B. The client is experiencing episodes of confusion. C. The client has become addicted to the medication. D. The client developed a tolerance to the medication.
D. The client developed a tolerance to the medication.
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. infertility. B. diarrhea. C. dyspnea. D. dysphagia.
D. dysphagia.
