EXAM FINAL 2 (QUESTIONS)

define chronic illnes

an illness that lasts longer than 3 months

Name a complication of a blood transfusion and an expected assessment finding.

diaphoresis, shortness of breath, death, anaphylactic shock allergic reaction

According to the TNM classification system, T0 means there is: no evidence of primary tumor no regional lymph node metastasis no distant metastasis distant metastasis

no evidence of primary tumor

A nurse is caring for a client with bacterial meningitis. The nurse understands that the client requires dexamethasone to eliminate the bacterial infection. reduce swelling in the brain. prevent seizures. to control blood pressure

reduce swelling in the brain

A nurse provides care on a bone marrow transplant unit and is preparing a female patient for a hemopoietic stem cell transplantation (HSCT) the following day. What information should the nurse emphasize to the patient's family and friends? "Your family should likely gather at the bedside in case there's a negative outcome." "Make sure she doesn't eat any food for 24 hours before the procedure." "Wear a hospital gown when you go into the patient's room." "Do not visit if you've had a recent infection."

"do not visit if you've had a recent infection"

A nurse is caring for a client immediately after lumbar puncture in which 20 ml of cerebrospinal fluid was aspirated. The male client asks if they can get up and use the toilet. What is the best response by the nurse? "You need to stay on bedrest for one hour, I can get you a urinal." "Sure, let me walk with you to the toilet." "You will need to be supine the rest of the day, I can get you a urinal. "Not a problem, feel free to get up and use the toilet."

Correct! "You need to stay on bedrest for one hour, I can get you a urinal."

Thalidomide is one of the few chemotherapy drugs that can be used in pregnancy. True False

False: Chemo is not safe during pregnancy and can lead to birth defects.

The nurse is assessing several patients. Which patient does the nurse determine is most likely to have Hodgkin's lymphoma? The patient with painful lymph nodes under the arm. The patient with painful lymph nodes in the groin. The patient with enlarged lymph nodes in the neck. The patient with a painful sore throat.

The patient with enlarged lymph nodes in the neck

Multiple Myeloma may result in the formation of kidney stones. True False

True

One complication associated with Myelodysplastic Syndrome (MDS) is AML (Acute Myeloid Leukemia) True False

True

Drinking a glass of milk with iron supplements increases absorption of iron. True False

drinking milk or taking any dairy products actually inhibits the absorption of iron

Your client presents with pallor, fatigue and a smooth, sore tongue. His hemoglobin is 8 g/dl. You plan to teach the client and his family about glucose-6-phosphate dehydrogenase deficiency. True False

false, will teach about iron or megaloblastic anemia

An obese client is at risk for which of the following conditions? heart disease stroke cancer hypertension diabetes

-heart disease -strike -cancer -hypertension -diabetes

When the nurse notices that the neuro trauma patient is limp and lacks motor tone, the nurse documents that the patient's posturing is: normal decorticate decerebrate flaccid

Flaccid

Which of the following groups of people are at high risk for neisseria meningitidis? preschoolers elderly school age children college students

college student

When caring for a patient with aplastic anemia, a priority of care is risk for infection. True False

true

Your patient has been admitted for an exacerbation of Ulcerative Colitis. The nurse understands that when assessing this patient the patient is at high risk for: hypertension syncope bleeding constipation

Bleeding

When the nurse observes that the patient has extension and external rotation of the arms and wrists and extension, plantar flexion and internal rotation of the feet, he or she records that the patient's posturing is: normal flaccid decerebrate decorticate

Correct! decerebrate

A nurse is assessing a client after a brain injury. She asks the client to stick out their tongue notes that the tongue deviates to the right. She determines this is a normal finding. the deviated tongue points to the injured side of the brain the deviated tongue points to the uninjured side of the brain the client will have difficulty swallowing.

the deviated tongue points to the injured side of the

A nurse caring for a client who had gastric bypass surgery 2 days ago. Which assessment finding requires immediate intervention? The client complains of pain at the surgical site. The client states is nauseated. The client's right lower leg is red and swollen. The client states he has been passing gas.

The clients right lower leg is swollen

All obese individuals are lazy. True False

There are many reasons why people are obese -poor or slow metabolism -poor nutrition -inactive lifestyle

Which client requires immediate nursing intervention? The client who: complains of epigastric pain after eating. complains of anorexia and periumbilical pain. present with a rigid, boardlike abdomen. presents with ribbonlike stool.

present with a rigid, boardlike abdomen.

A client is newly diagnosed with chronic obstructive pulmonary disease (COPD). The nurse understands that this client is in the Trajectory phase of chronic illness.. Acute phase of chronic illness. Downward phase of chronic illness. Stable phase of chronic illness

Correct Answer Acute phase of chronic illness.

a nurse is caring for a client with Parkinson's disease and displays signs of bradykinesia (slowness of movement). which of the following is an appropriate action by the nurse? allow client extra time for verbal responses to questions complete passive range of motion exercises provide an alternative from of communication assist with hygiene as needed

assist with hygiene as needed

A nurse is reinforcing teaching with a client who has Parkinson's disease and has received a prescription for bromocriptine (Parlodel). which of the following instructions should the nurse include in the teaching? rise slowly when standing increase carbohydrate intake limit exposure to heat report any skin discoloration

rise slowly when standing

a nurse is planning care for a client who as meningitis and is at risk for ICP. which of the following are appropriate nursing actions? implement seizure precautions preform neurological checks 4 times a day administer morphine for the report of neck and generalized pain turn off room lights and television monitor impaired extraocular movements encourage the client to cough frequently

turn off room lights and television monitor impaired extraocular movements implement seizure precautions

A nurse is teaching an elderly client about good bowel habits. Which statement by the client indicates to the nurse that additional teaching is required? "I should eat a fiber-rich diet with raw, leafy vegetables, unpeeled fruits and whole grain bread." "I need to use laxatives regularly to prevent constipation." "I need to drink 2 to 3 liters of fluid every day." "I should exercise four times per week."

"i need to use laxatives regularly to prevent constipation"

What is the scientific rationale for infusing a unit of blood in less than 4 hours? The blood will coagulate if left out of the refridgerator for more than 4 hours. The blood components begin to breakdown after 4 hours. The blood is a medium for bacterial growth if allowed to infuse longer than 4 hours. The blood is not affected, this is just lab protocol.

Correct Answer The blood is a medium for bacterial growth if allowed to infuse longer than 4 hours.

Cranial Nerve 1 is known as the optic nerve olfactory nerve hypoglossal nerve accessory nerve

Olfactory Nerve

You are a clinic nurse. One of your clients has found she is high risk for breast cancer. She asks you what can be done to reduce her risk. What is a means of reducing her risk for breast cancer? Palliative surgery Prophylactic surgery Curative surgery Reduction surgery

prophylactic surgery

a nurse is caring for a client who displays signs of stage 3 Parkinson's disease. Which of the following actions should the nurse include in the plan of care? recommend a community support group integrate a daily exercise routine provide a walker for ambulation consultation with a dietitian

provide a walker for ambulation

When receiving induction therapy, it is common for the client to experience which of the following: (Select all that apply) nausea and vomiting high risk for infection constipation high risk for bleeding Bone marrow depression toxicity dizziness

-n/v -high risk for infection -high risk for bleeding -bone marrow depression -toxicity -dizziness

After being seen in the oncology clinic, a client with severe bone marrow suppression is admitted to the hospital. The client's cancer therapy consisted of radiation and chemotherapy. When developing the care plan for this client, which nursing diagnosis takes priority? Risk for injury Imbalanced nutrition: Less than body requirements Risk for infection Anxiety

Risk for infection

Which of the following increase the risk of dumping syndrome after gastric bypass? Select all that apply Consuming 4oz of water with each meal Eating foods high in carbohydrates Eating foods high in protein Chewing foods thoroughly Consuming carbonated beverages

-consuming 4oz of water with each meal -eating foods high in carbohydrates -consuming carbonated beverages

When the nurse applies the Glasgow Coma Scale to the assessment of a head injured patient and the patient score a 14 the nurse recognizes that the patient is generally interpreted as comatose is within normal range but unstable indicates need for emergency medical attention has scored as a normal individual

Correct Answer has scored as a normal individual

A nurses is assessing the function of the glossopharyngeal nerve. This is best done by asking the client to stick out their tongue. asking the client to shrug their shoulders . asking the client to identify tastes asking the client to smile.

asking the client to identify tastes

An nurse is caring for a client with diverticulosis. Which statement(s) made by the patient demonstrate understanding of teaching to prevent future attacks? (Select all that apply.) "I should consume high fiber foods." "I should drink plenty of liquids throughout the day." "I should remain physical active and walk daily for at least 30 minutes." " I should be sure to increase my consumption of milk and cheese."

Correct! "I should consume high fiber foods." Correct! "I should drink plenty of liquids throughout the day." Correct! "I should remain physical active and walk daily for at least 30 minutes."

a nurse is reviewing the health record of a student newly admitted to a university and living in a dormitory. The health record indicated the student requires follow up-immunizations. Which of the following organisms should the nurse plan to vaccinate the student for? streptococcus penumoniae Neisseria meningitidis bartonella henselas Rickettsia rickettsii

Neisseria meningitidis

A client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis? White cottage-cheese like patches on the tongue Yellow tooth discoloration Red, open sores on the oral mucosa Rust-colored sputum

Red , open sores on the oral mucosa

A nurse is caring for a patient with a newly created ileostomy assesses the patient and notes that the patient has not had ostomy output for the past 12 hours. The patient also complains of worsening nausea. Which is the nurse's priority action? Facilitate a referral to the wound-ostomy-continence (WOC) nurse. Report signs and symptoms of obstruction to the physician. Encourage the patient to mobilize in order to enhance motility. Contact the physician and obtain a swab of the stoma for culture.

Report signs and symptoms of obstruction to the physician

The nurse best assesses the function of the accessory nerve nerve by having the client puff out their cheeks having the client perform the 6 cardinal movements having the client say "ahh" having the client shrug their shoulders

having the client shrug their shoulders

A nurse is assessing a client who reports a severe headache and a stiff neck. The nurse's assessment revels positive Kernigs and brudzink's signs. Which of the following actions should the nurse perform first? administer antibiotics implement droplet isolation precautions initiate IV access Decrease bright lights

implement droplet isolation precautions

a nurse is assessing a client for manifestations of Parkinson's disease. Which of the following are expected findings? decreased vision pill-rolling tremor for the fingers shuffling gait drooling bilateral ankle edema lack of facial expressions

lack of facial expressions pill-rolling tremor for the fingers shuffling gait drooling

Risk for bleeding is a priority nursing consideration for which of the following disruptions: Select all that apply. Aplastic anemia Pernicious anemia Multiple Myelmoa Iron Deficiency Anemia Acute Lymphocytic Leukemia Chronic Lymphyocytic Leukemia

multiple myeloma acute lymphocytic leukemi aplastic anemia

a nurse is assessing for the presence of Brudsinki's sign in a client who had suspected meningitis. Which of the following are appropriate actions by the nurse when performing this technique? place client in supine position flex clients hip and knee place hands behind the clients neck bend clients head towards chest straighten the clients flexed leg at the knee

place client in supine position place hands behind the clients neck bend clients head towards chest

a nurse is planning care for a client who has bacterial meningitis. Which of the following actions should the nurse include in the plan of care? monitor for bradycardia provide an emesis basin at the bedside administer antipyretic medications as prescribed perform a skin assessment keep the head of the bed flat

provide an emesis basin at the bedside administer antipyretic medications as prescribed perform a skin assessment

a nurse is developing a plan of care for the nutritional needs of a client who has stage 4 Parkinson's disease. Which actions should the nurse include in the plan of care? provide three large balanced meals daily record diet and fluid intake daily document weight every other week add thickener to liquids offer nutritional supplements between meals

record diet and fluid intake daily add thickener to liquids offer nutritional supplements between meals

Your patient is being discharged home tomorrow with a new colostomy. The nurse understands the best interventions for this patient are: Select all that apply offer the patient a mirror and work with them to complete ostomy care. ask for a referral for the Wound-Ostomy nurse to visit with the patient. complete the ostomy care for the patient. teach patient to use barrier cream (desitin) directly on their stoma and surrounding skin. Teach that the stoma should be beefy red and to report change in color immediately.

-offer the patient a mirror and work with them to complete ostomy care -ask for a referral for the Wound -Ostomy nurse to visit with the patient -teach that the stoma should be beefy red and to report change in color immediately