HCC 3- Cellular Respirations

A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include?

-"Abdominal bloating might occur"

A nurse is caring for a client who is being treated with a cesium implant. The client tells the nurse, "I feel so isolated and alone in this room." After acknowledging the client's feelings of loneliness, which of the following responses should the nurse provide?

-"Do you have a cell phone you can talk to friends and family on?"

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicated a need for further teaching?

-"Eating a high fiber diet will reduce my risk for developing skin cancer."

A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching?

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

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?

-"I am hoping this will limit my discomfort."

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?

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

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?

-"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?

-"I will eat foods that are served at room temperature."

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?

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

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?

-"I'm hearing that you are concerned that it might turn out that you have 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?

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

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?

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

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?

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

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following is the priority for the nurse to monitor for?

-Hemorrhage

A nurse is assessing a client at a dermatology clinic. Which of the following findings places the client at risk for developing malignant melanoma?

-History of chronic skin irritation

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?

-Hot flashes

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?

-Hot flashes

A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?

-Prostatic cnacer

A nurse is caring for a client who is postoperative following a right-sided mastectomy and has a drain connected to a portable drainage evacuator. Which of the following actions should the nurse?

-Take blood pressure on the client's non-affected arm.

A nurse at a provider's office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select all that apply.)

-Top fruits with yogurt. -Add cream to soups. -Use milk instead of water in recipes. -Dip meats in eggs and bread crumbs before cooking.

A nurse is planning care for a preschooler. After reviewing the child's information, which of the following potential issues should the nurse identify that the child is at risk for developing? (Select all that apply.)

-Tumor lysis syndrome -Peripheral neuropathy -Alopecia -Hemorrhage

A charge nurse is teaching a group of health care workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching?

-Use chlorhexidine to wash hands if the client is immunosuppressed.

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?

-Use sterile technique when preparing the irrigation solution. -Ensure the drainage tubing is patent and without obstruction. -Notify the surgeon if the urine is bright red in appearance or has large clots.

A nurse is teaching a client who is receiving radiation therapy about skin care. Which of the following instructions should the nurse include?

-Walk outside in the early mornings.

A nurse is performing discharge teaching with a client about the care of a newly created ileal conduit. The nurse should instruct the client to empty the appliance

-When the bag is 2/3 full

A nurse is caring for a client who has had an open radical prostatectomy. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Anticipated: -Teach the client how to use a leg bag. -Apply ice to the scrotum and penis -Administer an antispasmodic medication Contraindicated: -Place the client in the sitting position while in bed. -Administer a docusate sodium suppository

A nurse is caring for a 7-year-old child. The nurse is reviewing the assessment findings and diagnostic results. For each assessment finding, click to specify if the finding is consistent with leukemia, sickle cell anemia, or hemophilia. Each finding may support more than one disease process.

Leukemia: Temperature, Bruising, Bleeding, WBC count, Pain. Sickle Cell Anemia: Temperature, WBC count, Pain. Hemophilia: Bruising, Bleeding, Pain.

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?

-"What is it about the adverse effects that concern you?"

A nurse is caring for a client who has a new diagnosis of lung cancer. The client states they do not want to tell their partner their diagnosis. Which of the following statements should the nurse make?

-"Would you like to talk about your concerns?"

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?

-"You should avoid drinking liquids an hour before the treatments."

A nurse is assisting a group of clients in an outpatient clinic. For which of the following clients should the nurse anticipate scheduling a colonoscopy?

-51-year-old who is being seen for an annual physical examination

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 chest tube

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 child who has nephrotic syndrome

A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma?

-A firm nodule with a hard crust

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 nonhealing sore -Change in bowel pattern -Change in moles -Nagging cough

A nurse is assessing a lesion on a client who has basal cell carcinoma. The nurse should expect which of the following findings?

-A pearly, shiny nodule

A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the findings?

-A small, translucent papule with rolled borders

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?

-Albumin 4.2 g/dL

A nurse is caring for a client who has a new diagnosis of breast cancer. Which of the following interventions should the nurse take to promote comfort?

-Allow the client to make decisions regarding care

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?

-An excess amount of doxorubicin can lead to cardiomyopathy.

A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

-Anticipatory

A nurse is developing a plan of care for a client who has a new ileal conduit. The nurse should include that the client is at risk for which of the following? (Select all that apply.)

-Anxiety -Disturbed body image -Impaired skin integrity -Infection

After radiation treatment, a client reports dryness, redness, and scaling of his skin occuring within the designated radiation treatment markings. The nurse should instruct the client to take which of the following actions?

-Apply hydrating lotions

A nurse is planning postoperative care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the client's plan of care? (Select all that apply.)

-Apply skin barrier around the stoma site. -Educate the client that hematuria is expected following the procedure. -Monitor hourly urine output.

A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

-Avoid crowds

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?

-Basal cell carcinoma

A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include?

-Basal cell carcinoma has a low incidence of metastasis.

A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate?

-Bleeding

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?

-Bleeding from the gums

A nurse is reviewing the laboratory results of a client who was admitted with a history of multiple myeloma. The nurse should expect to find an increase in which of the following laboratory values?

-Calcium

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?

-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?

-Check the value of the client's current platelet count.

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?

-Clients should have a yearly test for fecal occult blood.

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?

-Colonoscopy

A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?

-Combing her hair

A nurse is providing teaching to a client who has cancer about foods that prevent protein-energy malnutrition. Which of the following should the nurse include in the teaching? (Select all that apply.)

-Cottage cheese -Milkshakes -Tuna fish -Egg and ham omelet

A nurse is caring for a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma (BCC). Which of the following treatments should the nurse include in the discussion? (Select all that apply.)

-Cryosurgery -Electrosurgery -Radiation therapy -Micrographic surgery

A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect?

-Decreased platelet count -Decreased leukocyte count -Decreased erythrocyte count

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?

-Denial

A female middle adult client tells a nurse that she tested positive for a mutant BRCA1 gene. The nurse should recognize that the client is at an increased risk for which of the following situations?

-Developing breast cancer

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?

-Do not apply heat to the area of irradiation.

A nurse is creating the plan of care for a client who is immunosuppressed. Which of the following precautions should the nurse include in the plan? (Select all that apply.)

-Don a mask, gloves, and gown. -Restrict visitors who have active infections. -Instruct the client to eat cooked foods only.

A nurse is reviewing the provider's history and physical form for a client who has advanced multiple myeloma. Which of the following findings should the nurse expect?

-Ecchymoses

A nurse is caring for a preschooler. Which of the following findings should the nurse report to the health care provider immediately? (select all that apply.)

-Emesis -Loss of appetite -Slight burning on urination -Urine dipstick

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?

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

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?

-Fatigue

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?

-Fever -Pain -Weight loss

A nurse finds radioactive pellets on the floor of the surgical. Which of the following actions should the nurse take first?

-Follow safety data sheet (SDS) instructions.

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?

-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?

-Headache

A nurse is working with a client who is displaying disproportionate fear of having cancer. The nurse notes the client is seeking out medical care more frequently, has high anxiety, and believes they have cancer, despite no medical evidence to support this. Which of the following disorders is the client likely experiencing?

-Illness anxiety disorder

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?

-Increase fatty fish in the diet.

A nurse is reviewing the medical record of a client who has acute leukemia. Drag words from the choices below to fill in each blank in the following sentence.

-Infection -Bleeding

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?

-Instruct the client to actively cough to prevent a buildup of secretions in the airway.

A nurse is assessing a client who presents to the provider's office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?

-Irregular borders

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?

-Keep a body map of skin lesions.

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?

-Leuprolide

A nurse is planning care for a client who has leukemia and a platelet count of 130,000/mm3. Which of the following interventions should the nurse include in the plan of care?

-Limit IM injections

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?

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

A nurse is assessing a client who reports a nevus that has increased in size and an irregularly shaped lesion that varies in color. These findings are consistent with which of the following medical diagnoses?

-Malignant melanoma

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?

-Musculoskeletal pain

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?

-Nosebleeds

A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take?

-Notify the provider of the situation.

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?

-Observe for signs of infection

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.)

-Overexposure to ultraviolet light -Previous skin injury -Genetic predisposition

A nurse is caring for a client that has recently been diagnosed with terminal cancer. Which of the following actions exemplifies compassion?

-Providing nursing care that demonstrates caring service.

A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion?

-Purplish in color

A nurse is caring for a client who is 1 day postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast?

-Refusing to look at the dressing or surgical incision

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?

-Secondary

A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed?

-Semi-Fowler's

A nurse is caring for an older adult client who has a WBC count of 2,000/mm3 after three rounds of chemotherapy. Which of the following actions should the nurse take?

-Serve cooked fruit with meals.

A nurse is providing teaching to a client who has a superficial lesion and has had a biopsy indicates malignant melanoma. The nurse should include which of the following options as the treatment of choice?

-Surgical excision

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?

-Ten years

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?

-Tingling feeling in the extremities

A nurse on a medical-surgical unit is caring for a client. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Actions to take: -Medicate for bladder spasms -Irrigate the Urinary Catheter Condition: -Obstructed Urinary Catheter. Parameters to Monitor: -The patient's Hgb/Hct -Urine output

A nurse is caring for a client who has sickle cell disease. For each client finding, click to specify if the finding is consistent with sickle cell disease, iron deficiency anemia, or leukemia. Each finding may support more than 1 disease process.

Sickle cell disease: -Ankle ulcer -Joint pain -Heart Rate -Respiratory status -Jaundice Iron deficiency anemia: -Respiratory status -Heart rate Leukemia: -Respiratory status -Joint pain -Heart rate