MedSurg
The most effective method of administering a chemotherapy agent that is a vesicant is to: Give it orally Give it intraarterially Use an Ommaya reservoir Use a central venous access device
Use a central venous access device
A pt whose primary tumor has grown and spreads to regional lymph nodes, but not to distant sites is staged? 1. T1N2M1 2. T2N1M0 3. T0N3M1 4. T4N0M0
2. T2N1M0
A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? A. Neutropenic B. Bleeding C. Contact D. Droplet
B. Bleeding
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? - All visitors from entering the client's room - Fresh flowers and potted plants in the room - Oral fluid intake to between meals only - Activities that could result in bleeding
- Fresh flowers and potted plants in the room
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 child recovering from a ruptured appendix -A child who has rheumatic fever -A child who has cystic fibrosis
-A child who has nephrotic syndrome
Which of these does the nurse recognize as the goal of palliative surgery for the client with cancer? A. Cure of the cancer B. Relief of symptoms or improved quality of life C. Allowing other therapies to be more effective D. Prolonging the client's survival time
B. Relief of symptoms or improved quality of life
A nurse is assessing a client for manifestations of aplastic anemia. Which of the following findings should the nurse expect? A. Plethoric appearance of facial skin B. Glossitis and weight loss C. Jaundice with an enlarged liver D. Petechiae and ecchymosis
D. Petechiae and ecchymosis
A pt has received a radiation implant. Which teaching point should the nurse emphasize with this pt? (Select all that apply) 1. "You will be placed in a private room" 2. "Do not wash off the skin markings made by the radiation therapist" 3. "Visitors and staff are restricted in the amount of time they can spend in your room" 4. "Your skin over the irradiated area may become irritated" 5. "Staff and visitors will maintain some distance from you while they are in your room"
1. "You will be placed in a private room" 3. "Visitors and staff are restricted in the amount of time they can spend in your room" 5. "Staff and visitors will maintain some distance from you while they are in your room"
When working with a pt who has an internal radiation source, safety precautions include which of the following? (Select all that apply) 1. Always wear a lead apron when providing direct care to the pt with internal radiation 2. If the radiation source comes out of the pt's body, gloves should be worn to pick it up 3. When not providing direct care, stay at least 3 feet from source 4. No pregnant visitors or staff should enter the pt's room 5. Pt must be in private room
1. Always wear a lead apron when providing direct care to the pt with internal radiation 4. No pregnant visitors or staff should enter the pt's room 5. Pt must be in private room
A patient receiving chemotherapy asks about an increased amount bruises and bleeding. Which abnormal laboratory test result should the nurse expect for this patient? Increased PTT Decreased platelets Decreased PT Increased D-dimer
Decreased platelets
A nurse is caring for a school-aged child who has sickle cell anemia. Which of the following actions should the nurse plan to take to help decrease the risk of a vaso-occlusive crisis? A. Provide adequate fluid intake throughout the day B. Provide oxygen at 2 L/min via nasal cannula C. Administer a blood transfusion D. Give ibuprofen to manage pain
A. Provide adequate fluid intake throughout the day
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 client with thrombocytopenia has developed a hemorrhage. the nurse should assess the client for which finding? A. tachycardia B. bradycardia C. decreased O2 D. narrowed pulse pressure
A. tachycardia
The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder? 1. Increased calcium level 2. Increased white blood cells 3. Decreased blood urea nitrogen level 4. Decreased number of plasma cells in the bone marrow
1. Increased calcium level
Which of the following assessments in a child with hemophilia would lead the nurse to suspect early hemarthrosis? A.Child's reluctance to move a body part B.Cool, pale, clammy extremity C.Ecchymosis formation around a joint D.Instability of a long bone in passive movement
A.Child's reluctance to move a body part
A pt has cancer that has been stages T1N0M0. The nurse would interpret this info as: 1. Minimal size and extension of tumor 2. No sign of tumor 3. Malignancy in epithelial tissue nut not in basement membrane 4. Progressively increasing size and extension
1. Minimal size and extension of tumor
The nurse is conducting a history and monitoring laboratory values on a client with multiple myeloma. What assessment findings should the nurse expect to note? Select all that apply. 1. Pathological fracture 2. Urinalysis positive for nitrites 3. Hemoglobin level of 15.5 g/dL 4. Calcium level of 8.6 mg/dL 5. Serum creatinine level of 2.0 mg/dL
1. Pathological fracture 2. Urinalysis positive for nitrites 5. Serum creatinine level of 2.0 mg/dL
Folic acid deficiency can lead to megaloblast anemia: Lab values:
Low Hgb, Hct, WBC, RBC, Platelets, High MCV, MCH
A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make? A- DIC is controllable with lifelong heparin usage B- DIC is caused by abnormal coagulation involving fibrinogen C- DIC is a genetic involving a vitamin K deficiency D- DIC is characterized by an elevated platelet count
B- DIC is caused by abnormal coagulation involving fibrinogen
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? A. Initiative the IV per the patient's request B. Notify the provider of the situation C. Administer a sedative to calm the client D. Offer the client an antiemetic
B. Notify the provider of the situation
A nurse is teaching the parents of a 10-year-old child who has iron-deficiency anemia. Which of the following statements by a parent indicates an understanding of the teaching? A. "I will give my child an iron tablet once each day at bedtime." B. "I will administer the iron tablet with orange juice." C. "I will encourage my child to take an antacid with the iron tablet." D. "I will crush the iron tablet prior to giving it to my child."
B. "I will administer the iron tablet with orange juice."
The client with hemophilia A is experiencing hemarthrosis. Which intervention should the nurse recommend to the client? 1. Alternate aspirin and acetaminophen to help with the pain. 2. Apply cold packs for 24 to 48 hours to the affected area. 3. Perform active range-of-motion exercise on the extremity. 4. Put the affected extremity in the dependent position.
2. Apply cold packs for 24 to 48 hours to the affected area.
A pt receiving chemo has a WBC count og 2000/mm3. The nurse anticipates that the pt will be placed on: 1. Airborne precautions 2. Contact precautions 3. Neutropenic precautions 4. Droplet precautions
3. Neutropenic precautions
When caring for the client receiving cancer chemotherapy, which signs or symptoms related to thrombocytopenia should the nurse report to the health care provider? (Select all that apply.) A Bruises B Fever C Petechiae D Epistaxis E Pallor
A Bruises C Petechiae D Epistaxis
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? (Select all that apply.) A) Decreased platelet count B) Increased hemoglobin count C) Decreased leukocyte count D) Increased platelet count E) Decreased erythrocyte count
A) Decreased platelet count C) Decreased leukocyte count E) Decreased erythrocyte count
A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to increase consumption of which of the following foods? A. Beef liver B. Oranges C. Turnips D. Whole milk
A. Beef liver
A nurse is planning A menu for a client who has folic acid deficiency anemia and is selecting food high in folic acid. Which of the following should the nurse include?
Asparagus
A nurse is contributing to the plan of care for a client who has thrombocytopenia sure to chemotherapy. Which of the following interventions should the nurse include?
Avoid IM injections
The nurse is caring for a pt who requires compromised host precautions. Which action is most important for the nurse to take before delivering the pt's breakfast tray? A. Ask pt if she feels like eating at this time B. Remove fresh apple and orange from tray C. Call dietary department and ask for disposable utensils D. Declutter room before assisting pt to to couch to eat
B. Remove fresh apple and orange from tray
A nurse is talking with a group of women at a community center about the current recommendations for early detection of breast cancer. The nurse should recommend which of the following strategies?
Begin annual mammograms at age 40
A client who has stage II breast cancer asks the nurse about sites of metastasis for this cancer. Which of the following responses should the nurse make?
Breast cancer tends to metastasize to the bones.
"A child is admitted to the hospital with a diagnosis of Wilm's tumor, Stage II. Which of the following statements most accurately describes this stage? "A) The tumor is less than 3 cm. in size and requires no chemotherapy. B) The tumor did not extend beyond the kidney and was completely resected. C) The tumor extended beyond the kidney but was completely resected. D) The tumor has spread into the abdominal cavity and cannot be resected."
C) The tumor extended beyond the kidney but was completely resected.
A nurse develops a plan of care for a postoperative client who is receiving intravenous morphine sulfate every 4 hours as needed for pain. Which priority intervention does the nurse include in the plan? A. Administering the morphine sulfate around the clock B. Encouraging oral fluid intake C. Encouraging coughing and deep breathing D. Maintaining the client in a supine position
C. Encouraging coughing and deep breathing
An adolescent who has hemophilia A is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following? Cryoprecipitate Packed red blood cells Prophylactic antibiotics Fresh frozen plasma
Cryoprecipitate
A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extraction. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products A- fresh frozen plasma B- Packed RBCs C- Prophylactic antibiotics D- Recombinant
D- Recombinant
A nurse is reinforcing teaching with a client who has stomatitis due to chemotherapy. Which of the following statements by the client indicates a need for further instructions?
I will cleanse my mouth after meals with an alcohol-based mouthwash.
A nurse is caring for a client who is receiving brachytherapy. Which of the following measures should the nurse contribute to the client's plan of care?
Keep the door of the clients room closed.
A nurse is reinforcing teaching about foods that enhances iron absorption when consumed with nonheme iron or an iron supplement with a client who has iron deficiency anemia. Which of the following foods high in iron?
Tomato Juice
A nurse is caring for a cancer patient receiving subcutaneous morphine sulfate for pain. Which of the following nursing actions is most important in the care of this patient? Monitor urine output. Monitor respiratory rate. Monitor heart rate. Monitor temperature.
Monitor respiratory rate.
A nurse is caring for a client who is receiving radiation therapy for breast cancer and reports a metallic test in the mouth. Which of the following dietary recommendations should the nurse relay?
Offer mints
A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control actions should the nurse use while caring for this client?
Protective Environment
A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse should ensure the client understands that she will receive which of the following interventions?
Radioactive infusion or insertion into or near the tumor.
The nurse in a providers office is reinforcing teaching with a client who has anemia and has been taking ferrous gloconate For several weeks. Which of the following instruction should the nurse include?
Take this medication between meals
A 33-yr-old patient has recently been diagnosed with stage II cervical cancer. Which statement by the nurse best explains the diagnosis? a. "The cancer is found at the point of origin only." b. "Tumor cells have been identified in the cervical region." c. "The cancer has been identified in the cervix and the liver." d. "Your cancer was identified in the cervix and has limited local spread."
d. "Your cancer was identified in the cervix and has limited local spread."
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 clients 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 clients most recent CBC
Nursing considerations related to the administration of chemotherapeutic drugs include which of the following? "a) Anaphylaxis cannot occur, since the drugs are considered toxic to normal cells. b) Infiltration will not occur unless superficial veins are used for the intravenous infusion. c) Many chemotherapeutic agents are vesicants that can cause severe cellular damage if drug infiltrates. d) Good hand washing is essential when handling chemotherapeutic drugs, but gloves are not necessary."
c) Many chemotherapeutic agents are vesicants that can cause severe cellular damage if drug infiltrates.
A patient who has been told by the health care provider that the cells in a bowel tumor are poorly differentiated asks the nurse what is meant by "poorly differentiated." Which response should the nurse make? "a. ""The cells in your tumor do not look very different from normal bowel cells."" b. ""The tumor cells have DNA that is different from your normal bowel cells."" c. ""Your tumor cells look more like immature fetal cells than normal bowel cells."" d. ""The cells in your tumor have mutated from the normal bowel cells."""
c. ""Your tumor cells look more like immature fetal cells than normal bowel cells.""
The patient is being treated with brachytherapy for cervical cancer. What factors must the nurse be aware of to protect herself when caring for this patient? a. The medications the patient is taking b. The nutritional supplements that will help the patient c. How much time is needed to provide the patient's care d. The time the nurse spends at what distance from the patient
d. The time the nurse spends at what distance from the patient
A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding is the nurse to note specifically in the client? 1. Fatigue 2. Weakness 3. Weight gain 4. Enlarge lymph nodes
4. Enlarge lymph nodes
A 12 year old boy seen in the clinic, and a diagnosis of Hodgkin's disease is suspected . Which diagnostic test results confirm the diagnosis of Hodgkin's disease? 1 . Elevated vanillylmandelic acid urinary level. 2. The presence of blast cells in the bone marrow 3. The presence of Epsetin-Barr virus in the blood. 4. The presence of Reed-Sternberg cells in the lymph nodes
4. The presence of Reed-Sternberg cells in the lymph nodes
Invasive procedures are minimized in pts with: 1. Leukopenia 2. Thrombocytopenia 3. Anemia 4. Agranulocytosis
2. Thrombocytopenia
neutropenia. Which of the following does the nurse plan to implement? Select all that apply. A. Assess for fever. B. Observe for bleeding. C. Administer pegfilgrastim (Neulasta). D. Do not permit fresh flowers or plants in the room. E. Do not allow his 16-year-old son to visit. F. Teach the client to omit raw fruits and vegetables from his diet.
A. Assess for fever. C. Administer pegfilgrastim (Neulasta). D. Do not permit fresh flowers or plants in the room. F. Teach the client to omit raw fruits and vegetables from his diet.
A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to increase her consumption of which of the following foods? A. Lentils B. Avocados C. Cabbage D. Broccoli
A. Lentils
A nurse is providing discharge teaching to a client who has aplastic anemia. Which of the following statements indicates that the client understands the instructions? A. "I need to stay active to prevent blood clots in my legs." B. "If I have a bad headache, I can take aspirin to get rid of it." C. "I should eliminate uncooked foods from my diet for now." D. "I should eat more iron-fortified cereal to strengthen my blood."
C. "I should eliminate uncooked foods from my diet for now."
Which statement made by the client allows the nurse to recognize whether the client who is receiving brachytherapy for ovarian cancer understands the treatment plan? A. "I may lose my hair during this treatment." B. "I must be positioned in the same way during each treatment." C. "I will have a radioactive device in my body for a short time." D. "I will be placed in a semi private room for company."
C. "I will have a radioactive device in my body for a short time."
A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect? a-excessive thrombosis and bleeding b-progressive increase in platelet production c-immediate sodium and fluid restriction d-increased clotting factors
a-excessive thrombosis and bleeding
A nurse is planning a diet for a client who has an iron deficiency. To increase the client's iron intake, which of the following foods should the nurse provide in the client's diet? 1. Oranges 2. Turnips 3. Roast beef 4. Yogurt
3. Roast beef
The community health nurse is instructing a group of young female clients bout breast self-examination. The nurse should instruct the clients to perform the examination at which time? 1. At the onset of menstruation 2. Every month during ovulation 3. Weekly at the same time of day 4. 1 week after menstruation begins
4. 1 week after menstruation begins
A nurse is caring for a client who has hemophilia and reports an increase in bruising. Which of the following laboratory values should the nurse expect? 1. WBC 8,000/mm3 2. RBC 4.6 million/mm3 3. Hemoglobin 13 g/dL 4. Platelets 110,000/mm3
4. Platelets 110,000/mm3
A tx likely to be curative when tumors are confined to one area is; 1. radiotherapy 2. chemotherapy 3. immunotherapy 4. Surgery
4. Surgery
A nurse is creating a plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to include? A. Monitor the child's oxygen saturation level B. Administer prescribed antibiotics to the child C. Increase the child's fluid intake D. Apply warm compresses to the child's affected joints
A. Monitor the child's oxygen saturation level
A nurse is caring for a client who recently had chemotherapy and now has myelosuppression. Which of the following interventions should the nurse initiate? (Select all that apply.) A. Prohibit visitors from bringing fresh flowers and plants into the client's room. B. Encourage frequent visits from family and friends. C. Ensure thorough cleaning of the client's room and bathroom daily. D. Replace wound dressings every other day. E. Use dedicated equipment such as stethoscopes.
A. Prohibit visitors from bringing fresh flowers and plants into the client's room. C. Ensure thorough cleaning of the client's room and bathroom daily. E. Use dedicated equipment such as stethoscopes.
Which nursing interventions should the nurse implement when caring for a client diagnosed with hemophilia A? Select all that apply. 1. Instruct the client to use a razor blade to shave. 2. Avoid administering enemas to the client. 3. Encourage participation in noncontact sports. 4. Teach the client how to apply direct pressure if bleeding occurs. 5. Explain the importance of not flossing the gums
2. Avoid administering enemas to the client. 3. Encourage participation in noncontact sports. 4. Teach the client how to apply direct pressure if bleeding occurs.
A nurse is reinforcing dietary teaching with a client who has iron deficiency anemia. Which of the following foods should the nurse recommend? 1. Carrots 2. Cooked oatmeal 3. Maple syrup 4. Pineapple
2. Cooked oatmeal
You're educating the parents of a 12 year-old, who was recently treated for sickle cell crisis, on ways to prevent further sickle cell crises in the further. Which statement by the parents demonstrates they understood your instructions? A. "We will limit fluid intake during the day to 1-2 L a day." B. "Cold showers are best to help with pain associated with sickling." C. "We will avoid traveling to high altitude locations." D. "It is important we refuse all future vaccinations unless absolutely necessary."
C. "We will avoid traveling to high altitude locations."
A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of the following actions should the nurse take? A. Apply cool compresses to the painful area B. Initiate contact isolation precautions C. Give the child flavored popsicles D. Administer phytonadione
C. Give the child flavored popsicles
A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse include in the plan? A. Administer ferrous sulfate supplementation B. Increase dietary intake of folic acid C. Initiate weekly injections of vitamin B12 D. Initiate a blood transfusion
C. Initiate weekly injections of vitamin B12
Which of following tests is used to diagnose pernicious anemia/ vitamin B-12 deficiency: A. Hematocrit B. Differential blood count C. Schilling test D. Reed-Sternberg cell test
C. Schilling test
A nurse is caring for a client who has a new diagnosis of pernicious anemia. The nurse should expect the client's provider to prescribe which of the following medications for this client? A. Ferrous sulfate B. Epoetin alfa C. Vitamin B12 D. Folic acid
C. Vitamin B12
A nurse is caring for a client who has hemophilia. The nurse should anticipate a prescription from the provider for which of the following tests? A. RBC B. TIBC C. aPTT D. MCH
C. aPTT
A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following instructions should the nurse give to the parent? A. "Place your child in a sitting position with her head tilted back. "B. "Apply ice at the base of the nose for 5 min and then check for bleeding." C. "Place your child in a supine position with a pillow under her back." D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes."
D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes."
A patient on chemotherapy for 10 weeks started at a weight of 121 lb. She now weighs 118 lb and has no sense of taste. Which nursing interventions would be a priority? A. Discuss with the provider the need for parenteral nutrition b. Teach the patient to eat foods that are fatty, fried, or high in calories c. Tell the patient to drink a nutritional supplement beverage three times a day D. Have the patient try various spices and seasonings to enhance the flavor of food
D. Have the patient try various spices and seasonings to enhance the flavor of food
The nurse is caring for a pt who is scheduled for a biopsy of a tumor. The pt asks what distinguished a benign tumor from a malignant tumor. Which info should the nurse provide? A. Benign tumors are usually composed of more rapidly growing cells B. Benign tumors are incapable of causing damage to surrounding tissues or organs C. Whereas malignant tumors are usually encapsulated, benign tumors lack specific form D. Malignant tumors are composed of disorganized, abnormal cells that may spread to other parts of the body
D. Malignant tumors are composed of disorganized, abnormal cells that may spread to other parts of the body
A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area. The nurse teaches the patient about management of the skin reaction. Which statement, if made by the patient, indicates the teaching was effective? a. "I can buy some aloe vera gel to use on the area." b. "I will expose the treatment area to a sun lamp daily." c. "I can use ice packs to relieve itching in the treatment area." d. "I will scrub the area with warm water to remove the scales."
a. "I can buy some aloe vera gel to use on the area."
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.
The laboratory reports that the cells from the patient's tumor biopsy are grade II. What should the nurse know about this histologic grading? a. Cells are abnormal and moderately differentiated. b. Cells are very abnormal and poorly differentiated. c. Cells are immature, primitive, and undifferentiated. d. Cells differ slightly from normal cells and are well-differentiated.
a. Cells are abnormal and moderately differentiated.
A patient develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan (select all that apply)? a. Cook food thoroughly before eating. b. Choose low fiber, low residue foods. c. Avoid public transportation such as buses. d. Use rectal suppositories if needed for constipation. e. Talk to the oncologist before having any dental work done
a. Cook food thoroughly before eating c. Avoid public transportation such as buses. e. Talk to the oncologist before having any dental work done
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 client is receiving external radiation therapy. What statement indicates to the nurse that the client understands the discharge teaching plan? a. I need to protect the area from sunlight b. I'm going to apply skin cream every day to the area c. I'll massage the area once a day d. I'll wash the markings off after each therapy treatment
a. I need to protect the area from sunlight
From the following teaching tips, choose all that are appropriate for a client with thrombocytopenia.a. a. Use an electric razor for shaving b. Avoid becoming chilled c. Avoid all skin or body punctures d. Do not scrub skin during bathing e. Eat low-roughage foods f. Avoid use of all aspirin products g. Avoid vigorous blowing of nose h. Use only a soft toothbrush
a. Use an electric razor for shaving c. Avoid all skin or body punctures e. Eat low-roughage foods f. Avoid use of all aspirin products g. Avoid vigorous blowing of nose h. Use only a soft toothbrush
After radiation treatment, a client reports dryness, redness, and scaling of his skin occurring within the designated 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 patient who is diagnosed with cervical cancer that is classified as Tis, N0, M0 asks the nurse what the letters and numbers mean. Which response by the nurse is most appropriate? a."The cancer involves only the cervix." b."The cancer cells look almost like normal cells." c."Further testing is needed to determine the spread of the cancer." d."It is difficult to determine the original site of the cervical cancer."
a."The cancer involves only the cervix."
A patient with hemophilia A is undergoing a tooth extraction at the dentist's office. As an adjunct to factor VIII, what other drug should the nurse anticipate being ordered for this patient? a.Tranexamic acid [Cyklokapron] b.Acetaminophen [Tylenol] c.Desmopressin [Stimate] d.Vitamin K
a.Tranexamic acid [Cyklokapron]
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 teaching a patient who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of ulcerative colitis should the nurse identify as a contributing factor to the development of the anemia a. Dietary iron restrictions b. Chronic blood loss c. intestinal malabsorption d. intestinal parasites
b. Chronic blood loss
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? a. Check the IV site for bleeding every 8hr b. Limit IM injections c. Obtain a rectal temperature every 8hr d. Check the client for proteinuria
b. Limit IM injections
A patient with cancer is scheduled for palliative surgery. Which explanation should the nurse use to describe the purpose of this surgery? a. Palliative surgery is done to reconstruct tissues damaged by the cancer. b. Palliative surgery is done to increase the patients comfort when cure is not possible. c. Palliative surgery is done to remove a cancer completely and increase the chances for cure. d. Palliative surgery is done to remove surrounding lymph nodes, reducing the risk for spread of the primary tumor.
b. Palliative surgery is done to increase the patients comfort when cure is not possible.
The nurse supervises the care of a patient with a temporary radioactive cervical implant. Which action by unlicensed assistive personnel (UAP), if observed by the nurse, would require an intervention? a. The UAP flushes the toilet once after emptying the patient's bedpan. b. The UAP stands by the patient's bed for 30 minutes talking with the patient. c. The UAP places the patient's bedding in the laundry container in the hallway. d. The UAP gives the patient an alcohol-containing mouthwash to use for oral care.
b. The UAP stands by the patient's bed for 30 minutes talking with the patient.
A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching? a. The patient ambulates several times a day in the room. b. The patient's visitors bring in some fresh peaches from home. c. The patient cleans with a warm washcloth after having a stool. d. The patient uses soap and shampoo to shower every other day.
b. The patient's visitors bring in some fresh peaches from home.
A client is being evaluated in an oncology clinic after referral by the client's provider for suspicion of Hodgkin's disease. Secondary to this possible diagnosis, the nurse should focus on assessing for what? a. bone and joint pain b. enlarged lymph nodes c. difficulty swallowing d. patchy alopecia
b. enlarged lymph nodes
A client with uterine cancer is receiving chemo and develops thrombocytopenia. Due to this side effect, the nurse should plan to give the greatest consideration to-- a. monitoring visitors for signs of infection b. reminding the client to use an electric razor c. encouraging frequent rest periods d. instruct client to vigorously brush and floss teeth
b. reminding the client to use an electric razor
A patient who is scheduled for a right breast biopsy asks the nurse the difference between a benign tumor and a malignant tumor. Which answer by the nurse is correct? a. "Benign tumors do not cause damage to other tissues." b. "Benign tumors are likely to recur in the same location." c. "Malignant tumors may spread to other tissues or organs." d. "Malignant cells reproduce more rapidly than normal cells."
c. "Malignant tumors may spread to other tissues or organs."
A patient with cancer has a nursing diagnosis of imbalanced nutrition: less than body requirements related to altered taste sensation. Which nursing action is most appropriate? a. Add strained baby meats to foods such as casseroles. b. Teach the patient about foods that are high in nutrition. c. Avoid giving the patient foods that are strongly disliked. d. Add extra spice to enhance the flavor of foods that are served.
c. Avoid giving the patient foods that are strongly disliked.
A 35 years old client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis (inflammation of the mouth)? a. White, cottage cheese-like patches on the tongue b. Yellow tooth discoloration c. Red, open sores on the oral mucosa d. Rust-colored sputum
c. Red, open sores on the oral mucosa
A patient is undergoing chemotherapy and radiation therapy following surgical removal of a malignant tumor. The patient is complaining of burning pain around the incision, and there is a reddened area and blister formation. Which best describes the situation in this scenario? a. The patient has a wound infection. b. The drugs involved in his chemotherapy have irritated the incision. c. This is a potential deep partial-thickness burn resulting from the radiation therapy. d. The reddened area represents a partial thickness burn which should heal easily on its own.
c. This is a potential deep partial-thickness burn resulting from the radiation therapy.
Which of the following is usually coadministered with chemotherapy? a. appetite stimulants b. antivirals (for infection) c. antiemetics (for nausea) d. anabolic steroids (for wasting)
c. antiemetics (for nausea)
A nurse is developing a care plan for a client immediately following a bone marrow transplant. What post transplant concerns should be the nurse's highest priority? a. pain b. social isolation c. risk for infection d. graft-versus- host disease
c. risk for infection
A nurse is teaching a client who has a new diagnosis of aplastic anemia. Which of the following information should the nurse include in the teaching? a-aplastic anemia is associated with decreased intake of iron b-aplastic anemia results in an increased rate of RBC destruction c-aplastic anemia results in an inability to absorb vitamin B12 d-aplastic anemia results from decreased bone marrow production of RBCs
d-aplastic anemia results from decreased bone marrow production of RBCs
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 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. Insert an indwelling catheter to monitor sediment in the urine. b. Take the client's temperature once per shift. c. Provide the client with fresh fruit to avoid constipation. d. Limit the number of health care workers entering the room.
d. Limit the number of health care workers entering the room.
Which intervention is appropriate for the nurse caring for a male client in severe pain receiving a continuous I.V. infusion of morphine? a. Assisting with a naloxone challenge test before therapy begins b. Discontinuing the drug immediately if signs of dependence appear c. Changing the administration route to P.O. if the client can tolerate fluids d. Obtaining baseline vital signs before administering the first dose
d. Obtaining baseline vital signs before administering the first dose
A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse give to this patient? a. Remove food debris from the teeth and oral mucosa with a stiff toothbrush. b. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth. c. Gargle and rinse the mouth several times a day with an antiseptic mouthwash. d. Rinse the mouth before and after each meal and at bedtime with a saline solution.
d. Rinse the mouth before and after each meal and at bedtime with a saline solution.
A client with multiple myeloma is admitted to the unit with WBC of 2200. What foods should the nurse prohibit family members from bringing to the client? a. fried chicken from a fast food shop b. a gift basket of bagels c. factory-sealed box of chocolates d. a fresh fruit basket
d. a fresh fruit basket
A nurse is caring for a client who has been diagnosed with cancer in situ. The client asks the nurse what type of cancer this is. The nurse should respond that cancer in situ is when abnormal cell production-- a. has spread to a distant site b. has infiltrated the lymph nodes c. has invaded surrounding tissue d. has developed within a localized area
d. has developed within a localized area
When a client is diagnosed with aplastic anemia the nurse should assess the client for changes in what physical function? A. bleeding tendencies B. i/o C. peripheral sensation D. bowel function
for changes in what physical function? A. bleeding tendencies
