NRS 3025: Exam #1 Practice Questions
A nurse is caring for a client who has breast cancer. The client has been receiving radiation therapy for several months and now refuses to undergo further treatment. Which of the following actions should the nurse take? a. Suggest the client talk with someone who haas survived breast cancer b. Encourage the client not to give up c. Support the client's decision d. Refer the client to a counselor
c
A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care? a. Empty the collection pouch when it is 2/3 full. b. Expect urine outflow into pouch to begin 1 to 2 days following surgery. c. Change the collection pouch in the early morning. d. Place an aspirin in the collection pouch to control odor.
c
A nurse is caring for a client who is receiving brachytherapy. Which of the following measures should the nurse include in the client's plan of care? a. Plan to spend extra time with the client to provide emotional support. b. Ensure that chemotherapy medications do not extravasate into the client's tissues. c. Keep the door to the client's room closed. d. Encourage family members and friends to visit for at least 1 hr per day.
c
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the following adverse effects should the nurse anticipate from the chemotherapy? a. Gingival hyperplasia b. Hirsutism c. Pancytopenia d. Weight gain
c
A nurse is obtaining a health history from a client who has cancer of the cervix. Which of the following manifestations should the nurse expect? a. Weight gain b. Oliguria c. Vaginal bleeding d. Back pain
c
A nurse is providing teaching to a client who has anemia and a new prescription for epoeitin alfa. Which of the following pieces of information should the nurse include in the teaching? a. Hospitalization is required when administering each treatment. b. The maximum effect of the medication will occur in 6 months. c. Hypertension is a common adverse effect of this medication. d. Blood transfusions are needed with each treatment.
c
A nurse is screening a client for skin cancer. When teaching the client about skin cancer risk, which of the following risk factors should the nurse incldue? a. Cigarette smoking b. Low-fiber diet c. Excessive exposure to ultraviolet light d. Human papillomavirus
c
A nurse is collecting a health history from a female client who is undergoing screening for breast cancer. Which of the following factors should the nurse identify for placing the client at the greatest risk for developing breast cancer? a. Obesity b. Oral contraceptive use c. Alcohol use d. Over 50 years of age
d
A nurse is planning a presentation for a group of older adults at a community center about risk factors for cancer. Which of the following factors increases the risk of developing cancer after age 60? a. High-protein diet b. Insufficient calcium intake c. Declining muscle mass d. Weakened immune responses
d
A nurse is planning care for a client who has been admitted for the treatment of a malignant melanoma of the upper leg without metastasis. The nurse should plan to prepare the client for which of the following procedures? a. Curettage b. External radiation therapy c. Regional chemotherapy d. Surgical excision
d
A nurse is preparing to administer cisplatin IV to a client who has lung cancer. The nurse should identify that which of the following findings is an adverse effect of this medication? a. Hallucinations b. Pruritus c. Hand and foot syndrome d. Tinnitus
d
A nurse is caring for a client whose surgeon informed him postoperatively that he has a metastasizing malignant neoplasm in the colon. Which of the following statements by the client should the nurse identify as an indication that the client understands this information? a. "I have cancer of the colon that has begun to spread." b. "I have growths in my bowel that the doctor can treat easily." c. "As long as my tumor doesn't get any bigger, I'll be okay." d. "There is not much point in having more treatments."
a
A nurse is providing discharge teaching for a ac client who had a bone marrow transplant and has thrombocytopenia. Which of the following statements indicates that the client understands the precautions he must take at home? a. "I'll stick with soft foods for now." b. "My family will be bringing me fresh flowers today." c. "I'll use a disposable razor each day." d. "I'll blow my nose more often to avoid nosebleeds."
a
A nurse is providing teaching about a living will for a client who has end-stage breast cancer. Which of the following pieces of information should the nurse include in the teaching? a. The client has the right to change the living will at any time. b. The client should be certain of the decision because the document establishes guidelines for refusing resuscitation. c. A durable power of attorney is required with a living will. d. The handwritten living will is not a legal document and cannot be included in the client's medical record.
a
A charge nurse is planning a department in-service training session about radioactive implants for a group of staff nurses. Which of the following points should the charge nurse include in the presentation? (select all that apply.) a. Clients should be placed in a private room. b. Throw away an implant that has fallen out in the client's trash can. c. Staff members should wear a dosimeter badge when caring for the client. d. Clients should be on bed rest. e. Children over the age of 12 years can visit if they are accompanied by an adult.
a, c, d
A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy medications. The client expresses confusion about the therapy. Which of the following explanations should the nurse provide? a. "The risk of renal toxicity is lessened when a combination of chemotherapy medications are used." b. "The chemotherapy medications act at different stages of cell division so more tumor cells are destroyed." c. "The use of more chemotherapy medications will shorten the time you have to be in treatment." d. "The combination of chemotherapy medications will eliminate the potential for bone marrow."
b
A nurse is caring for a client who has leukemia. The client says, "The doctor told me that my condition is too severe to be treated successfully. I guess I don't have long to live." Which of the following responses should the nurse offer? a. "Having a positive attitude can help you." b. "Let's talk about how you are feeling about this information." c. "Have you considered getting a second opinion?" d. "Things get worse before they get better."
b
A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of peripheral neuropathy? a. Thinning of the scalp hair b. Tingling of the hands and feet c. Reduced ability to concentrate d. Sores in the mucous membranes
b
A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take? a. Place viscous lidocaine on the child's oral lesions. b. Instruct the child to use a soft-sponge toothbrush when brushing her teeth. c. Encourage the child to rinse mouth with hydrogen peroxide every 2-4 hr. d. Give the child lemon glycerin swabs to use after each meal.
b
A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan? a. Maintain the child on bed rest b. Monitor the child for increased temperature c. Administer oxygen to child d. Monitor the child for bleeding
b
A charge nurse is observing a newly licensed nurse provide care for a client who is receiving internal radiation therapy for the treatment of cervical cancer. For which of the following actions by the newly licensed nurse should the charge intervene? a. Leaving soiled linens in a container in the client's room b. Instructing visitors to remain 2 m (6 feet) away from the client c. Borrowing a dosimeter film badge from another nurse before entering the client's room d. Removing an extra IV pole from the client's room to be used for another client
c
A home health nurse is visiting an older client who has anemia. Which of the following foods should the nurse recommend to increase the client's iron intake? a. Greek yogurt b. Bran muffin c. Peanut butter sandwich d. Dried fruit
d
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 times daily PO and gabapentin 1800 mg 3 times daily PO to manage pain. The client tells the nurse, "I'm having pain that keeps me from doing what I'd like to do most of the time." Which of the following additions should the nurse anticipate to the client's medication regimen? a. Oral meperidine b. Parenteral naloxone c. Parenteral diazepam d. Oral oxycodone
d
A hospice nurse is providing education about palliative care to the partner of a client who has end-stage liver cancer. Which of the following statements by the partner indicates an understanding of the teaching? a. "I will do my best to try to get him to eat something." b. "I will lay him flat if his breathing becomes shallow." c. "I will use an electric blanket to keep him warm." d. "I will continue to talk to him even when he's sleeping."
d
A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200 mm3. Which of the following foods should the nurse prohibit the family members from bringing to the client? a. Fried chicken from a fast food restaurant b. A case of canned nutritional supplements c. A factory-sealed box of chocolates d. A fresh fruit basket
d
A nurse is caring for a client who has cancer and refuses visitors because of his debilitated physical appearance. Which of the following comments should the nurse make? a. "You look just fine to me." b. "Nobody expects you to look beautiful in the hospital." c. "I understand how you feel. I would feel the same way." d. "Would you like to talk about how you feel?"
d
A nurse is caring for a child who has leukemia and is receiving chemotherapy. The child's parent is upset and says, "I just can't believe my child is going to lose her beautiful hair!" Which of the following responses should the nurse make? a. "You are feeling a sense of loss right now." b. "Sometimes the hair thins, but it will grow back." c. "This hair loss means the chemotherapy is working." d. "Kids love to wear the special baseball caps we have."
a
A nurse is caring for a client who has a new diagnosis of breast cancer. The client becomes quiet and withdrawn and says to the nurse, "What do you think people will say about me when I'm gone?" Which of the following responses should the nurse make? a. "What are you worried they will say about you?" b. "The thought of having breast cancer may seem hopeless." c. "Maintaining a positive attitude can influence your recovery." d. "You will be remembered as a kind person."
a
A nurse is monitoring the laboratory values of a male client who has leukemia and is receiving weekly chemotherapy with methotrexate via Iv infusion. Which of the following laboratory values should the nurse report to the provider? a. BUN 18 mg/dL b. Platelets 78,000/mm3 c. Hgb 14.2 g/dL d. Aspartate aminotransferase (AST) 35 units/L
b
A nurse is planning a presentation at a community center about risk factors for cancer. Which of the following types of cancer should the nurse include when discussing familial clustering of specific types of cancer? a. Skin b. Prostate c. Bone d. Bladder
b
A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. Which of the following statements indicates a need for further teaching? a. "I will use a soft toothbrush or foam swab for oral care." b. "I will use lemon and glycerin swabs after meals." c. "I will remove my dentures except while eating." d. "I will rinse my mouth frequently with hydrogen peroxide solution."
b
A nurse is reviewing a laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider? a. Platelets 150,000/mm3 b. Hgb 6 g/dL c. WBC 6,000/mm3 d. Potassium 4.5 mEq/L
b
A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. An increase in which of the following values indicates a therapeutic effect of this medication? a. Erythrocyte count b. Neutrophil count c. Lymphocyte count d. Thrombocyte count
b
A nurse is teaching a client who has persistent cancer pain about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching? a. "Opioids do not relieve pain without causing pain without causing severe adverse effects." b. "Physical dependence is not the same as addiction." c. "Tolerance typically means that the medication will no. longer be effective." d. "The most common adverse effect is respiratory depression with prolonged use."
b
A nurse is caring for a client who had a lower left lobectomy to treat lung cancer. Which of the following factors will have a significant impact on the plan of care for this client? a. The client will need intensive smoking-cessation education. b. After surgery, the prognosis for clients with lung cancer is usually good. c. Lung cancer usually has metastasized before the client presents with symptoms d. Oxygen therapy is ineffective following a lobectomy
c
A nurse is caring for a client who has breast cancer and is scheduled for a mastectomy. The client tells the nurse she is concerned about how her partner will react to the procedure. Which of the following responses should the nurse make? a. "I will inform your surgeon that you are having second thoughts." b. "I think you should postpone the surgery until you are certain you want have it done." c. "Would you like me to have a member of a breast cancer support group visit you?" d. "This is a common concern of women who will be undergoing a mastectomy."
c
A nurse is caring for a client who has cancer. The client tells the nurse he does not want any more chemotherapy treatments. Which of the following responses should the nurse provide? a. "I think you should finish this round of treatments and then see how you feel." b. "I will discuss this decision with the designee in your health care proxy." c. "I will inform your provider of your decision to discontinue the treatments." d. "I am sorry to hear you are tired of fighting and have made this decision."
c
A nurse is caring for a client who is in the terminal stage of cancer. Which of the following actions should the nurse take when she observes the client crying? a. Contact the family and ask someone to stay with the client b. Offer to call the client's minister c. Sit and hold the client's hand d. Leave the room and allow the client to cry privately
c
A nurse is monitoring a client who has cancer and is receiving chemotherapy by peripheral IV infusion. The client reports pain at the insertion site and the nurse notes fluid leaking around the catheter. Which of the following actions should the nurse take first? a. Take a photograph of the peripheral IV site. b. Obtain and record the client's vital signs. c. Stop the infusion. d. Identify all medications administered through the IV site for the past 24 hr.
c
A nurse is providing discharge teaching to the parent of a school-aged child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching? a. "I will take my child's rectal temperature daily." b. "I will make sure my child gets his MMR vaccine this week." c. "I will inspect my child's. mouth every day for sores." d. "I will allow my child to ride his bicycle tomorrow."
c
A nurse is providing preoperative teaching for a client who has colorectal cancer and is to undergo placement of a colostomy with a perineal wound. Which of the following statements by the client indicates an understanding of the teaching? a. "It will be a relief to not have any further rectal pain." b. "I will need to sit on a rubber donut when I am out of bed in the chair." c. "I can only have liquids for 2 days before the surgery." d. "The colostomy will start working about 7 days after surgery."
c
A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoeitin alfa. Which of the following therapeutic effects of epoeitin alfa should the nurse include in the teaching? a. Reduces blood pressure b. Inhibits clotting of fistula c. Promotes RBC production d. Stimulates growth of neutrophils
c
A nurse is providing teaching to a client who is receiving chemotherapy and has developed neutropenia. Which of hte following statements indicates that the client needs further instructions? a. "I'll keep an antibacterial hand gel in my purse." b. "My partner will have to take care of the cat's litter boxes for a while." c. "I'm planning a large gathering of friends and families for the holidays." d. "I will eat canned fruits and vegetables."
c
A nurse is teaching a group of young adult clients about health promotion techniques to reduce the risk of cancer. Which of the following instructions should the nurse include? a. Apply a broad-spectrum sunscreen 5 min before sun exposure b. Wear a sun visor instead of a hat when outside in the sun c. Avoid exposure to the midday sun d. Use a tanning booth instead of sunbathing indoors
c
A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following therapeutic effects should the nurse identify for the client when taking this medication? a. Reduced cancer-related bone pain b. Decreased anxiety and insomnia c. Decreased inflammatory response to cancer tumors d. Reduced cramping, aching, and burning neuropathic pain
d
A nurse is caring for a client who is receiving radiation therapy for breast cancer and reports a metallic taste in the mouth. Which of the following dietary recommendations should the nurse share with the client? a. Eat with metal utensils b. Limit coffee c. Avoid citrus foods d. Offer mints
d
A nurse is caring for a client who just received a diagnosis of cancer. The client states, "I just don't know what I'm going to do now." Which of the following responses should the nurse make? a. "In time you'll know the right thing to do." b. "I am sorry. Would you like me to call someone for you?" c. "There are multiple treatment options for you to consider." d. "Can you explain the concerns you're having right now?"
d
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? a. Chemotherapy via a central venous access device b. Radiation to the tumor from an external source c. Precise delivery of high-dose radiation after tumor imaging d. Radioactive infusions or insertions into or near the tumor
d
A nurse is caring for an adolescent client who was recently diagnosed with terminal cancer. When the nurse asks the client a question, he angrily spits in the nurse's face. Which of the following responses should the nurse provide? a. "I will come back to change your linens when you are feeling better." b. "Who do you think you are to treat me like that?" c. "Why did you spit in my face?" d. "You seem to be very upset."
d
A nurse is caring for an adult client in the terminal stages of lung cancer who refuses any further treatment. The nurse should provide care that facilitates which of the following outcomes? a. Allows minimal treatment b. Benefits the client's family c. Offers hope for a cure d. Supports self-determination
d
A nurse is collecting a health history from a client. Which of the following findings is the highest risk factor for the client developing skin cancer? a. Age over 60 b. Genetic predisposition c. Light-skinned race d. Overexposure to sun light
d
A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child has a highlight platelet count of 20,000/mm3. Based on this laboratory value, which of the following interventions should the nurse include in the plan of care? a. Provide foods high in iron b. Avoid people who have infections c. Administer PRN oxygen d. Encourage quiet play
d
A nurse is planning care for a client who has anorexia and nausea due to cancer treatment. Which of the following interventions should the nurse include? a. Serve foods at warm or hot temperatures b. Offer the client low-density foods c. Make sure the client lies supine after meals d. Limit drinking liquids with food
d
A nurse is providing discharge teaching to a client who is recovering from lung cancer. The provider instructed the client that he could resume lower-intensity activities of daily living. Which of the following activities should the nurse recommend to the client? a. Sweeping the floor b. Shoveling snow c. Cleaning windows d. Washing dishes
d
A nurse is providing teaching to a client who has cancer and is undergoing external treatment. Which of the following statements by the client indicates an understanding of the teaching? a. "I should use petroleum-based lotions on the areas being radiated." b. "I will dry the areas being radiated by rubbing in a circular pattern." c. "I will apply sunscreen to the areas being radiated when I spend time in the sun." d. "I should use my hand, instead of a washcloth, to wash the areas being radiated."
d
A nurse is assessing a child who is receiving IV chemotherapy. Assessment findings include extravasation of the tissues surrounding the IV insertion site. In which order should the nurse take the following actions? a. Stop the infusion b. Notify the provider c. Elevate the extremity d. Remove the IV line
1. a 2. c 3. b 4. d
A home-health nurse is caring for a client who has cancer and is using a fentanyl transdermal patch for pain control. Which of the following actons should the nurse take when caring for this client? a. Avoid using a heating pad on the area with the patch. b. To decrease the dose, cut the patch in half c. Dispose of the used patch in the trash can d. Assess the client for urinary retention every 8 hr
a
A nures is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm3. Which of the following interventions should the nurse include? a. Avoid IM injections b. Assess the client for ecchymosis once per shift c. Do not allow the client to have visitors d. Encourage daily flossing between teeth
a
A nurse is assessing a child who has acute lymphocytic leukemia and receiving vincristine sulfate. Which of the following findings is the nurse's priority? a. Paresthesia b. Alopecia c. Stomatitis d. Constipation
a
A nurse is planning care for a client who is receiving chemotherapy and has a proteind eficiency. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) a. Mix powdered skim milk into liquid milk b. Add a raw egg to fruit smoothies c. Add a slice of cheese to hot vegetables d. Add honey to hot tea e. Mix yogurt into fresh fruit
a, c, e
A nurse on an oncology unit is providing discharge teaching to an adolescent female client who receieved a bone marrow transplant for leukemia. Which of the following information should the nurse include in the teaching? (Select all that apply.) a. "Take you temperature twice each day." b. "You may return to school if you feel strong enough." c. "It is important to always wear shoes." d. "Clean your toothbrush weekly with isopropyl alcohol." e. "Avoid using tampons."
a, c, e
A nurse in an oncology clinic is assessing who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse expect? a. Bone and joint pain b. Enlarged lymph nodes c. Intermittent hematuria d. Productive cough
b
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect? a. Platelets 500,000/mm3 b. RBCs 2.5 million/uL c. WBCs 4,000/mm3 d. Hct 60%
b
A nurse is assessing a patient for symptoms of febrile non-hemolytic reaction during a blood transfusion. What signs would the nurse observe? a. Pain at the infusion site and nausea b. Rise in temperature and chills c. Hives and itching d. Cough, dyspnea, and distended neck veins
b
A nurse is assessing a client who is receiving a transfusion of packed red blood cells (RBCs). Which of the following findings should the nurse identify as an indication of an acute intravascular hemolytic reaction? a. Severe hypertension b. Low body temperature c. Sudden oliguria d. Decreased respirations
c
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 provide? a. "It's too soon to worry about something that might not happen." b. "Breast cancer tends to metastasize to the stomach." c. "Metastasis is unlikely since we detected your cancer early." d. "Breast cancer tends to metastasize to the bones."
d
A home health nurse is planning care for a client who is receiving chemotherapy and has neutropenia. Which of the following foods should the nurse include in the client's plan of care? a. Soft-boiled eggs b. Brie cheese made with unpasteurized milk c. Cold deli-meat sandwiches d. Baked chicken
d
A nurse is providing teaching to a client who has cancer and is receiving external radiation therapy. Which of the following statements by the client indicates an understanding of the teaching? a. "I will need to protect the area from sunlight." b. "I'm going to apply a heating pad to the area after each treatment." c. "I'll massage the area once per day." d. "I'll wash the markings off after each therapy treatment.
a
A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive brachytherapy in an ambulatory care clinic. Which of the following statements by the client indicates an understanding of the teaching? a. "I need to lie still in bed during my brachytherapy." b. "I will have an implant placed once a month during my brachytherapy treatment." c. "I must stay at least 3 feet away from others between brachytherapy treatments." d. "I should expect some blood in my urine after each brachytherapy treatment."
a
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, c, e
A nurse is admitting a client who is scheduled for a biopsy of a testicular mass. The client asks, "Do you think the doctor will find cancer?" Which of the following responses should the nurse make? a. "Most tumors in the testicles are benign." b. "It must be difficult for you not to know what the doctor will find." c. "I think that you should discuss this with your doctor." d. "Why are you worried about cancer?"
b
A nurse is caring for a child who has a diagnosis of terminal brain cancer. The mother states, "I feel numb and can't believe this is happening to us." Which of the following interventions by the nurse is the first priority? a. Explore effective ways of family coping b. Encourage the family's expression of their feelings c. Discuss the disease and its manifestations with family members d. Instruct the family about anticipatory grieving
b
A nurse is collecting a health history from a client. Which of the following findings is the highest risk factor for the client developing bladder cancer? a. The client is a hairdresser. b. The client uses tobacco. c. The client is over 60 years of age. d. The client has frequent urinary tract infections (UTIs)
b
A nurse is planning care for a client who has cancer and has developed thrombocytopenia following chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse effects of thrombocytopenia? a. Monitor visitors for manifestations of infection. b. Remind the client to use an electric razor. c. Encourage frequent rest periods. d. Instruct the client to rinse mouth with normal saline.
b
A nurse is providing discharge teaching to a client following open radical prostatectomy. The client is going home with an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of teaching? a. "I will be able to take a tub bath in 1 week." b. "I will change the catheter drainage bag once each week." c. "I will use suppositories to prevent constipation." d. "I will regain my bladder control once the catheter is removed."
b
A nurse is providing postoperative discharge teaching to a client following a panhysterectomy for uterine cancer. Which of the following should the nurse include in the teaching? a. "You will need to continue to use form of birth control for 6 months." b. "You might experience manifestations of menopause." c. "Do not lift anything heavier than 15 pounds." d. "Pain or burning on urination is an expected outcome of this surgery."
b
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 explain which of the following options? a. Begin monthly breast self-examinations at age 40 b. Have a clinical breast examination each year after age 30 b. Begin annual mammograms at age 40 d. Have breast magnetic resonance imaging every 5 years after age 50
c
A nurse is teaching a client who has leukemia and has developed thrombocytopenia. Which of the following instructions should the nurse include in the teaching? a. "Limit flossing your teeth to once a week." b. "Gently blow your nose if needed." c. "Use an electric razor when shaving." d. "Wear soles that have a soft sole."
c
A nurse is teaching a client who has polycythemia vera about self-care measures. Which of the following interventions should the nurse include? a. "Drink at least 1 liter of fluid each day." b. "Continuously wear support hose." c. "Elevate your legs when sitting." d. "Use dental floss daily."
c
A nurse is caring for a client who is receiving radiation therapy for mouth cancer and reports a dry mouth. Which of the following dietary recommendations should the nurse provide? a. Offer graham crackers as a snack b. Avoid foods containing citrus c. Rinse the mouth with an alcohol-based mouthwash before eating d. Use gravies or sauces to soften food
d
A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain? a. Meperidine b. Buprenorphine c. Methadone d. Fentanyl
d
A nurse is teaching about secondary prevention actions for colorectal cancer for a health fair for adults int eh community. Which of the following topics should the nurse include? a. Smoking cessation b. Benefits of a diet high in cruciferous vegetables c. New types of ostomy appliances d. Importance of colonoscopy screening starting at age 50 years old
d
A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client who is receiving a transfusion of packed red blood cells (RBCs). Which of the following interventions should the nurse use to prevent these manifestations with the client's next transfusion? a. Warm the unit of blood to room temperature before administering it b. Administer acetaminophen prior to the blood transfusion c. Give an antihistamine prior to the transfusion d. Use a transfusion pump to regulate and maintain the transfusion at a slower rate
d
A nurse is caring for a client who has cancer and is experiencing pain. The nurse should implement which of the following interventions to assist the client with pain relief? a. Encourage the listen to soft music b. Instruct the client to practice tai chi c. Place a jasmine-scented air freshener in the client's room d. Offer the client ginger tea
a
A nurse is planning an educational program for a group of young adults about reducing the risk of cervical cancer. Which of the following interventions should the nurse include? a. Get the human papilloma (HPV) immunization b. Avoid the use of tampons on a routine basis c. Avoid drinking alcohol d. Get a Papanicolaou test every year starting at age 30
a
A nurse is teaching a client who has chemotherapy-induced anemia and a prescription of epoeitin alfa. The nurse should instruct the client to report which of the following findings as an adverse effect of epoeitin alpha? a. Hypertension b. Leukocytosis c. Bone pain d. Neutropenia
a
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
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
A nurse is caring for a client who has a new diagnosis of terminal cancer. When the nurse enters the room to set up the bath equipment, the client says, "I'm not an invalid, you know. I can take care of myself. Get out and leave me alone." Which of the following is an appropriate response by the nurse? a. "Did somebody do something to make you angry?" b. You seem upset. Let's talk about your concerns." c. "I know that you are not an invalid. I was just trying to help." d. "I'll arrange this equipment for you to bathe and will return later."
b
A nurse is caring for a client who has acute lymphocytic leukemia and reports a fever, chills, fatigue, an pallor over the past week. When checking the client's laboratory results, which of the following values should the nurse identify as contributing to the client's fatigue and pallor? a. Magnesium 2.0 mEq/L b. Hgb 6.5 g/dL c. WBC count 9.6/mm3 d. Creatinine 0.8 mg/dL
b
A nurse is transfusing a unit of B-positive fresh frozen plasma to a client whose blood type is O-negative. Which of the following actions should the nurse take? a. Continue to monitor for manfiestations of a transfusion reaction b. Remove the unit of plasma immediately and start an IV infusion of normal saline solution c. Continue the transfusion and repeat the type and crossmatch d. Prepare to administer a dose of diphenhydramine IV
b
In the context of blood transfusions, which patient factor is essential to check on the blood label before administration? a. Age b. Blood type c. Height d. Weight
b
A nurse in an oncology clinic is assessing a client who is undergoing treatment for ovarian cancer. Which of the following statements by the client indicates she is experiencing psychological distress? a. "My parents have retired, and they have come to help with our children." b. "I am going to ask my husband to go to counseling with me." c. "I keep having nightmares about my upcoming surgery." d. "My girlfriends bought me a nice wig."
c
A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a client who has anemia. Which of the following actions should the nurse take first? a. Hang an IV infusion of 0.9% sodium chloride with the blood b. Compare the client's identification number withe the number on the blood c. Witness the informed consent document d. Obtain pre-transfusion vital signs
c
A nurse is providing discharge teaching to a client who is postoperative following a right mastectomy for breast cancer. The client will be discharged with two Jackson-Pratt drains. Which of the following information should the nurse include in the teaching? a. "Empty the drainage tubes once per day." b. "Showering is permitted before the drainage tubes are removed." c. "The drainage tubes often are removed at the same time as the stitches." d. "Do not begin exercising the arm until the provider removes the drainage tubes."
c
A nurse is caring for a client who has been recently diagnosed with cancer. The client says, "I would rather be dead than go through treatment for cancer." Which of the following responses should the nurse make? a. "That wouldn't be fair to your family, would it?" b. "How can you feel that way when you have so much to live for?" a. "Why don't we talk about the successes you have in your life? d. "What concerns you about the cancer treatment."
d
A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings indicates the client is developing superior vena cava syndrome? a. Irregular cardiac rhythm b. Numbness in the hands c. Muscle cramps d. Facial edema
d
A nurse is providing teaching to a client who has cancer and is undergoing external radiation treatment. Which of the following statements by the client indicates an understanding of the teaching? a. "I should use petroleum-based lotions on the area being radiated." b. "I will dry the areas being radiated by rubbing in a circular pattern." c. "I will apply sunscreen to the areas being radiated when I spend time in the sun." d. "I should use my hand, instead of a washcloth, to wash the hands being radiated."
d
A nurse is reviewing a client's laboratory results and notes a WBC count of 3,600/mm3. The nurse should identify this result as which of the following conditions? a. Leukoplakia b. Leukemia c. Leukocytosis d. Leukopenia
d
