Review last med surg

Extensive local and regional spread

33 year old has been recently diagnosed with stage 3 cervical cancer

biopsy

42 year old palpated a small lump on left breast and has a schedule with the provider. What test should be done

1.5

60ml IM to client on hand 40mg

Fever

A nurse is caring for a client following acute radiation exposure which bone marrow suppression

mortician

After death, body must be ready for transfer who is responsible?

Soft tooth brush

Chemo carcinoma oral mucosa stomatitis

Passive euthanasia

End of Tube feeding is considered?

Advanced directive

Living will, power of attorney

Maturation

Loss is part of natural life, kids go to college

Let's inform your doctor about your status (DNR)

Older adult client about to have elective surgery, wants DNR status. What statement should the nurse make

Determine whether the client will have autopsy, Give client's personal belongings to the family, Cover the body with clean sheet and put the hands outside

(3)Nurse is providing postmortem care for adult client, which of the ff. Intervention must be included (SATA)

Decreased platelets, Decreased WBC, Decreased RBC

(3)Nurse is reviewing a lab data of a client who has acute leukemia and received aggressive chemotherapy 10 days ago. What should the nurse must need to see?

nagging cough, non-healing sore, change in bowel movement, tenderness(unhealing sore, bowel patterns, unilateral , cough/tenderness

(4)A nurse is reinforcing teaching common findings indicate cancer, instruct clients to monitor for and report which findings (SATA)

Physical, Emotional, Intellectual, Spiritual

(4)Which of the 5 aspects of function dealing a grieving person? (SATA)

Radiation is very irritating to the GI tract that may cause diarrhea

58 year old pt. With colon cancer receiving combination of chemotherapy asks "why is she having diarrhea". What should the nurse respond?

Using forceps, picks up implant and places in led box

A client is hospitalized cervical radiation implant, finds implant on bed, what does the nurse do?

Sign on door (radiation)

A nurse assist PoC client hospitalized internal surgical radiation implant, should include in PoC

Sit quietly and listen

A nurse caring for client undergo exploratory surgery malignant tumor and metastasis, no hopeful and begins to cry

palm of your hands (USE EVERYTHING BUT THE PALM)

A nurse is contributing to the development breast cancer awareness fair which needs to be corrected

Advanced directives can be done when incapacitated

After teaching client about advance directives, which statements clearly understands the advanced directives

Ask the patient if this is discussed with the PCP(health care provider )

As a nurse caring an end-stage kidney disease. Patient states if my heart and respiratory stops, do not resuscitate me. What should the nurse say?

Unable to go to work

As a nurse, collecting data from a middle aged client, whose partner died 7 months ago, which is maladaptive grieving

Epoetin Alfa (Epogen)

Client hospitalized for chemotherapy who has 6.1g/dL, what should the nurse administer

Remove flowers

Client leukopenia chemo therapy

interfere with cells ability to replicate

Client receive chemo lymphoma

His friend with glaucoma

Client receives internal radiation therapy. Who can visit?

Flexible sigmoidoscopy every 5 years

Community group colorectal cancer which screening recommendation should include 50y/o age or older

restricting fresh fruits and vegetables

Developing Plan of care for client hematological toxicity chemo therapy

Denial

End stage renal disease, "I decided to come today, but I'm not sure if I am coming back later... I think my kidneys are starting to function again", what kind is this?

Protect from infection

Female client receive chemo for breast cancer low wbc

Not recurrent or progressive

Head rest benign tumor. What is a benign tumor compared to malignant?

Keep disposable cloths dry

Hospice nurse caring for a client approaching death with fecal incontinence, what should the nurse do?

Sign on door

Nurse assist PoC hospitalized for internal cervical radiation implant

meticulous hand washing

Nurse assisting PoC Hodgkin's disease neutropenic radiation and chemo

Remove the Orange

Nurse caring client w/ chemo, morning lab results wbc count is low and neutropenic precautions, nurse inspects meal

Leaving room exactly as is (maladaptive grieving )

Nurse collecting data Client who's child passed away two years ago

monitor oral mucosa daily

Nurse contributing for PoC for bone marrow suppression during chemo treatments wof include in plan of care

Call emergency response team

Nurse enters clients room finds clients pulseless, family requested DNR status from provider but provider hasn't written the prescription yet, what does the nurse do?

Situational grieving

Nurse is caring for a client who is suffering from the death of his partner, patient states that they "can't cope with family and responsibilities". What type of grieving is this

Tell me more about these fears

Nurse is caring for angina pectoris client, ℅ being scared dying from heart attack

Listen attentively (listen to Client talking about the pass )

Nurse is caring for older adult, expresses grief of earlier life, what should the nurse do to cope his loss?

Served cooked food and fresh fruits

Nurse is contributing for a plan of care for a client who has WBC 20000/mm3, what should the nurse include in the plan of care?

Breathing deep to shallow apnea

Nurse is evaluating an older client who has Cheyne-Stroke. Which of the ff. Observations indicates of this respiration pattern?

Increased fluid intake by drinking bottle water

Nurse is reinforcing teaching client with neutropenia as a result of internal radiation of lung cancer chemotherapy, what should the nurse do?

Shedding of skin

Nurse is reinforcing teaching to a pt. With lower leg tumor radiation, what can indicate an adverse effect of chemotherapy

50

Patient 150 ml per hour drops

Small frequent feeding

Patient 62y/o radiation carcinoma, edematous buccal and tongue, saliva Thick teach to patient

Her own marrow

Patient admitted for autologous bone marrow transplant

Protect against infection

Patient age 39 receiving chemo, WBC of 1,600 mm (leukopenia intervention breast)

Patient is soiled needs change

Physical need dying patient giving care Which patient would require intervention?

Bargaining

There is a part of the grieving stage that we perceive as loss as part of punishment for what we have done in the past. This is called?

Denial

When a nurse informs a patient's spouse that the patient dies, what is this

Situational

Which of the ff. Loss, who has a life event which unemployment occurred

allogenic transplant

Young man bone marrow transplant for leukemia, bro identified as bone marrow transplant