2300 U8 Cellular Regulation

Laboratory findings indicate that a child with leukemia is also anemic. The nurse interprets this finding as most likely resulting from which of the following? A) Inadequate dietary folic acid intake B) Decreased red blood cell production C) Increased destruction of red blood cells by lymphocytes D) Progressive replacement of bone marrow with scar tissue

B

A client is undergoing a left modified radical mastectomy for breast cancer. Postoperatively, blood pressure should be obtained from the right arm, and the client's left arm and hand should be elevated as much as possible to prevent which condition? A) Lymphedema B) Trousseau's sign C) IV infusion infiltration D) Muscle atrophy

A

The nurse is teaching a 17 year old client and the client's family about what to expect with high dose chemotherapy and the effects of neutropenia. What should the nurse teach as the most reliable early indicator of infection in a neutropenic client? A) Fever B) Chills C) Tachycardia D) Dyspnea

A

When the nurse is teaching the client and family how to manage possible nausea and vomiting at home, which of the following should be discussed? A) Eating frequent, small meals throughout the day B) Eating three normal meals a day C) Eating only cold foods with no odor D) Limiting the amount of fluid intake

A

Which of the following has been associated with fatigue from cancer chemotherapy? A) Decreased quality of life B) Increased risk of infection C) Improved disease prognosis D) Increased pain

A

A 10 year old with leukemia is taking immunosuppressive drugs. The child should: A) Continue with her immunizations B) Not receive any live attenuated vaccines C) Receive vitamin and mineral supplements D) Stay away from her peers

B

A 15 year old has been admitted to the hospital with the diagnosis of acute lymphocytic leukemia. Which of the following signs and symptoms require the most immediate nursing intervention? A) Fatigue and anorexia B) Fever and petechiae C) Swollen neck lymph glands and letharge D) Enlarged liver and spleen

B

A 40 year old female is losing most of her hair as a result of chemotherapy. Which of the following statements best explains chemotherapy induced alopecia? A) The new growth of hair will be gray B) The hair loss is temporary C) New hair growth will always be the same texture and color as it was before chemotherapy D) The client should avoid use of wigs when possible

B

After doing well for a period of time, a child with leukemia develops an overwhelming infection. The child's death is imminent. Which of the following statements offers the nurse the best guide in making plans to assist the parents in dealing with their child's imminent death? A) Knowing that the prognosis is poor helps prepare relatives for the death of children B) Relatives are especially grieved when a child does well at first but then declines rapidly C) Trust in health care personnel is most often destroyed by a death that is considered untimely D) It is more difficult for relatives to accept the death of an older child than that of a toddler

B

After teaching the parents of a child newly diagnosed with leukemia about the disease, which of the following descriptions given by the mother best indicates that she understands the nature of leukemia? A) The disease is an infection resulting in increased white blood cell production B) The disease is a type of cancer characterized by an increase in immature white blood cells C) The disease is an inflammation associated with enlargement of the lymph nodes D) The disease is an allergic disorder involving increased circulation of antibodies in the blood

B

Cancer prevalence is defined as: A) The likelihood cancer will occur in a lifetime B) The number of persons with cancer at a given point in time C) The number of new cancers in a year D) All cancer cases more than 5 years old

B

A client with a family history of cancer asks the nurse what the single most important risk factor is for cancer. Which of the following risk factors would the nurse discuss? A) Family history B) Lifestyle choices C) Age D) Menopause or hormonal events

C

Which of the following medication orders to help relieve discomfort in a child with leukemia should the nurse question? A) Acetaminophen (Tylenol) B) Acetaminophen with codeine (Tylenol with codeine) C) Ibuprofen (Motrin) D) Propoxyphene hydrochloride (Darvon)

C

A 32 year old female meets with the nurse on her first office visit since undergoing a left mastectomy. When asked how she is doing, the woman says her appetite is still not good, she is not getting much sleep because she doesn't go to bed until her husband is asleep, and she is really anxious to get back to work. Which of the following nursing interventions should the nurse explore to support the client's current needs? A) Call the physician to discuss allowing the client to return to work earlier B) Suggest that the client learn relaxation techniques for help with her insomnia C) Perform a nutritional assessment to assess for anorexia D) Ask open-ended questions about sexuality issues related to her mastectomy

D

A nurse is assessing a 42 year old client who has been receiving chemotherapy. The client has a platelet count of 22,000 cell/mm3 and has petechiae on the lower extremities. The nurse should advise the client to: A) Increase the amount of iron in the diet B) Apply lotion to the lower extremities C) Elevate the legs D) Consult the oncologis

D

A nurse is teaching the family of an 8 year old boy with acute lymphocytic leukemia about appropriate activities. Which of the following activities should the nurse recommend? A) Home schooling B) Restriction from participating in athletic activities C) Avoiding trips to the shopping mall D) Being treated as "normal" as much as possible

D

After teaching a child with leukemia scheduled for a bone marrow aspiration about the procedure, the nurse determines that the teaching has been successful when the child identifies which of the following as the puncture site? A) Right lateral side of the right wrist B) Middle of the chest C) Distal end of the thigh D) Back of the hipbone

D

Which of the following beverages should the nurse plan to give a child with leukemia (and other cancer patients) if nausea should occur? A) Orange juice B) Weak tea C) Plain water D) A carbonated beverage

D

Which of the following nursing diagnoses should the nurse identify as the priority when dealing with a child newly diagnosed with leukemia and the child's family? A) Risk for injury related to malignant process B) Pain related to treatment modalities C) Imbalanced nutrition: less than body requirements related to loss of appetite D) Anticipatory grieving related to diagnosis and potential loss of child

D

Which of the following statements would the nurse use to describe to the parents why their child with leukemia is at risk for infection? A) Play activities are too strenuous B) Vitamin C intake is reduced over a period of time C) The number of red blood cells is inadequate for carrying oxygen D) Immature white blood cells are incapable of handling an infectious process

D

While being educated by the nurse about breast self-examination, a client asks what the rationale is for moving her arms in different positions while standing in front of a mirror. The nurse explains that these positions are used to: A) Increase the examiner's comfort during the procedure B) More easily diagnose any masses C) Determine whether there is any nipple discharge with movement D) Emphasize any change in shape or contour of the breast

D