module 2 exam
match the operative procedure used for the tx of breast cancer w the appropriate description 1. lumpectomy 2. partial mastectomy 3. total simple mastectomy 4. modified radical mastectomy A. removal of the whole breast B. Removes tumor and small amount of surrounding tissue C. removes cancer containing part of the breast and some normal surrounding tissue D. Removal of breast tissue, lymph nodes, and sometimes part of the underlying chest wall
1. lumpectomy; B. Removes tumor and small amount of surrounding tissue 2. partial mastectomy; C. removes cancer containing part of the breast and some normal surrounding tissue 3. total simple mastectomy; A. removal of the whole breast 4. modified radical mastectomy; D. Removal of breast tissue, lymph nodes, and sometimes part of the underlying chest wall
A nurse is teaching a pt about the correct technique for a breast self-examination (BSE). What should the nurse include in the teaching? A. move the pads of your fingers in small circular motions B. perform BSE monthly during the week of your period C. use abnormal breast models only for demonstration D. apply firm pressure over the entire breast during the exam
A. move the pads of your fingers in small circular motions
A pt with squamous cell carcinoma is receiving antineoplastic medications for chemotherapy. which statement by the pt indicates teaching about these medications has been effective? A. "I should not receive a live vaccine unless I ask my doctor about it first." B. "a low grade fever is not concerning enough for me to tell my doctor about." C. "I prefer to use a straight razor when shaving rather than an electric razor." D. "when I am in pain, I can take my aspirin daily to help with mild discomfort."
A. "I should not receive a live vaccine unless I ask my doctor about it first."
A 61 y/o client had a left breast lumpectomy. The client has a Jackson Pratt drain. which statement made by the client requires further education regarding care of the drain? A. "I will leave the bulb full of air after I empty it so the blood can run into it." B. "I will wash my hands before and after emptying my drain to prevent infection." C. "I will clean the drain plug with an alcohol swab after I empty it each time." D. "I will measure the blood I remove from the drain and keep track in my notebook to tell the doctor"
A. "I will leave the bulb full of air after I empty it so the blood can run into it."
A 40 y/o female is scheduled for a modified radical mastectomy of the right breast after being diagnosed with infiltrating duck carcinoma. Which of the following statements indicate that the client understands the post op education provided by the nurse? SATA A. "I will need to prop my right arm up for awhile each day to prevent swelling" B. "My left breast will have to be watched closely for development of breast cancer." C. "I will be able to hold my 2 y/o grandchild after surgery." D. "I will not be able to have my BP or blood taken from my right arm." E. "I may still need radiation to make sure that the cancer is ask gone."
A. "I will need to prop my right arm up for awhile each day to prevent swelling" B. "My left breast will have to be watched closely for development of breast cancer." D. "I will not be able to have my BP or blood taken from my right arm." E. "I may still need radiation to make sure that the cancer is ask gone."
When working on a post-surgical unit, the nurse receives report on the following 4 pt's. Which one should the nurse assess first? A. 38 y/o female, immediately post right modified mastectomy with a Jackson-pratt drain B. 55 y/o female, 1 hour post total abdominal hysterectomy complaining of incisional pain at 6/10 C. 72 y/o male, 12 hours post transurethral resection of the prostate with blood-tinged urine D. 20 y/o male, 6 hours post orchiectomy with a bp 100/68
A. 38 y/o female, immediately post right modified mastectomy with a Jackson-pratt drain rationale: pt who is immediately post op needs assessed first
A nurse is caring for a client who is 5 hours post following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?" A. Check the tubing for kinks. B. adjust the rates of the bladder irrigant C. irrigate the catheter D. notify the provider
A. Check the tubing for kinks.
A pt has inadequate nutrition due to painful oral ulcers. which nursing action will be most effective in improving oral intake? A. apply prescribed anesthetic gel to oral lesions before meals B. offer the pt frequent small snacks between meals C. teach the pt about the importance of nutritional intake D. assist the pt to choose favorite foods from the menu
A. apply prescribed anesthetic gel to oral lesions before meals
nurse is caring for a client with genital herpes. which instructions should the nurse give the client for outbreaks? SATA A. avoid sexual contact during an outbreak B. wear loose fitting cotton underwear C. take antibiotics as ordered D. peroxide on the lesions will help them dry faster E. keep genital area clean and dry
A. avoid sexual contact during an outbreak B. wear loose fitting cotton underwear E. keep genital area clean and dry
A male pt comes to the clinic because he thinks he may have contracted STI. the nurse would anticipate which complaints? SATA A. discharge from the urethra B. blisters or sores in the genital area C. light headedness upon standing D. erectile dysfunction E. painful urination
A. discharge from the urethra B. blisters or sores in the genital area E. painful urination
The nurse is caring for a client with lung cancer and bone metastasis. What s/s would the nurse recognize as indications of a possible oncological emergency? SATA A. facial edema in the morning B. serum calcium level of 12 mg/dL C. serum sodium level of 136 mg/dL D. weight loss of 20 lb in one month E. numbness and tingling of the Lowe extremities
A. facial edema in the morning B. serum calcium level of 12 mg/dL E. numbness and tingling of the Lowe extremities
the nurse is responsible for educating a client regarding her upcoming mammogram. which of the following statements would the nurse include in the education? A. if there is a possibility that you may be pregnant you will need to reschedule the exam B. the test may be uncomfortable, but the pain should dissipate quickly C. you will be positioned on your stomach for optimal imaging of the breast tissue D. do not wear any deodorant, cream, lotion, or powders on the breast or armpits E. you will need to bring someone with you to drive you home after the procedure
A. if there is a possibility that you may be pregnant you will need to reschedule the exam B. the test may be uncomfortable, but the pain should dissipate quickly D. do not wear any deodorant, cream, lotion, or powders on the breast or armpits
The nurse is providing medication instructions to a client w breast cancer who is receiving cyclophosphamide. The nurse should tell the client to take which action? A. increase fluid intake to 2000-3000 mL daily B. take the med with food C. increase potassium intake while taking the medication D. decrease sodium intake while taking the medication
A. increase fluid intake to 2000-3000 mL daily
The nurse I providing care for a pt recieving fluorouracil for basal cell carcinoma. When proving education for this pt which topic is most important for the nurse to discuss? A. teach the pt to wear sunscreen and protective clothing when outside B. teach the pt to avoid eating red meats C. teach the pt to remain inside until night time or cloudy days D. teach the pt to avoid driving while taking this medication
A. teach the pt to wear sunscreen and protective clothing when outside
When performing a scrotal exam the nurse finds a nodule. what should the nurse do next? A. transilluminate the scrotum B. perform a rectal exam C. change the position and repeat the exam D. notify the physician
A. transilluminate the scrotum
a 26 y/o female arrives at the community health clinic for a pelvic exam. the client states that she has been experiencing abnormal discharge after having unprotected sex with a stranger two months ago. which of the following tests will be performed to check for bacterial sexually transmitted diseases? A. wet prep B. colposcopy C. PAP smear D. bimanual exam
A. wet prep; wet prep is used to assess for bacterial STD's. Pap smear is used to check for cellular abnormalities, bimanual exam is used to assess internal reproductive organs, Colposcopy is used to biopsy abnormal cells of the cervix
The nurse is caring for a pt. who has undergone the procedure depicted in the image. What is the name of this procedure? (circle thing with a circular cut and some forcip looking things) A. Dilatiopn and curettage (D&C) B. Loop electrosurgical excision procedure (LEEP) C. hysteroscopy D. endometrial biopsy
B. Loop electrosurgical excision procedure (LEEP)
Which of the following is true about a prostate surface antigen (PSA) SATA A. PSA is used to diagnose prostate cancer B. PSA is used to assess the risk of development of prostate cancer C. age can effect PSA level D. if PSA is <10 ng/mL there is a 60% increased risk of development of prostate cancer E. if PSA is >10ng/mL there is a 20-25% increased risk of development of prostate cancer
B. PSA is used to assess the risk of development of prostate cancer C. age can effect PSA level rationale: PSA<10= 20-25% increased risk PSA>10= 60% increased risk biopsy is the only way to diagnose
A 56 y/o woman presents to her PCP for a well check. Which of the following symptoms are concerning for breast cancer? SATA A. hair on the nipple B. dimpling of the breast skin C. bilateral breast enlargement D. nipple retraction E. breast pain
B. dimpling of the breast skin D. nipple retraction E. breast pain
A pt who is having whole brain radiation expresses concern about the likely hair loss. Which response would the nurse provide? A. "when your hair grows back, it will be patchy." B. "You can order a wig now to match your hair so you will not look different." C. "you should contact 'look good feel better' to figure out what to do about it." D. "don't use a curling iron and that will slow down the hair loss."
B. "You can order a wig now to match your hair so you will not look different."
A gram stain smear of pt's urethral discharge reveals the presence of Neisseria gonorrheae. The pt tells the nurse about recent sexual contact with a woman but says she did not appear to have any disease. How would the nurse respond to this pt? A. "when gonorrhea infections occur in women, the disease affects only the ovaries and not the genital organs." B. "many women are not aware they have gonorrhea b/c they often do not have symptoms of infection." C. "women do not develop gonorrhea infections but can serve as carriers of the disease to males." D. "women develop subclinical cases of gonorrhea that do not cause tissue damage or clinical manifestations."
B. "many women are not aware they have gonorrhea b/c they often do not have symptoms of infection."
The nurse is caring for a pt who smokes 2 packs/day. Which action by the nurse could help reduce the pt's risk of lung cancer? A. teach the pt about the 7 warning signs of cancer B. discuss the risks associated with cigarette during each pt encounter C. teach the pt about annual chest x-rays for lung cancer screening D. plan to monitor the pt's carcinembryonic antigen (CEA) level
B. discuss the risks associated with cigarette during each pt encounter
A 72 y/o male complaining of dysuria, noturia, and difficulty starting the urinary stream is scheduled for a cystoscopy and biopsy of the prostate gland. After the procedure the client complains that he is unable to void. The nurse should: A. limit oral fluids until he voids B. palpate above the pubic symphysis C. assure him that this is expected D. insert a urinary retention catheter
B. palpate above the pubic symphysis
a 45 y/o male presents for a wellness exam. which of the following statements made during his assessment would concern the nurse regarding male breast cancer? SATA A. hx of inguinal hernia B. pt had previous radiation therapy C. family hx of breast cancer D. hx of testicular disorder E. loss of hair on the chest
B. pt had previous radiation therapy C. family hx of breast cancer D. hx of testicular disorder
The nurse is educating a pt newly diagnosed with benign prostate hyperplasia(BPH) The pt asks about potential complications of BPH. Which of the following complications would the nurse include in her teaching? SATA A. Erectile dysfunction B. urinary tract infection (UTI) C. acute urinary retention D. bladder stones E. bladder or kidney damage
B. urinary tract infection (UTI) C. acute urinary retention D. bladder stones E. bladder or kidney damage
A pt is starting new antineoplastic medication with some concerns for anaphylactic reaction. Which intervention does the nurse anticipate to be part of the treatment plan? A. prescribing the pt their first dose to take at home B. asking the pt to come back the following week for tx C. administration of a small test dose prescribed by the PCP D. ask the pt about what foods they like
C. administration of a small test dose prescribed by the PCP
A 32 y/o female has just been diagnosed w endometrial cancer which will require her to have a total abdominal hysterectomy. She tearfully states "I have always wanted children. My husband and I planned to start trying next month. This visit was supposed to give me the all clear, not take away my chances to have a baby of my own." Which of the following responses by the nurse is most appropriate? A. "There are other ways to get a baby other than you getting pregnant." B. "Maybe it's best you just cry it out now so we can discuss the surgery." C. "I can tell this is very upsetting to you, would you like to talk to me about it?" D. "How do you think your husband is going to feel about this?"
C. "I can tell this is very upsetting to you, would you like to talk to me about it?"
A menopausal pt is requesting hormone replacement therapy (HRT). Which of the following statements would the nurse include while educating the client on the benefits and risks of HRT? A. "Estrogen therapy can increase your risk of bone fracture during menopause." B. "HRT is unsafe and has too many negative side effects." C. "Estrogen replacement tis good for bone health, but can increase risk for breast cancer." D. "HRT is safe and has no negative side effects."
C. "Estrogen replacement tis good for bone health, but can increase risk for breast cancer."
The nurse is teaching a client about the risk factors associated with colorectal cancer. The nurse determines that further teaching is necessary related to colorectal cancer if the client identifies which item as an associated risk factor? A. family history of colorectal cancer B. history of colorectal polyps C. age younger than 50 years D. chronic inflammatory bowel disease
C. age younger than 50 years
The nurse is preparing a client for a breast biopsy. Which of the following statements is true regarding breast biopsy? A. breast biopsy removes the area in question B. breast biopsy is done by cutting the breast open to remove the lump C. biopsy is the only definitive way to diagnose breast cancer D. breast biopsy is not as reliable as the mammogram
C. biopsy is the only definitive way to diagnose breast cancer
a pt with Hodgkin's lymphoma who is undergoing external radiation therapy tells the nurse "I am so tired I can hardly get out of bed in the morning" Which intervention should the nurse add to the plan of care? A. consult with a psychiatrist for tx of depression B. minimize activity until the tx is completed C. establish time to take a short walk almost every day D. arrange for delivery of a hospital bed to the pt's home
C. establish time to take a short walk almost every day
The nurse should question the use of viagra to treat erectile dysfunction in clients who take which of the following medications? A. levothyroxine for hypothyroidism B. oxybutynin for urinary incontinence C. nitroglycerine for chest pain D. phenytoin for seizure disorder
C. nitroglycerine for chest pain
The nurse is caring for a pt admitted with lung cancer. upon assessment, the nurse notes periorbital and facial edema, erythema of the upper body, and dyspnea. Which of the following actions should the nurse take first? A. administer IV furosemide as prescribed B. contact HCP C. place the pt in high-fowlers position D. educate the pt regarding deep breathing techniques
C. place the pt in high-fowlers position (I think but no rationale)
A client who had a suprapubic prostatectomy for cancer of the prostate returns to the post anesthesia care unit with a continuous bladder irrigation. The purpose of this irrigation is to: A. Stimulate continuous formation of urine B. Facilitate the measurement of urinary output C. prevent the development of clots in the bladder D. provide continuous pressure on the prostatic fossa
C. prevent the development of clots in the bladder
the nurse is caring for a pt receiving bleomycin sulfate for squamous cell carcinoma. which is the priority nursing assessment? A. serum albumin B. skin turgor C. pulmonary function test D. deep tendon reflexes
C. pulmonary function test rationale: pulmonary toxicity is a risk with administration of this med
A patient receiving head and next radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse give to this pt? A. gargle and rinse the mouth several times a day with an antiseptic mouthwash B. remove food debris from the teeth and oral mucosa with a stiff toothbrush C. rinse the mouth before and after each meal and at bedtime with a saline solution D. use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth
C. rinse the mouth before and after each meal and at bedtime with a saline solution
A pt's radiation implant has become dislodged overnight, and the nurse finds it in the clients bed. what does the nurse do first? A. notify the safety officer and move the pt to a different room B. Don gloves and attempt to replace the implant C. use tongs to put the implant into the radiation container D. assess the pt's skin for radiation burns
C. use tongs to put the implant into the radiation container
A nurse is educating women in the community about reproductive cancer. Which of the following statements regarding ovarian cancer are true? SATA A. Women who have no children are at decreased risk B. ovarian cancer is curable via hysterectomy C. women who breast fed have decreased risk D. often occurs bilaterally E. r/t over exposure to estrogen
C. women who breast fed have decreased risk D. often occurs bilaterally E. r/t over exposure to estrogen
a nurse is teaching a group of teenage clients about the use of condoms for the prevention of STI's. Which of the following statements should the nurse include in the teaching? A. "use a natural membrane condom rather than a polyurethane condom." B. "use an oil-based lube when you use a condom." C. "you may use a condom more than once." D. "female condoms can help prevent transmission of sexually transmitted viruses."
D. "female condoms can help prevent transmission of sexually transmitted viruses."
A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide? A. "you have to avoid sexual relations for 3 days after completion of treatment?" B. "you need to return in 6 months for retesting." C. "if your sexual partner has no symptoms, no medication is needed." D. "You will need to avoid sexual relations for 7 days after completion of treatment."
D. "You will need to avoid sexual relations for 7 days after completion of treatment."
When obtaining a sexual history from a client in a clinic setting, the nurse notes that the client appears very uncomfortable and pauses for long periods before answering the nurse's questions. What is the nurse's best response? A. "I am sorry that my questions are making you very uncomfortable." B. "these questions are making you uncomfortable, so we'll finish next time" C. "don't worry. we'll be done with these questions in no time at all" D. "take your time. I realize that this is a very private topic to talk about"
D. "take your time. I realize that this is a very private topic to talk about"
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a STI and will need IV antibiotic therapy. The client tells the nurse, "My parents think I am a virgin. I don't think I can tell them I have this kind of an infection." Which of the following responses should the nurse make A. "if you want me to, I can tell your parents for you" B. "your parents will have to be told why you are being admitted." C. "give your parents a chance; they'll understand." D. "you seem scared to talk to your parents."
D. "you seem scared to talk to your parents."
when planning care for a client with a continuous bladder irrigation after a transurethral resection of the prostate. The nurse should: A. monitor the specific gravity of the urine B. measure the output hourly C. irrigate the catheter with saline three times daily D. exclude the amount of irritant instilled from the output
D. exclude the amount of irritant instilled from the output
What condition is associated with tumor lysis syndrome (TLS) A. hypouricemia B. hypophosphatemia C. hyoercalcemia D. hyperkalemia
D. hyperkalemia
The nurse should plan to implement which intervention in the care of a client experiencing neutropenia as a result of chemotherapy? A. restrict all visitors B. insert an indwelling urinary catheter to prevent skin breakdown C. restrict fluid intake D. teach the client and family about the need for hand hygiene
D. teach the client and family about the need for hand hygiene