NURS 2212

A nurse is providing community education on the seven warning signs of cancer. Which signs are included?

A sore that does not heal, Changes in menstrual patterns, indigestion or trouble swallowing, and obvious change in a mole

A patient with chronic osteomyelitis is being discharged from the hospital. What information is important for the nurse to teach this patient and family?

Adherence to ABX, high protein and carb foods, proper use of equipment

A nurse cares for a patient who had a long leg cast applied last week. The patient states, "I cannot seem to catch my breath and i feel light-headed." Which action would the nurse take next?

Administer O2 to keep sat above 92%

Older patient who was admitted 2 days ago with a fx hip. The nurse notes that he is confused and restless, HR-98, RR- 32, BP- 132/78, O2- 88%. What action would the nurse take first?

Administer O2 via nc

A group of nursing students has entered a futuristic science contest in which they have "developed" a cure for cancer. Which treatment would most likely be the winning entry?

Artificial fibronectin infusion to maintain tight adhesion of cells

A patient has been advised to perform weight bearing exercises to help minimize osteoporosis. The patient admits to not doing the prescribed exercises. What action by the nurse is best?

Ask the patient about fear of falling

A patient is distressed at body changes related to kyphosis. What response by the nurse is best?

Ask the patient to explain more about these feelings

A patient is in the internal medicine clinic reporting bone pain in the lower leg. The patient's alkaline phosphate level is elevated. What action by the nurse is appropriate?

Asses the patient for leg swelling

A patient is undergoing CT of a joint. What action by the nurse is most important before the test?

Assess for seafood or iodine allergy

An ED nurse cares for a patient who is sustained a crush injury to the right lower leg. The patient reports numbness and tingling in the affected leg. What action would the nurse take first?

Assess pedal pulses

A patient with bone cancer is hospitalized for a limb salvage procedure. How can the nurse best address the patient's psychosocial needs?

Assess the patient's coping skills and support systems

A patient is receiving chemotherapy through a peripheral IV line. What action by the nurse is most important?

Assessing the IV site every hour

A nurse is participating in primary prevention efforts directed against cancer. In which activities is this nurse most likely to engage? (Select all that apply.) a. Demonstrating breast self-examination methods to women b. Instructing people on the use of chemoprevention c. Providing vaccinations against certain cancers d. Screening teenage girls for cervical cancer e. Teaching teens the dangers of tanning booths

B, C, E

An ED nurse assesses a patient who is admitted with pelvic fx. Which assessments would the nurse monitor to prevent a complication of this injury?

BP, urinary output and skin color

A patient is receiving interleukins along with chemotherapy. What assessment by the nurse takes priority?

Blood pressure

A nurse in the oncology clinic is providing preoperative education to a patient just diagnosed with cancer. The patient has been scheduled for surgery in 3 days. What action by the nurse is best?

Call the patient at home the next day to review teaching

A nurse is assessing an older patient and discovers back pain with tenderness along T2 and T3. What action by the nurse is best?

Consult with the provider about an x-ray

A nurse reads on a hospitalized patient's chart that the patient is receiving teletherapy. What action by the nurse is best?

Coordinate continuation of the therapy

The nurse working with oncology patients understands that which age-related change increases the older patient's susceptibility to infection during chemotherapy?

Decrease immune function

The nursing student learning about cancer development remembers characteristics of normal cells. Which characteristics does this include?

Differentiated function, Nonmigratory, specific morphology

A patient tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer. What response by the nurse is most appropriate?

Do not expose the radiation area to direct sunlight

The student nurse learning about cellular regulation understands that which process occurs during the S phase of the cell cycle?

Doubling of DNA

When assessing gait, what features does the nurse inspect?

Ease of stride, balance, steadiness, and length of stride

A nurse cares for a patient with a fx injury. 20 minutes after an opioid is given the patient reports pain in the site of the fc. What actions would the nurse take?

Elevate extremity, apply ice, administer additional opioids as prescribed

A nurse prepares a patient who is scheduled for an arthroscopy of the shoulder. Which action by the nurse is most important?

Ensure that informed consent is on the chart

A patient in a nursing home refuses to take medications. The patient is at high risk for osteomalacia. What action by the nurse is best?

Ensure the patient gets at least 5 minutes of sun exposure daily

A patient hospitalized for chemotherapy has a HGB of 6.1. What medication does the nurse prepare to administer?

Epogen

The nurse working with oncology patients understands that interacting factors affect cancer development. Which factors does this include?

Exposure to carcinogens, genetic predisposition, immune function

The nurse is assessing a patient for chronic osteomyelitis. Which features distinguish this from acute?

Foot ulcers, draining sinus tracts

A patient is admitted with superior vena cava syndrome. What action by the nurse is most appropriate?

Gently inquire about advance directives

The nursing instructor explains the difference between normal cells and benign tumor cells. What information does the instructor provide about these cells?

Growing in the wrong place or time is typical of the benign tumors

A Hospitalized patient is being treated for Ewing's sarcoma. What action by the nurse is most important?

Handling and disposing the chemotherapeutic agents per policy

A nurse assesses a patient with pelvic fx. Which assessment finding would the nurse identify as a complication of this injury?

Hematuria

A nurse is providing community education about preventing traumatic musculoskeletal injuries related to car crashes. Which group does the nurse target as the priority for this education?

High School Football team

A nurse caring for a patient who is recovering from an above-the-knee amputation. The patient reports pain in the limb that was removed. How would the nurse respond?

How would you describe the pain that you are feeling?

A nurse cares for a patient recovering from an above-the-knee amputation of the right leg. The patient reports pain in the right foot. Which prescribed med would the nurse administer first?

IV Calcitonin

A nurse notes crepitation when performing range-of-motion exercises on a client with a fractured left humerus. Which action should the nurse take next?

Immobilize the left arm

A patient has a platelet count of 9800. What action by the nurse is most appropriate?

Instruct the patient to call for help to get out of bed

A student nurse learns about changes that occur to the musculoskeletal system due to aging. Which changes does this include?

Muscle tissue atrophy, changes to safety risks, cartilage degeneration

A nurse is assessing a patient with glioblastoma. Which assessment is most important?

Neurologic examination

A nurse cares for a patient in skeletal traction. The nurse notes that the skin around the pin sites are swollen, red, and crusty with dried drainage. What action would the nurse take next?

Obtain C&S

After receiving the hand-off report, Which patient would the oncology nurse see first?

Older patient on chemotherapy with mental status changes

A nursing student studying the musculoskeletal system learns about important related hormones. What are they?

Parathyroid hormone, estrogen, and vitamin D

A nurse sees patients in an osteoporosis clinic. Which patient would the nurse see first?

Patient taking raloxifene who reports unilateral calf swelling

The nurse sees several patients with osteoporosis. For which patient would bisphosphonates not be a good option?

Patient with a spinal card injury who cannot tolerate sitting up

An older patient with diabetes is admitted with a heavily draining leg wound. WBC-38,000 and no fever. What action does the nurse take first?

Place the patient on contact isolation

A student nurse asks the nursing instructor what "apoptosis" means. What response by the instructor is best?

Programmed cell death

A nurse plans for a patient who is recovering from below-the-knee amputation of the left leg. Which intervention would the nurse include in the plan of care?

ROM

A nurse notes the patient's fingers are pale, cool, and slightly swollen on a casted arm. What action would the nurse take first?

Raise the arm about the level of the heart

A new nurse has been assigned a patient who is in the hospital to receive iodine-131 treatment. Which action by the nurse is best?

Read the policy on handling radioactive excreta

An ED nurse triages a patient with DM who has fx arm. Which action would the nurse take first?

Remove the medical alert bracelet from the fx arm

Trigger finger assessment

Splint care, functional ability, teaching about fascietomy

A nurse works with patients who have alopecia from chemotherapy. What action by the nurse takes priority?

Teaching measures to prevent scalp injury

A hospitalized patient's strength of the upper extremities is rated a 3. What does the nurse understand about this patient's ability to perform activities of daily living?

The patient is able to perform ADls but not lift some items

Which statement is accurate about carcinogenesis?

Tumor cells need to develop their own blood supply

carpal tunnel syndrome

adjust chair height for posture, take breaks and frequently assess equipment

patient teaching on prosthesis care

custom made for you, wear correct liners, have a follow up appointment

A nurse assess a patient with rotator cuff injury. Which finding would the nurse expect to assess?

inability to initiate or maintain abduction of the affected arm at the shoulder

A nurse teaches a patient with a fx tibia about external fixation. Which advantages of external fixation for the immobilization of fx would the nurse share with the patient?

promotes healing, minimal blood loss, and early ambulation

A nurse is assessing a female patient who is taking progestins. What assessment finding requires the nurse to notify the provider immediately?

red, warm, swollen calf

A patient is in the oncology clinic for a first visit since being diagnosed with cancer. The nurse reads in the patient's chart that the cancer classification is TisNoMo. What does the nurse conclude about this patient's cancer?

there are no distant metastases noted in the report

A nurse has taught a patient about dietary changes that can reduce the chances of developing cancer. What statement by the patient indicates the nurse needs to provide additional teaching?

"I'm so glad I don't have to give up my juicy steaks."

A trauma nurse cares for several patients with fx. Which patient would the nurse identify as at highest risk for developing DVT?

74 Y/O man who smokes and has fx pelvis

A patient with osteoporosis is going home, where he lives alone. What action by the nurse is best?

Arrange a home safety eval

The nurse caring for oncology patients knows that which form of metastasis is the most common?>

Bloodborne

A patient is admitted with a bone tumor. The nurse finds the patient weak and lethargic with decreased deep tendon reflexes. What actions by the nurse are bes?

Call for help if you need up, asses daily calcium levels, loop diuretic

A patient in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after radiation therapy for breast cancer. What response by the nurse is most appropriate?

It is normal to be fatigued even for years afterward

A patient is receiving rituximab and asks how it works. What response by the nurse is best?

It prevents the start of cell of division in the cancer cells

A patient asks the nurse if eating only preservative and dye-free foods will decrease cancer risk. What response by the nurse is best?

Maybe; preservatives, dyes, and preparation methods may be risk factors

A patient with cancer is admitted to a short-term rehab facility. The nurse prepares to administer the patient's oral chemotherapy mediations. What action by the nurse is most appropriate?

Wear PPE when handling the meds

Physiologic changes of compartment syndrome

edmea, unequal pulses, cyanosis

The patient reports pain and it is not yet time for more meds. What can the CNA do for the patient?

reposition and provide soothing music

after teaching a patient with a fractured humerus, the nurse assesses the patient's understanding. Which dietary choice demonstrates that the patient correctly understands the nutrition needed to assist in healing the fracture?

roast beef with low-fat milk and a vitamin C supplement

A nurse is providing education to a community women's group about lifestyle changes helpful in preventing osteoporosis. What topics does the nurse cover?

strengthing exercises, calcium and vit D, walk for 30 minutes