CELLULAR REGULATION EAQ

The nurse is performing a skin assessment of a client. Which findings in the client may indicate a risk of skin cancer? Select all that apply. A. Lesion B. Lumps C. Rashes D. Bruising E. Dryness

A, B, C

A nurse is teaching a group of adults about the signs and symptoms of colorectal cancer. Which common clinical manifestations should the nurse include in the teaching program? Select all that apply. A. Anemia B. Rectal pain C. Rectal bleeding D. Change in bowel habits E. Severe abdominal distention

A, C, D

A nurse is performing an assessment on a client with probable acute lymphocytic leukemia (ALL). Which clinical manifestation will the nurse expect to be present? A. Alopecia B. Insomnia C. Ecchymosis D. Hypertension

C

A client receiving cisplatin therapy has developed tumor lysis syndrome (TLS). Which medication should the nurse administer to treat the TLS? A. Mesna B. Flavoxate C. Allopurinol D. Aprepitant

C

A client with a parotid tumor and enlarged lymph nodes in the neck is undergoing radiation therapy on an outpatient basis. Which condition will the nurse most closely assess the client for during the return visit to the radiology department? A. Ataxia B. Hypoxia C. Arthralgia D. Dysphagia

D

A client with a history of hemoptysis and cough for the last six months is suspected of having lung cancer. A bronchoscopy is performed. Two hours after the procedure the nurse identifies an increase in the amount of bloody sputum. What is the nurse's priority? A. Immediately contact the primary healthcare provider B. Document the amount of sputum C. Monitor vital signs every hour D. Increase the frequency of coughing and deep breathing

A

A client develops increased respiratory secretions because of radiation therapy to the lung, and the healthcare provider prescribes postural drainage. What client assessment leads the nurse to determine that the postural drainage is effective? A. Is free of crackles B. Has a productive cough C. Is able to expectorate saliva D. Can breathe deeply through the nose

B

What is the nurse primarily attempting to prevent when caring for a client in the initial stages of chronic lymphocytic leukemia (CLL)? A. Injury B. Fatigue C. Infection D. Cachexia

C

A healthcare provider prescribes epoetin subcutaneously three times a week for an older adult with chronic lymphocytic leukemia (CLL) who lives alone. The nurse plans to teach the client about the medication. What should the nurse do first? A. Demonstrate the injection technique B. Assess the client's readiness to learn C. Explain how to perform sterile technique D. Encourage the client to contact a home healthcare agency

B

A client with cancer is scheduled for a bone scan to determine the presence of metastasis. The nurse evaluates that the teaching before the scheduled bone scan is effective when the client makes which comment? A. "X-rays will be taken to identify where I may have lost calcium from my bones." B. "Portions of my bone marrow will be removed and examined for cell composition." C. "A radioactive chemical will be injected into my vein that will destroy cancer cells present in my bones." D. "A substance of low radioactivity will be injected into my vein and my body will be inspected by an instrument to detect where it is deposited."

D

During a follow-up visit, a nurse finds that the client has a slow rate of healing after laryngeal cancer surgery. The nurse also finds that the client is at risk of developing lung cancer. What would be the reason behind the nurse's suspicion? A. The client leans forward while coughing. B. The client smokes four cigarettes per day. C. The client avoids showering and swimming. D. The client uses a non-oil-based ointment to lubricate the stoma.

B

What information from a client's history should the nurse identify as risk factors for the development of colon cancer? Select all that apply. A. Hemorrhoids B. Increased age C. High-fiber diet D. Ulcerative Colitis E. Low hemoglobin level

B, D

A client responds well after extensive pulmonary surgery for lung cancer and is discharged. A week after discharge the home care nurse observes the client's downcast eyes and lack of interest in the environment. The client's family states that this behavior started a few days after discharge. How should the nurse interpret these findings? A. Unusual, indicating mental illness B. Normal, and no follow-up is required C. Expected but needs to be addressed D. Serious, needing immediate acute care

C

A client with small-cell lung cancer is receiving chemotherapy. A complete blood count is prescribed before each round of chemotherapy. Which component of the complete blood count is of greatest concern to the nurse? A. Platelets B. Hematocrit C. Red blood cells (RBCs) D. White blood cells (WBCs)

D

A nurse is caring for a client who is receiving radiation therapy. Which information about skin care should the nurse include in the teaching plan? A. "Cover the area with a sterile gauze bandage." B. "Put warm compresses on the site once a day." C. "Limit lying on the back and unaffected side when sleeping." D. "Avoid applying lotions and powders over the area."

D

A blood transfusion of packed cells has been prescribed for a client with leukemia. The nurse will complete the following steps in what order? A. Change main line solution to normal saline. B. Obtain vital signs and history of transfusions. C. Check primary healthcare provider's prescription. D. Check client identification before hanging unit of blood. E. Ascertain that intravenous catheter size is 18 or 20 gauge.

(1)C. Check primary healthcare provider's prescription. (2)B. Obtain vital signs and history of transfusions. (3)E. Ascertain that intravenous catheter size is 18 or 20 gauge. (4)A. Change main line solution to normal saline. (5) D. Check client identification before hanging unit of blood.

A nurse is assessing a child with leukemia who is undergoing chemotherapy. Which side effect does the nurse anticipate? A. Epistaxis B. Tachycardia C. Flushed skin D. Increased temperature

A

Which is a late effect of radiation therapy on the heart that the nurse should monitor as a priority? A. Trismus B. Pericarditis C. Lymphedema D. Pulmonary fibrosis

B

The nurse is performing a breast assessment. Which statement made by the client indicates the risk of breast cancer? Select all that apply. A. " I had a late onset of menarche." B. "My first child was born when I was 32." C. "I noticed a slight discharge from a nipple." D. "I perform breast self-examinations frequently." E. "I consume two to four glasses of alcohol a day."

B, C, E

A client with a tentative diagnosis of lung cancer is scheduled for a mediastinoscopy with biopsy. Which is a priority nursing action? A. Tell the client that chest tubes will be present after the procedure. B. Explain that the procedure will allow visualization of lungs and chest cavity. C. Inform the client that some pleural fluid will be removed during this procedure. D. Advise the clietn to avoid eating or drinking anything for several hours before the test.

D

A client with the diagnosis of breast cancer is scheduled to receive radiation therapy to the affected area. The nurse teaches the client about how to care for the area that will be irradiated. Which client statement indicates the nurse needs to follow up? A. "I will leave the skin markings intact." B. "I will protect the skin from sources of heat." C. "I will wear soft clothing over the upper body." D. "I will use an oatmeal-based lotion after each treatment."

D

When a client who has had a mastectomy returns from surgery, a dressing and a portable wound drainage system to the axillary area are in place. The nurse notes an excessive amount of serosanguineous drainage on the mastectomy dressing. What is the nurse's next action? A. Notifying the surgeon B. Apply a pressure dressing C. Checking the function of the drainage system D. Using additional pillow to elevate the affected arm

C

A 4-year-old child is admitted to the pediatric unit with the diagnosis of acute lymphocytic leukemia (ALL). A blood transfusion is ordered, and an intravenous line is started. What will the nurse do in regard to administering the transfusion? A. Infuse the blood over no more than 4 hours B. Take the vital signs 3 hours after the transfusion. C. Check the vital signs 15 minutes after starting the transfusion. D. Have the blood warm at room temperature for 1 hour before administration.

A

After breast cancer is diagnosed, the client decides on a modified radical mastectomy followed by a combination therapy protocol that includes doxorubicin. What assessment finding does the nurse recognize as a toxic effect of this drug? A. Paralytic ileus B. Red-tinged urine C. Cardiac dysrhythmias D. Increased serum magnesium

C

The nurse is teaching arm exercises to a woman who has undergone a right mastectomy. What instruction will the nurse give the client? A."Wear a sling between exercise periods." B. "Exercise the right arm before the left arm." C. "Perform excercises with both arms simultaneously whenever possible." D. "Wait until the drain has been removed before starting the exercises."

C

A client with metastatic breast cancer is started on a multiple drug regimen that includes docetaxel. The nurse assesses the client for which nontherapeutic effects of docetaxel? Select all that apply. A. alopecia B. constipation C. febrile neutropenia D. increased blood pressure E. hypersensitivity reaction

A, C, E

The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. When inspecting the client's dressing, the nurse notes puffiness of the tissue around the surgical site. When the nurse palpates the site, the tissue feels spongy and crackles can be felt. How does the nurse describe this assessment finding? A. respiratory stridor B. subcutaneous emphysema C. bilateral 2+ pitting edema D. chest distention

B

A client is scheduled for skin cancer surgery and has not signed the consent form. Which situation will cause the nurse to legally delay signing the operative consent? A. Ambivalent feelings are present and acknowledged. B. A sedative type of medication has been given recently. C. A complete history and physical has not been performed and recorded. D. A discussion of alternatives with two primary healthcare providers has not occurred.

B

Client A: age - 60, family hx of breast cancer, 2 children, menopause at 45 Client B: 60, family hx of breast cancer, no children, menopause at 50 Client C: 60, no family hx, no children, menopause at 50 Client D: 60, No famly hx, 2 children, menopause at 45 A nurse is performing physical assessment of four female clients who came for a general checkup. Which client is most at risk of developing breast cancer? A. Client A B. Client B C. Client C D. Client D

B

A nurse teaches a client about how to protect a skin area that has undergone radiation treatment. Which statement made by the client indicates the nurse needs to follow up? A. "I should avoid swimming in saltwater." B. "I should avoid using adhesive bandages." C. "I should avoid wearing tight-fitting cloth." D. "I should avoid rinisng the area with the saline solution."

D

The nurse provides self-care instructions to a client who is receiving external radiation therapy for metastasis to the bone. Which intended activity identified by the client demonstrates a need for further teaching? A. Avoiding exposing the area to the sun B. Wearing loose-fitting cotton clothing over the area C. Drying the area with a patting motion using a soft towel D. Rubbing on talcum powder after washing the area with water

D