NCLEX MOD 4

The nurse is teaching a client self-management of skin cancer. Which statement made by the client indicates the need for further learning?

"I should limit sun exposure to between 7 am and 12 pm."

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 substance of low radioactivity will be injected into my vein and my body inspected by an instrument to detect where it is deposited."

A client who was admitted to the hospital with a diagnosis of a renal calculus is successful in passing the stone. The nurse is preparing the client for discharge and should include what in the client's instructions?

"Increase fluid intake."

A client has glomerulonephritis. To prevent future attacks of glomerulonephritis, the nurse planning discharge teaching includes which instruction?

"Seek early treatment for respiratory infections."

A client is admitted to the hospital with severe flank pain, nausea, and hematuria caused by a ureteral calculus. What should be the nurse's initial intervention?

Administer the prescribed analgesic.

A client with multiple myeloma who is receiving chemotherapy has a temperature of 102.2° F (39° C). The temperature was 99.2° F (37.3° C) when it was taken 6 hours ago. What is a priority nursing intervention in this case?

Administer the prescribed antipyretic and notify the primary health care provider.

A client who is suspected of having leukemia has a bone marrow aspiration. What should the nurse do Immediately after the procedure?

Apply brief pressure to the site.

A nurse is reviewing the clinical record of a client with a diagnosis of benign prostatic hyperplasia (BPH). Which test result will the nurse check to confirm the diagnosis?

Biopsy of prostatic tissue

A client with multiple myeloma asks how the disease and therapy progresses. What would be appropriate to include in the client's teaching?

Blood transfusions may be necessary.

A client receiving combination chemotherapy for treatment of metastatic carcinoma asks the nurse in the clinic why more than one type of drug is necessary. Which concept is most important to teach the client in relation to why drug cocktails are more effective than a single drug in cancer therapy?

Cellular growth cycle

A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. Which diagnosis will the nurse most likely observe written in the client's medical record?

Cystitis

A young adult male client is undergoing tests to confirm the diagnosis of Hodgkin lymphoma. The wife states, "Don't you think it is unlikely for someone like my husband to have cancer?" The nurse's response is based on what information about Hodgkin lymphoma?

Diagnosed during adolescence and young adulthood

Trimethoprim-sulfamethoxazole is prescribed for a client with cystitis. When teaching about the medication, what does the nurse instruct the client to do?

Drink 8 to 10 glasses of water daily.

A client has a body temperature of 102.8° F along with chills; dysuria; urethral discharge; and a boggy, tender prostate. Which organism is responsible for this condition?

Escherichia coli

A client is admitted to the hospital for surgery for rectosigmoid colon cancer, and the nurse is obtaining a health history as part of the admission process. What clinical findings associated with rectosigmoid colon cancer does the nurse expect the client to report? Select all that apply.

Feeling tired Rectal bleeding Change in the shape of stools Feeling of abdominal bloating

A nurse is caring for a client with a diagnosis of benign prostatic hyperplasia (BPH). Which information about this condition is important for the nurse to consider when caring for this client?

It predisposes to hydronephrosis.

A client is diagnosed with acute lymphoid leukemia and is receiving chemotherapy. The nurse should monitor what thrombocytopenic side effects of chemotherapy? Select all that apply.

Melena Purpura Hematuria

The nurse is caring for a client in the postanesthesia care unit. The client had a suprapubic prostatectomy for cancer of the prostate and has a continuous bladder irrigation (CBI) in place. Which primary goal is the nurse trying to achieve with the CBI?

Prevent the development of clots in the bladder.

The nurse is caring for a client who has been diagnosed with glomerulonephritis. Which initial urinary finding supports this diagnosis?

Proteinuria

The nurse is caring for a client who underwent a contrast-based cerebral angiography. Which nursing interventions will be beneficial after the procedure? Select all that apply.

Provide oral or intravenous fluids Maintain pressure dressing at the injection site Evaluate kidney function 24 hours after the test

A client is diagnosed with calcium oxalate renal calculi. Which foods should the nurse teach the client to avoid? Select all that apply.

Tea Spinach Rhubarb

After a client undergoes a biopsy for suspected cervical cancer, the laboratory report reveals a stage 0 lesion. What does a nurse conclude about this client's stage of cancer?

The lesion is carcinoma in situ.

Three days after surgery for cancer of the colon, a nurse introduces the client to colostomy care. Which should the nurse teach the client about skin care around the stoma?

Wash the area with soap and water and then apply a protective ointment

A client with colon cancer is receiving hospice care at home. What is the focus of hospice care?

<p>A client with colon cancer is receiving hospice care at home. What is the focus of hospice care?</p> To ease the pain from illness

The nurse is preparing to educate a group of clients about health promotion to prevent head and neck cancer. Which clients are of highest priority for education? Select all that apply.

A client who chews tobacco A client who has multiple sex partners A client with a history of alcohol abuse for 5 years