Nursing Concepts Exam 3: Mobility
A nurse is assisting in planning care for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care?
Change the collection pouch early in the morning
An HCP is preparing to administer the prescribed dose of Neuopogen (filgrastim). The pt's lab results indicate WBC of 12,000. Which action should the health care professional take?
Clarify prescription with the provider (stop or reduce therapy for WBC above 10,000)
An HCP is caring for someone who will take oprelvekin (Neumega) to treat thrombocytopenia. The HCP should tell the pt. to report which adverse SE?
Conjunctivitis, swollen ankles, palpitations
A pt. is about to begin therapy with Benefix to treat Hemophilia B. The pt. asks the HCP about disease transmission risk as compared to the plasma-derived factor. The HCP should explain it eliminates the risk for...
Creutzfeldt-Jakob Disease
An HCP is caring for a pt. who has mild hemophilia A and is about to begin DDAVP to prevent bleeding. The HCP should monitor for which adversity?
Edema
A nurse in an oncology clinic is collecting data from a client who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse expect?
Enlarged lymph nodes
An HCP is caring for a pt. who is about to begin iron dextran therapy. When administering the drug IM, the HCP should take which of the following actions? (SATA)
Administer test dose, monitor BP, have epinephrine available, use z-track technique
An HCP is caring for a pt. who is about to begin Alteplase therapy to treat PE. Which drug should the HCP have available in the event of a serious reaction?
Aminocaproic Acid (Amicar)
A nurse is reinforcing discharge teaching to a client who his postoperative following a right mastectomy for breast cancer. The client will be going home with two Jackson-Pratt drains. Which of the following info should the nurse include in the teaching?
Avoid wearing deodorant until the drains are removed and the incision heals
A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings indicates the client is developing superior vena cava syndrome?
Facial edema
A nurse is admitting a client who has multiple myeloma and a WBC of 2,200. Which of the following foods should the nurse prohibit the family members from bringing to the client?
Fresh fruit basket
An HCP is caring for a pt. who is about to begin taking Advate therapy to treat Hemophilia A. When administering, which of the following actions should the HCP take?
Have emergency equipment ready
An HCP is caring for a pt. who is about to begin taking alteplase (Activase). The HCP should monitor the pt. for which of the following indications of a possible adverse effect?
Headache (intracranial bleeding)
An HCP administers epoetin alfa (Epogen) subcutaneously to a patient who has renal failure. The HCP should monitor for which adverse effects?
Hypertension
A nurse is reinforcing preoperative teaching for a client who has colorectal cancer and is to undergo placement of a colostomy with a perineal wound. Which of the following statements by the client indicates an understanding of the teaching?
I can only have liquids for 2 days before surgery.
A nurse is reinforcing teaching to a client who has cancer and is receiving external radiation therapy. Which of the following statements made by the client indicates an understanding of the teaching?
I need to protect the area from sunlight.
A hospice nurse is reinforcing teaching about palliative care to the partner of a client who has end stage liver cancer. Which of the following statements by the partner indicates an understanding of teaching?
I will continue to talk to him even when he's sleeping
A nurse is reinforcing discharge teaching to a client following open radical prostatectomy. The client going home with an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?
I will take acetaminophen if I have any pain.
An HCP is caring for a pt. who is about to begin taking Neumega. The HCP should explain to the pt. that the drug has which of the following effects?
Increases platelet production
An HCP is caring for a pt. who is about to begin taking aspirin (Ecotrin) to reduce the risk of a cardiovascular event. The HCP should understand that the drug inhibits platelet aggregation by which of the following mechanisms?
Inhibiting cyclooxygenase action in platelets
An HCP is administering epoetin alfa (Epogen) subcutaneously to a pt. who has renal failure. The HCP should take which of the following actions?
Insert needle into vial once
A nurse is collecting data from a female client who is undergoing screening for breast cancer. Which of the following factors places the client at a high increased risk for developing breast cancer?
Over 50
A nurse is collecting a health history from a client who has skin cancer. Which of the following findings in the client's history is the highest risk factor for developing skin cancer?
Overexposure to sunlight
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the following adverse effects should the nurse anticipate from chemotherapy?
Pancytopenia (bone marrow suppression)
An HCP is caring for a pt. who is about to begin taking Plavix to prevent thrombus formation. The HCP should question the use by a pt. who has which of the following?
Peptic ulcer disease (Gastric bleeding)
A nurse is assisting in planning care for a client who has cancer and has developed thrombocytopenia following chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse effects of thrombocytopenia?
Remind the client to use an electric razor
A pt. is about to begin taking folic acid to treat megaloblastic anemia. The HCP should monitor which lab values?
Reticulocyte count
A nurse is collecting data from a client who has cancer and is receiving chemotherapy by peripheral IV infusion. The client reports pain at the insertion site and the nurse notes fluid leaking around the catheter. Which of the following actions should the nurse take first?
Stop the infusion.
A nurse is caring for a client who has breast cancer and is receiving a combo of chemotherapy medications. The client expresses confusion about the therapy. Which of the following explanations should the nurse provide?
The chemotherapy medications act at different stages of cell division so more tumor cells are destroyed
A nurse is collecting data from a client. Which of the following findings is the highest risk factor for the client developing bladder cancer?
The client uses tobacco.
An HCP is caring for a patient who is about to begin taking clopidogrel (Plavix) to prevent stent stenosis. The HCP should monitor the pt. for which of the following adverse reactions?
Thrombocytopenia
A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of peripheral neuropathy?
Tingling of the hands and feet
A nurse is collecting data from a client who has cancer of the cervix. Which of the following manifestations should the nurse expect?
Vaginal bleeding
A pt. who is taking warfarin (coumadin) arrives at the ED and reports rectal bleeding. Which of the following drugs should the HCP have available?
Vitamin K
An HCP is caring for a pt. who is about to begin taking Activase to treat an acute MI. The HCP should understanding the drug is most effective when the pt. receives it...
Within 3 hours of symptom onset
A nurse is reinforcing postoperative discharge teaching for a client following a pan hysterectomy for uterine cancer. Which of the following information should the nurse provider?
You might experience manifestations of menopause
A nurse on an oncology unit is reinforcing discharge teaching for an adolescent client who received a bone marrow transplant for leukemia. Which of the following info should the nurse include? (SATA)
You should take you temp at least once a day; examine your feet every day