ATI Immune/Hemo/Oncology
A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse should make which statement to the client?
"You need to consult with the primary health care provider (PHCP) before receiving immunizations."
A client presents at the primary health care provider's office with complaints of a ring-like rash on his upper leg. Which question should the nurse ask first?
"Have you been camping in the last month?"
The nurse is assessing a client who has a new ureterostomy. Which statement by the client indicates the need for more education about urinary stoma care?
"I empty the urinary collection bag when it is two-thirds full."
The nurse is conducting a teaching session with a client on their diagnosis of pemphigus. Which statement by the client indicates that the client understands the diagnosis?
"I have an autoimmune disease that causes blistering in the skin."
The nurse teaches skin care to a client receiving external radiation therapy. Which client statement indicates the need for further instruction?
"I will limit sun exposure to 1 hour daily."
As part of chemotherapy education, the nurse teaches a female client about the risk for bleeding and self-care during the period of greatest bone marrow suppression (the nadir). The nurse understands that further teaching is needed if the client makes which statement?
"I'm going to take aspirin for my headache as soon as I get home."
The nursing instructor is reviewing the plan of care with a nursing student who is caring for a client with an immune disorder, and they discuss the classes of human antibodies. Which statement by the nursing student indicates a need for further teaching?
"Immunoglobulin G (IgG) is the minor serum antibody."
The nursing instructor is evaluating a nursing student for knowledge of antibody classes. Which statement by the nursing student indicates that teaching has been effective?
"Immunoglobulin M (IgM) is the first antibody produced in response to antigen."
The nursing instructor is reviewing the plan of care with a nursing student who is caring for a client with an altered immune system, and the role of interferons is discussed. Which statement by the nursing student indicates a need for further teaching?
"They are effective against a wide variety of bacteria."
The nurse is preparing a client with thrombocytopenia for discharge. Which statement by the client about measures minimizing injury indicates that discharge teaching was effective? Select all that apply.
1."I may continue to use an electric shaver." 2."I will not blow my nose if I get a cold." 5."I should use a soft-bristled toothbrush to avoid mouth trauma."
The nurse has been assigned to care for a client with an immune disorder. In developing a plan of care for this client, the nurse incorporates knowledge that the immune system consists of specific major types of cells. Which types of cells are associated with the immune system? Select all that apply.
1.Dendritic cells 2.B lymphocytes 4.Helper T lymphocytes 5.Cytolytic T lymphocytes
The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms would the nurse recognize as indications of a possible oncological emergency? Select all that apply.
1.Facial edema in the morning 3.Serum calcium level of 12 mg/dL (3.0 mmol/L) 6.Numbness and tingling of the lower extremities
The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS) who is experiencing night fever and night sweats. Which nursing interventions would be helpful in managing this symptom? Select all that apply.
1.Keep liquids at the bedside. 2.Place a towel over the pillowcase. 3.Make sure the pillow has a plastic cover. 4.Keep a change of bed linens nearby in case they are needed.
The nurse is conducting a history and monitoring laboratory values on a client with multiple myeloma. What assessment findings should the nurse expect to note? Select all that apply.
1.Pathological fracture 2.Urinalysis positive for Bence Jones protein 5.Serum creatinine level of 2.0 mg/dL (176.6 mcmol/L)
A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that the primary health care provider will request which prescriptions? Select all that apply.
1.Radiation 2.Chemotherapy 5.Serum sodium level determination 6.Medication that is antagonistic to antidiuretic hormone
The community health nurse is creating a poster for an educational session for a group of women and will be discussing the risk factors associated with breast cancer. Which risk factors for breast cancer should the nurse list on the poster? Select all that apply.
2.Early menarche 4.Family history of breast cancer 5.High-dose radiation exposure to chest 6.Previous cancer of the breast, uterus, or ovaries
The nurse is preparing a list of home care instructions regarding stoma and laryngectomy care for a client with laryngeal cancer who had a laryngectomy. Which instructions should be included in the list? Select all that apply.
2.Obtain a MedicAlert bracelet. 4.Prevent debris from entering the stoma. 5.Avoid exposure to people with infections. 6.Avoid swimming and use care when showering.
A client is diagnosed as having a intestinal tumor. The nurse should monitor the client for which complications of this type of tumor? Select all that apply.
2.Peritonitis 3.Hemorrhage 4.Fistula formation 5.Bowel perforation
A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing which condition?
2.The development of a vesicovaginal fistula
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?
Age younger than 50 years
A client has requested and undergone testing for human immunodeficiency virus (HIV) infection. The client asks what will be done next because the result of the enzyme-linked immunosorbent assay (ELISA) has been positive. Which diagnostic study should the nurse be aware of before responding to the client?
A Western blot will be done to confirm these findings.
During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which manifestation as typical of the disease?
Abdominal distention
The nurse manager is teaching the nursing staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which is a late sign or symptom of this oncological emergency?
Electrocardiographic changes
The nurse has admitted a client to the clinical nursing unit after undergoing a right mastectomy. The nurse should plan to place the right arm in which position?
Elevated on a pillow
A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding would the nurse expect to note specifically in the client?
Enlarged lymph nodes
A client with acquired immunodeficiency syndrome (AIDS) is receiving ganciclovir. The nurse should take which priority action in caring for this client?
Ensure that the client uses an electric razor for shaving.
The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common sign or symptom of this type of cancer?
Hematuria
The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder?
Increased calcium level
Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to perform which assessment before administering chemotherapy?
Measure the client's current weight and height.
The nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which is an early sign of this oncological emergency?
Periorbital edema
The client with acquired immunodeficiency syndrome is diagnosed with cutaneous Kaposi's sarcoma. Based on this diagnosis, the nurse understands that this has been confirmed by which finding?
Positive punch biopsy of the cutaneous lesions
A client with acquired immunodeficiency syndrome (AIDS) is experiencing nausea and vomiting. The nurse should include which measure in the dietary plan?
Remove dairy products and red meat from the meal.
