HCC3- exam 2, textbook questions
How will the nurse interpret the finding on a client's pathology report that indicates a cancerous tumor is aneuploid? A-The tumor is completely undifferentiated. B-The tumor is fast growing. C-Metastasis has already occurred. D-The tumor has an abnormal number of chromosomes.
The tumor has an abnormal number of chromosomes.
A client who has been diagnosed with breast cancer tells the nurse she wishes to use only natural and complementary interventions. What teaching will the nurse provide? A-This type of therapy would not replace standard treatment. B-If chemotherapy has been recommended, complementary therapies are contraindicated. C-Complementary therapies can only be used after surgery. D-There are many natural herbs that have been shown to treat cancer.
This type of therapy would not replace standard treatment.
Which assessment finding in a client who has had a lobectomy and placement of a chest tube 8 hours ago requires immediate follow-up by the nurse? A-Report of pain at the chest tube insertion site B-3-cm area of red drainage on the incisional dressing C-200 mL red drainage from chest tube over 2 hours D-Client sleepy but able to be aroused
200 mL red drainage from chest tube over 2 hours
The nurse has just received report on a group of clients. Which client is the nurse's first priority? A-A 62 year old with chronic obstructive pulmonary disease (COPD) being discharged with an oxygen saturation of 90% B-A 42 year old with lung cancer who needs an IV antibiotic administered before going to surgery C-A 22 year old with cystic fibrosis (CF) who has an elevated temperature and a respiratory rate of 38 breaths/min D-A 52 year old with end-stage pulmonary fibrosis and an oxygen saturation of 89%
A 22 year old with cystic fibrosis (CF) who has an elevated temperature and a respiratory rate of 38 breaths/min
With which client will the nurse be most alert for the development of glucose-6-phosphate dehydrogenase (G6PD) deficiency anemia? A-A 55-year-old man who had a myocardial infarction 5 years ago. B-A 28-year-old man Saudi Arabia whose mother had the disorder. C-A 55-year-old woman who had a partial gastrectomy for stomach cancer last year. D-A 28-year-old woman from Ireland whose father had the disorder.
A 28-year-old man Saudi Arabia whose mother had the disorder.
Which client will the nurse identify as having the greatest risk for development of acute leukemia? A-A 50 year old being treated with cyclophosphamide for a chronic autoimmune disease. B-A 20 year old with cystic fibrosis who has been on continuous enzyme replacement therapy since infancy. C-A 55 year old with diabetes mellitus type 1 who has received insulin injections for 43 years. D-A 38 year old who has used combination oral contraceptives without a break for 15 years.
A 50 year old being treated with cyclophosphamide for a chronic autoimmune disease.
Which client will the nurse monitor most closely for development of a febrile transfusion reaction? A-A 50 year old receiving multiple transfusions for severe hemorrhage B-A 60 year old receiving an intraoperative autologous transfusion C-A 40 year old receiving two units of fresh-frozen plasma D-A 70 year old receiving a rapid transfusion
A 50 year old receiving multiple transfusions for severe hemorrhage
Which client will the nurse prioritize when teaching about prostate cancer screening? A-A 50-year-old African American B-A 22-year-old Indian American C-A 30-year-old Hispanic American D-A 45-year-old Native American
A 50-year-old African American
The nurse is caring for four clients. With which client does the nurse discuss prostate cancer screening? A-A 23 year old with a history of urinary tract infections B-A 33 year old who sustained an injury to the external genitaliac. C-A 46 year old with uncontrolled hypertension D-A 57 year old who has fathered four children
A 57 year old who has fathered four children
Which observation by the home care nurse when visiting a client who had a stem cell transplant 2 months ago requires immediate action? A-The spouse is preparing a lettuce salad for lunch. B-The client's platelet count remains below 100,000 cells/mm3 (100 × 109/L). C-A dog is the household pet. D-A grandchild is visiting after receiving a measles, mumps, and rubella vaccine.
A grandchild is visiting after receiving a measles, mumps, and rubella vaccine
A client with testicular cancer is worried about sterility and the ability to conceive children later. To which resource does the nurse refer the client before surgery takes place? A-A psychologist B-American Cancer Society C-A sperm bank facility D-RESOLVE: The National Infertility Association
A sperm bank facility
A client is in the immediate postoperative period after tympanoplasty. How will the nurse position the client? A-Supine, with eyes toward the ceiling B-On the affected side C-With the head elevated 60 degrees D-With the affected ear facing up
With the affected ear facing up
An 85-year-old client tells the nurse that she does not perform breast self-exam because there is no history of breast cancer in her family. What is the nurse's best response? A-"Because your breasts are no longer as dense as they were when you were younger, your risk for breast cancer is now decreased." B-"Breast cancer can be found more frequently in families; however, the risk for general, nonfamilial breast cancer increases with age." C-"You are correct. Breast cancer is an inherited type of malignancy and your family history indicates a low risk for you." D-"Examining your breasts once per year when you have your mammogram is sufficient screening for someone with your history."
"Breast cancer can be found more frequently in families; however, the risk for general, nonfamilial breast cancer increases with age
What is the nurse's best response when a client with emphysema asks how removing part of the lungs through lung volume reduction surgery will improve breathing? A-"By removing only the over-inflated parts of the lungs, the air you breathe in will be going only to the lung areas that work best." B-"This surgery is preventive, because the parts of the lungs being removed are those that having the highest probability for developing cancer." C-"Breathing will be improved because diseased lung parts are removed and replaced with healthy parts." D-"This surgery makes room for the new lungs when a lung transplant is available."
"By removing only the over-inflated parts of the lungs, the air you breathe in will be going only to the lung areas that work best."
The home health nurse is teaching a client about the care of a new colostomy. Which statement by the client demonstrates a correct understanding of the health teaching? A-"If the skin around the stoma is red or scratched, it will heal soon." B-"I need to strive for a very tight fit when applying the barrier around the stoma." C-"A dark or purplish-looking stoma is normal and would not concern me." D-"I need to check for leakage underneath my colostomy."
"I need to check for leakage underneath my colostomy
The nurse is teaching a client with irritable bowel syndrome (IBS) who has frequent constipation. Which statement by the client shows an accurate understanding of the nurse's teaching? A-"Maintaining a low-fiber diet will manage my constipation." B-"I need to go for a walk every day if possible." C-"Limiting the amount of fluid that I drink with meals is very important." D-"A cup of caffeinated coffee with cream & sugar at dinner is OK for me."
"I need to go for a walk every day if possible."
The nurse is talking to a client about cerumen removal from the ear canal. Which statement by the client indicates a need for further teaching? A-"I dry my ears using my fingertip and a towel." B-"I use a cotton swab to remove earwax." C-"I use Swim-Ear after I go swimming." D-"I should not use an ear candle to soften the wax."
"I use a cotton swab to remove earwax."
The Certified Wound, Ostomy, and Continence Nurse (CWOCN) is teaching a client with colorectal cancer how to care for a newly created colostomy. Which statement by the client indicates a correct understanding of the necessary self-management skills? A-"If I have any leakage, I'll put a towel over it." B-"I can put aspirin tablets in the pouch in order to reduce odor" C-"I will apply a nonalcoholic skin sealant and let it dry before applying the bag." D-"I will have my spouse change the bag for me."
"I will apply a nonalcoholic skin sealant and let it dry before applying the bag.
The nurse is reviewing postoperative instructions with a client undergoing stapedectomy. Which client statement indicates a need for further teaching? A-"I should not drink from a straw for several weeks." B-"I may have problems with vertigo after the surgery." C-"I will be able to hear better as soon as my dressing is removed." D-"I will have to take antibiotics after the surgery."
"I will be able to hear better as soon as my dressing is removed."
Which client statement allows the nurse to recognize whether the client receiving brachytherapy for ovarian cancer understands the treatment? A-"I may lose my hair during this treatment." B-"I will have a radioactive device in my body for a short time." C-"I must be positioned in the same way during each treatment." D-"I will be placed in a semiprivate room for company."
"I will have a radioactive device in my body for a short time."
Which statement made by a client prescribed a reliever drug inhaler for asthma indicates to the nurse correct understanding of this therapy? A-"If I forget a dose, I will use the inhaler as soon as I remember it." B-"At night, I will be sure to store the inhaler in a cool, dry place." C-"I will keep this inhaler with me at all times." D-"Reliever drugs are needed to prevent asthma attacks."
"I will keep this inhaler with me at all times."
The nurse is teaching a client who has undergone a hemorrhoidectomy about a follow-up plan of care. Which statement by the client demonstrates a correct understanding of the nurse's instructions? A-"I will take laxatives after the surgery to 'keep things moving?0'." B-"To help with the pain, I'll apply ice to the surgical area." C-"I will need to eat a diet high in fiber, including raw vegetables." D-"Limiting my fluids will help me with constipation."
"I will need to eat a diet high in fiber, including raw vegetables."
A male client is scheduled for a minimally invasive inguinal hernia repair (MIIHR). Which statement by the client indicates a need for further teaching about this procedure? A-"I may have trouble urinating immediately after the surgery." B-"My chances of having complications after this procedure are slim." C-"I will need to stay in the hospital overnight." D-"I will not eat after midnight the day of the surgery."
"I will need to stay in the hospital overnight."
The nurse is teaching an older adult client about visual changes that occur with age. Which statement does the nurse include? A-"You will have to move reading materials closer to your eyes to focus." B-"When the sclera turns yellow, you have developed liver problems." C-"It may take your eyes longer to adjust in a darkened room." D-"Most visual changes occur before age 40."
"It may take your eyes longer to adjust in a darkened room."
The nurse is teaching a client with vertigo about safety precautions for fall prevention. Which statement by the client indicates a need for further instruction? A-"Moving more slowly may help the vertigo subside." B-"I may need to use a cane to keep my balance." C-"Medication alleviates dizziness, so I can drive." D-"My grandchildren need to keep their toys out of the hallway."
"Medication alleviates dizziness, so I can drive."
The nurse is discussing treatment options with a client newly diagnosed with breast cancer. Which client statement indicates a need for further teaching? A-"If I get radiation, I am not radioactive to others." B-"I might have chemotherapy before surgery." C-"Hormonal therapy is used to prevent cancer growth." D-"Radiation will remove the cancer, so I might not need surgery."
"Radiation will remove the cancer, so I might not need surgery."
When performing an eye or vision assessment, which comment by the client alerts the nurse that immediate care by an ophthalmologist is needed? A-"My vision has been getting worse gradually." B-"One of my eyes is green and the other is blue." C-"My eyes are red and itchy due to allergies." D-"Something hit my eye while I was cutting grass."
"Something hit my eye while I was cutting grass."
A male client's sister was recently diagnosed with colorectal cancer (CRC), and his brother died of CRC 5 years ago. The client asks whether he will inherit the disease. How would the nurse respond? A-"Have you asked your primary health care provider about your chances ?" B-"It is hard to know what can predispose a person to develop a certain disease." C-"The only way to know whether you are predisposed to CRC is by genetic testing." D-"No. Just because they both had CRC doesn't mean that you will have it, too."
"The only way to know whether you are predisposed to CRC is by genetic testing."
The nurse is providing teaching on ways to promote bowel health and disease prevention. Which statement will the nurse include in this teaching? A-"You should start colorectal cancer screening when you are over 70 years of age." B-"You only need to have regular colonoscopies if there is colorectal cancer in your family.' C-"If you perform fecal occult blood tests every 5 years, you don't need a colonoscopy." D-"You should have a colonoscopy every 10 years starting at 45 years of age."
"You should have a colonoscopy every 10 years starting at 45 years of age."
A client who is using eyedrops in both eyes develops a viral infection in one eye. What teaching will the nurse provide? A-"Wash your hands between eyes and put drops in the uninfected eye first." B-"Don't touch the eyes with the dropper, and you can still use the drops in both eyes." C-"The other eye has already likely been infected with the virus." D-"You will need to use a separate bottle of drops for each eye."
"You will need to use a separate bottle of drops for each eye."
A 40-year-old man who has a mother who was diagnosed with breast cancer at age 45, a father who was diagnosed with smoking-related lung cancer at age 55, a 33-year-old sister with breast cancer, and a 38-year-old sister with ovarian cancer, asks if he should be concerned for his cancer risk. What is the nurse's best response? A-"You have two first-degree relatives and two second-degree relatives with cancer, which increases your general risk for cancer." B-"Your risk for breast cancer is increased; however, your risk for lung cancer is not affected by this history." C-"Your risk for cancer is affected by your parents' cancer development; your sisters' cancers have no bearing on your risk." D-"Your risk is not affected by this family history because most of the cancers arose in female sex-associated tissues."
"Your risk for breast cancer is increased; however, your risk for lung cancer is not affected by this history."
Which changes in ADLS are most appropriate for the nurse to suggest to a client newly diagnosed anemia about conserving energy? Which instructions would the nurse give to the client? (Select all that apply.) Select all that apply. -"Cluster your care together to get through them more quickly." -"Accept help from others when you feel especially tired." -"Take a complete bath or shower daily to promote relaxation." -"Stop activity when you feel short of breath or palpitations are present." -"Try eating four to six small, easy-to-eat meals daily instead of three larger -ones." -"Sit instead of standing for some tasks such as cutting vegetables."
-"Accept help from others when you feel especially tired." -"Stop activity when you feel short of breath or palpitations are present." -"Try eating four to six small, easy-to-eat meals daily instead of three larger -ones." -"Sit instead of standing for some tasks such as cutting vegetables."
Which client statements about using an aerosol inhaler for asthma management indicate to the nurse that he has correct understanding of this drug delivery system? (Select all that apply.) Select all that apply. -"I will hold my breath for at least 10 seconds after inhaling the drug." -"When I suspect the canister is close to empty, I will shake it to check how much is left." -"If I use a spacer, I don't have to wait a minute between the two puffs." -"If the spacer makes a whistling sound, I am breathing in too rapidly." -"Rinsing my mouth after using the inhaler and then swallowing the rinse ensures I will get all of the drug."
-"I will hold my breath for at least 10 seconds after inhaling the drug." -"If the spacer makes a whistling sound, I am breathing in too rapidly."
A cousin arrives to visit a client recently diagnosed with leukemia. Which responses will the nurse suggest when the cousin asks, "What should I say to her?" (Select all that apply.) Select all that apply. -"Just talk about the things you usually talk about with her." -"Remind her to be brave and to not cry." -"Ask how she is feeling." -"Explain what you know about leukemia." -"Ask if you can get or do anything for her." -"Express how sorry you are that this has happened to her."
-"Just talk about the things you usually talk about with her." -"Ask how she is feeling." -"Ask if you can get or do anything for her."
A client has undergone transurethral resection of the prostate (TURP). Which intervention does the nurse incorporate in the postoperative plan of care? (Select all that apply.) Select all that apply. -Perform intermittent urinary catheterization every 4 to 6 hours. -Assist to mobilize as soon as permitted. -Encourage urination around the catheter if pressure is felt. -Administer antispasmodic medications. -Place in a supine position with his knees flexed.
-Assist to mobilize as soon as permitted. -Administer antispasmodic medications
A client with benign prostatic hyperplasia is being discharged with a prescription for prazosin. Which teaching will the nurse include? (Select all that apply.) Select all that apply. -Avoid drugs used to treat erection problems. -Take the medication in the afternoon. -Keep all appointments for follow-up laboratory testing. -Hearing tests will need to be conducted periodically. -Be careful when changing positions.
-Avoid drugs used to treat erection problems. -Keep all appointments for follow-up laboratory testing. -Be careful when changing positions.
The nurse has received in report that a client receiving chemotherapy has severe neutropenia. Which intervention does the nurse plan to implement? (Select all that apply.) Select all that apply. -Do not permit fresh flowers or plants in the room. -Do not allow the client's 16-year-old son to visit. -Observe for bleeding. -Teach the client to omit raw fruits and vegetables from the diet. -Administer pegfilgrastim. -Assess for fever.
-Do not permit fresh flowers or plants in the room. -Teach the client to omit raw fruits and vegetables from the diet. -Administer pegfilgrastim. -Assess for fever.
For which side effects of radiation therapy will the nurse prepare the client who has stage II lung cancer? (Select all that apply.) Select all that apply. -Scalp alopecia -Increased risk for infection -Increased bruising -Dry, peeling skin on the chest -Difficulty swallowing -Fatigue
-Dry, peeling skin on the chest -Difficulty swallowing -Fatigue
When caring for a client who has had a colostomy created during treatment for colon cancer, which nursing actions help support the client in accepting changes in appearance or function? (Select all that apply.) Select all that apply. -Encourage the client to participate in changing the ostomy. -Encourage the client and family members to express their feelings and concerns. -Offer to have a person who is coping with a colostomy visit with the client. -Explain to the client that the colostomy is only temporary. -Obtain a psychiatric consultation.
-Encourage the client to participate in changing the ostomy. -Encourage the client and family members to express their feelings and concerns. -Offer to have a person who is coping with a colostomy visit with the client.
The nurse is teaching a client undergoing radiation therapy for laryngeal cancer. Which potential side effects will the nurse include? (Select all that apply.) Select all that apply. -Fatigue -Difficulty urinating -Change in taste -Difficulty swallowing -Changes in hair color -Changes in skin of the neck
-Fatigue -Change in taste -Difficulty swallowing -Changes in skin of the neck
The nurse is assessing a client with recent changes in hearing. After taking a medication history, which drug does the nurse identify as a possible cause of the client's hearing change? (Select all that apply.) Select all that apply. -Furosemide -Acetaminophen -Insulin -Ibuprofen -Erythromycin -Atenolol
-Furosemide -Ibuprofen -Erythromycin
A client is diagnosed with melanoma. Which areas would the nurse anticipate that this client's tumor might metastasize? (Select all that apply.) Select all that apply. -Kidneys -Liver -Gastrointestinal tract -Lymph nodes -Brain -Lungs
-Gastrointestinal tract -Lymph nodes -Brain -Lungs
Which actions or behaviors represent to the nurse that a client is engaging in secondary cancer prevention practices? (Select all that apply.) Select all that apply. -Eating a diet high in fiber and low in animal fat -Having a health checkup, including chest x-ray, annually -Obtaining a colonoscopy every 5 years -Electing to have both ovaries removed a person who has a BRCA2 mutation -Getting a mammogram or breast MRI annually -Having a mole removed from the neck
-Having a health checkup, including chest x-ray, annually -Getting a mammogram or breast MRI annually
Which conditions does the nurse teach a client are some of the seven warning signs of cancer? (Select all that apply.) Select all that apply. -Heavy nosebleeds independent of trauma to the nasal mucosa -Menstrual bleeding that has decreased -Increased pigmentation with deeper coloring in a mole -Difficulty starting the stream of urine for the past 6 months -Indigestion regardless of food type eaten -Thickening of breast tissue in one area
-Heavy nosebleeds independent of trauma to the nasal mucosa -Increased pigmentation with deeper coloring in a mole -Difficulty starting the stream of urine for the past 6 months -Indigestion regardless of food type eaten -Thickening of breast tissue in one area
The community health nurse is providing education to a group of women about risks for breast cancer. Which factor will the nurse include in the education session? (Select all that apply.) Select all that apply. -High breast density -First child at age 25 -Male with gynecomastia -Nulliparity -Middle-age woman
-High breast density -Nulliparity
Which systemic disorder may affect vision and require yearly eye examination by an ophthalmologist? (Select all that apply.) Select all that apply. -Hypertension -Diabetes mellitus -Hepatitis -Anemia -Multiple sclerosis (MS)
-Hypertension -Diabetes mellitus -Multiple sclerosis (MS)
Which features will the nurse expect to be present in a client who has long-term chronic obstructive pulmonary disease? (Select all that apply.) Select all that apply. -Increased anteroposterior chest diameter from air-trapping -Respiratory acidosis with a low pH -Poor gas exchange from decreased alveolar surface area -Increased eosinophil count -Hypercapnia from retained PaCO2 -Arterial blood gas value with increased PaO2 level
-Increased anteroposterior chest diameter from air-trapping -Respiratory acidosis with a low pH -Poor gas exchange from decreased alveolar surface area -Hypercapnia from retained PaCO2
Which lab values would the nurse expect to see for a client with sickle cell disease? (Select all that apply.) Select all that apply. -Decreased total bilirubin -Increased hematocrit -Decreased iron levels -Increased reticulocyte count -Elevated total white blood cell count -80% hemoglobin S
-Increased reticulocyte count -Elevated total white blood cell count -80% hemoglobin S
The nurse is reviewing medications that can be used for female clients who have constipation-predominant irritable bowel syndrome (IBS). Which drugs are available for this health problem? (Select all that apply.) Select all that apply. -Lubiprostone -Cetuximab -5-fluorouracil -Psyllium hydrophilic mucilloid -Linaclotide
-Lubiprostone -Psyllium hydrophilic mucilloid -Linaclotide
Which common cancers will the nurse inform clients are related to tobacco use? (Select all that apply.) Select all that apply. -Lung cancer -Cancer of the larynx -Bladder cancer -Cancer of the tongue -Skin cancer -Cardiac cancer
-Lung cancer -Cancer of the larynx -Bladder cancer -Cancer of the tongue
After returning from transurethral resection of the prostate, the client's urine in the continuous bladder irrigation system is a burgundy color. Which client needs does the nurse anticipate will be prescribed after the surgeon sees the client? (Select all that apply.) Select all that apply. -Encouragement of oral fluids -Emergency surgery -Monitoring for anemia -Antispasmodic drugs -Increased intermittent irrigation
-Monitoring for anemia -Antispasmodic drugs
Question 16 of 18 Which client assessment findings indicate to the nurse that leukemia may be present? (Select all that apply.) Select all that apply. -Multiple bruises -Night sweats -Severe epistaxis -Fever -Frequent colds -Fatigue
-Multiple bruises -Night sweats -Fever -Frequent colds -Fatigue
The nurse is teaching a client with a newly created colostomy about foods to limit or avoid because of flatulence or odors. Which foods should be avoided? (Select all that apply.) Select all that apply. -Mushrooms -Peas -Onions -Broccoli -Buttermilk -Yogurt
-Mushrooms -Peas -Onions -Broccoli
The nurse is teaching the client about skin protection during radiation therapy. What teaching will the nurse include? (Select all that apply.) Select all that apply. -Protect the area by wearing clothing. -Avoid all lotions to the area. -Avoid exposure to sun and heat. -Do not remove the ink markings on your skin -Try to take walks in the early morning or later evening. -Do not wash the irradiated area.
-Protect the area by wearing clothing. -Avoid exposure to sun and heat. -Do not remove the ink markings on your skin -Try to take walks in the early morning or later evening.
The nurse providing education on eye protection suggests protective eyewear for which client? (Select all that apply.) Select all that apply. -Racquetball player -Lifeguard -Cab driver -Registered nurse -College student
-Racquetball player -Lifeguard -Cab driver -Registered nurse -College student
The nurse is teaching a client how to perform breast self-examination (BSE). Which of these techniques does the nurse include in the teaching session? (Select all that apply.) Select all that apply. -Perform the self-examination 1 week before a menstrual period. -Teach to keep her arm by her side while performing the examination. -Remind that a clinical breast examination and mammography are still recommended. -Use light, medium, and then firm pressure to feel the tissue. -A bra can be left in place during the self-examination.
-Remind that a clinical breast examination and mammography are still recommended. -Use light, medium, and then firm pressure to feel the tissue.
Which client does the nurse identify that is at high risk for developing hearing problems? (Select all that apply.) Select all that apply. -Teenager listening to music using ear buds -Airline mechanic -Drummer in a rock band -Client with Down syndrome -Telephone operator
-Teenager listening to music using ear buds -Airline mechanic -Drummer in a rock band -Client with Down syndrome
The nurse is educating a group of young men about testicular self-examination (TSE). Which statement by a member of the group indicates teaching has been effective? A-"I will squeeze each testicle in my hand to feel any abnormalities." B-"I will examine my testicles right before taking a shower." C-"I will look and feel for any lumps or changes to my testes." D-"I only need to report large masses to my primary health care provider."
"I will look and feel for any lumps or changes to my testes."
A client is to undergo gonioscopy. When the client asks what this test is for, what is the appropriate nursing response? A-"This test creates a three-dimensional view of the back of the eye." B-"Retinal circulation is evaluated by this test." C-"The ophthalmologist uses the test to determine if you have open-angle or closed-angle glaucoma." D-"This method of testing will determine if you have blood vessel changes due to disease or drugs."
"The ophthalmologist uses the test to determine if you have open-angle or closed-angle glaucoma."
Which instruction is most appropriate for the nurse to teach a client with persistent thrombocytopenia who is being discharged? A-"Use a soft-bristled toothbrush." B-"Avoid large crowds." C-"Drink at least 2 L of fluid per day." D-"Elevate your lower legs when sitting."
"Use a soft-bristled toothbrush."
When caring for the client receiving chemotherapy, which signs or symptoms related to thrombocytopenia should the nurse report to the health care provider? (Select all that apply.) Select all that apply. -Bruises -Fever -Epistaxis -Pallor -Petechiae
-Bruises -Epistaxis -Petechiae
The nurse is teaching a group of clients with irritable bowel syndrome (IBS) about complementary and alternative therapies. What does the nurse suggest as possible treatment modalities? (Select all that apply.) Select all that apply. -Yoga -Acupuncture -Peppermint oil capsules -Decreasing physical activities -Meditation
-Yoga -Acupuncture -Peppermint oil capsules -Meditation
A 74-year-old client recovering from lung cancer surgery tells the nurse, "I don't understand why I have lung cancer. I have never even touched a cigarette." Which factor may explain the cause? A-A history of cardiac disease B-Advancing age C-A history of military service D-A diagnosis of diabetes
Advancing age
A client who is undergoing chemotherapy for breast cancer reports problems with concentration and memory. Which nursing intervention is indicated at this time? A-Explain that this occurs in some clients and is usually permanent. B-Inform the client that a small glass of wine may help her relax. C-Protect the client from infection. D-Allow the client an opportunity to express her feelings.
Allow the client an opportunity to express her feelings.
The nurse recognizes that a client's hemangiosarcoma originated in which tissue? A-Epithelial tissue B-Blood vessel C-Skeletal muscle D-Cartilage
Blood vessel
Which laboratory finding does the nurse expect in a client who has metastatic lung cancer and new-onset back pain? A-Hypernatremia B-Hypercalcemia C-Hyperglycemia D-Hyperkalemia
Hypercalcemia
When caring for a client receiving chemotherapy, the nurse plans care during the nadir of bone marrow activity to prevent which complication? A-Infection B-Drug toxicity C-Polycythemia D-Dose-limiting side effects
Infection
Which problem experienced by a man with late-stage lung cancer is the priority for immediate action by the nurse? A-Anorexia and weight loss B-Pain rating of 9 on a 0-10 scale C-Constipation for 2 days D-Extreme fatigue
Pain rating of 9 on a 0-10 scale
Which action will the nurse to perform first when caring for a female client who is in sickle cell crisis? A-Asking the client about possible triggers B-Teaching the client about barrier forms of contraception C-Ensuring adequate oral and IV fluid intake D-Providing pain medication
Providing pain medication
With which member of the interprofessional team will the nurse collaborate when providing instructions for a client who has anemia cause by vitamin B12 acid deficiency? A-Registered dietitian nutritionist B-Mental health professional C-Physical therapist D-Wound care specialty nurse
Registered dietitian nutritionist
Which complication will the nurse assess for first in any client with cystic fibrosis (CF)? A-Respiratory infection B-Pneumothorax C-Weight loss D-Osteoporosis
Respiratory infection
The nurse teaches a client that intraperitoneal chemotherapy will be delivered to which part of the body? A-Lung B-Veins of the legs C-Abdominal cavity D-Heart
Abdominal cavity
The emergency nurse is assigned to care for four clients. Which client does the nurse see first? A-Young adult with a swollen, painful scrotum who has a recent history of mumps infection B-Older adult with a history of benign prostatic hyperplasia and palpable bladder distention C-Middle-age adult discharged 2 days ago after a TURP with hematuria D-Adolescent with an erection for "10 or 11 hours" who is reporting severe pain
Adolescent with an erection for "10 or 11 hours" who is reporting severe pain
The nurse is caring for a client who is receiving rituximab for treatment of lymphoma. During the infusion, it is essential for the nurse to observe for which side effect? A-Alopecia B-Fever C-Allergy D-Chills
Allergy
The nurse is caring for a client with hyperuricemia associated with tumor lysis syndrome (TLS). Which medication does the nurse anticipate being prescribed? A-Radioactive iodine-131 B-Allopurinol C-Recombinant erythropoietin D-Potassium chloride
Allopurinol
The nurse has just received report on a group of clients. Which client is the nurse's first priority? A-A 32 year old with pernicious anemia who needs a vitamin B12 injection B-A 40 year old with iron deficiency anemia who needs an iron dextran infusion C-A 67 year old with acute myelocytic leukemia with petechiae on both legs D-An 81 year old with thrombocytopenia and an increase in abdominal girth
An 81 year old with thrombocytopenia and an increase in abdominal girth
An older adult client comes in for a routine visit. During the assessment he appears frustrated and says, "Speak up and quit mumbling!" What is the appropriate nursing response? A-Suggests moving to a soundproof examination room. B-Shout to ensure that the client can hear. C-Ask if the client has hearing loss. D-Apologize and speak louder and clearer.
Apologize and speak louder and clearer.
A client who has undergone breast surgery is struggling her sexuality. How will the nurse address the client's concerns? A-Remind the client the she needs to avoid sexual intercourse at this time. B-Ask the client if she is using her surgery as an excuse not to avoid intercourse. C-Give the client a business card for a local counselor. D-Ask the client about satisfaction with sexual relations with her partner.
Ask the client about satisfaction with sexual relations with her partner.
A client has a nasogastric tube (NGT) connected to low continuous suction. What is the nurse's priority to ensure client safety? A-Assess for peristalsis at least once every 8 to 12 hours. B-Assess placement of the NGT for placement every 4 hours. C-Measure the gastric drainage every 8 to12 hours and document. D-Monitor the nasal skin and membranes around the tube for irritation.
Assess placement of the NGT for placement every 4 hours
Which cancer screening or prevention activity is most important for the nurse to include when assessing a 20-year-old client who has Down syndrome? A-Assessing his skin for bruises and petechaie B-Teaching him how to perform self-testicular examination C-Testing his stool for occult blood D-Encouraging him to eat more fruit and leafy, green vegetables
Assessing his skin for bruises and petechaie
What is the appropriate action for the nurse to take when a client's leukocyte count is 8200/mm3 (8.2 × 109/L) 8 weeks after hematopoietic stem cell transplantation for leukemia? A-Notifying the hematologic health care provider immediately B-Reminding the client to avoid crowds and people who are ill C-Documenting the report as the only action D-Assessing the client for other symptoms of infection
Assessing the client for other symptoms of infection
Which assessment findings in a client with asthma indicate to the nurse that the client's asthma condition is deteriorating and progressing toward respiratory failure? A-Audible wheezing with use of accessory muscles on inhalation B-Crackles, rhonchi, and productive cough with yellow sputum C-Tachypnea, thick and tenacious sputum, and hemoptysis D-Respiratory alkalosis; slow, shallow respiratory rate
Audible wheezing with use of accessory muscles on inhalation
Which precaution is most important for the nurse to teach a patient with leukemia to prevent an infection by cross-contamination? A-Reporting any burning on urination immediately B-Taking antibiotics exactly as prescribed C-Avoiding crowds and people who are ill D-Performing mouth care three times daily
Avoiding crowds and people who are ill
A client is struggling with body image after breast cancer surgery. Which behavior indicates to the nurse that the client's coping is maladaptive? A-Requesting a temporary prosthesis B-Avoiding eye contact with staff C-Saying, "I feel like less of a woman" D-Saying, "This is the ugliest scar ever"
Avoiding eye contact with staff
Which condition or event within the past 24 hours will the nurse identify as a possible cause of the current crisis episode in a client with sickle cell disease (SCD)? A-Participating in an archery tournament B-Spraining a wrist while stopping a fall C-Binge-drinking wine at a party D-Engaging in sexual intercourse
Binge-drinking wine at a party
A 48-year-old woman with the BRCA genetic mutation requests information about early detection for her daughter due to genetic risk. Which information will the nurse convey? A-Breast self-examination (BSE) beginning at 20 years of age is the best way to detect breast cancer. B-Hormone replacement therapy (HRT) combining estrogen and progesterone may be recommended by your daughter's primary health care provider. C-Cancer screening for the daughter would begin at age 38. D-The health care provider will discuss prophylactic mastectomy as the definitive option for prevention.
Cancer screening for the daughter would begin at age 38.
A client who has colorectal cancer is scheduled for a colostomy. Which referral is initially the most important for this client? A-Home health nursing agency B-Social worker C-Certified Wound, Ostomy, and Continence Nurse (CWOCN) D-Hospital chaplain
Certified Wound, Ostomy, and Continence Nurse (CWOCN)
Which client being cared for on the medical-surgical unit is appropriate for the nurse to assign to a nurse who has floated from the intensive care unit (ICU)? A-Recent radical mastectomy client requiring chemotherapy administration B-Modified radical mastectomy client needing discharge teaching C-Client with a Jackson-Pratt drain who had a mastectomy yesterday D-Stage III breast cancer client requesting information about radiation and chemotherapy
Client with a Jackson-Pratt drain who had a mastectomy yesterday
The RN working on an oncology unit has just received report on these clients. Which client will the nurse assess first? A-Client with lymphoma who will need administration of an antiemetic before receiving chemotherapy. B-Client with metastatic breast cancer who is scheduled for external beam radiation in 1 hour. C-Client with xerostomia associated with laryngeal cancer who needs oral care before breakfast. D-Client with chemotherapy-induced neutropenia who has just been admitted with an elevated temperature.
Client with chemotherapy-induced neutropenia who has just been admitted with an elevated temperature.
The nurse is caring for four clients with eye concerns. Which client, who has a family history of an eye disorder, does the nurse identify at risk for increased intraocular pressure (IOP)? A-Client with family history of diabetic retinopathy B-Client with family history of anisocoria C-Client with family history of presbyopia D-Client with family history of glaucoma
Client with family history of glaucoma
The nurse has just received change-of-shift report about these clients. Which client will the oncoming nurse assess first? A-Client who has had removal of an acoustic neuroma and has complete hearing loss on the surgical side. B-Client with Ménière's disease who is reporting severe nausea and is requesting an antiemetic. C-Client who has acute otitis media and is reporting drainage from the affected ear. D-Client with labyrinthitis who has a temperature of 102.4° F (39.1° C) and a headache
Client with labyrinthitis who has a temperature of 102.4° F (39.1° C) and a headache
Which instruction is appropriate for the nurse to convey to the client with chemotherapy-induced neuropathy? A-Consume a diet high in fiber. B-Bathe in cold water. C-Wear cotton gloves when cooking. D-Make sure shoes are snug.
Consume a diet high in fiber.
Which complication does the nurse suspect when a client with severe chronic obstructive pulmonary disease COPD has new-onset increased fatigue, dependent edema, neck vein distension, and oral cyanosis? A-Lung cancer B-Cor pulmonale C-Pneumonia D-Asthma
Cor pulmonale
Which changes in arterial blood gas (ABG) values will the nurse expect in a client with long-term chronic obstructive pulmonary disease (COPD)? A-Decreased pH; Decreased PaO2; Increased PaCO2; Increased bicarbonate level B-Increased pH; increased PaO2; increased PaCO2; Increased bicarbonate level C-Increased pH; increased PaO2; increased PaCO2; decreased bicarbonate level D-Decreased pH; decreased PaO2; decreased PaCO2; decreased bicarbonate level
Decreased pH; Decreased PaO2; Increased PaCO2; Increased bicarbonate level
Which assessment finding will the nurse associate as a complication of a client having three episodes of sickle cell crisis in the past 3 months? A-Deeply yellowed sclera B-Worsening hypertension C-Several episodes of priapism D-Increased deep tendon reflexes
Deeply yellowed sclera
Which drugs does the nurse anticipate giving as premedication to client who is to receive a pooled platelet transfusion and has had a previous transfusion reaction? A-Vitamin K and a diuretic B-Diphenhydramine and acetaminophen C-Aspirin and hydroxyurea D-Hydrocortisone and antihypertensives
Diphenhydramine and acetaminophen
What is the nurse's interpretation of when the blood laboratory values a client who has chronic myelogenous leukemia (CML) shows a high percentage of blast cells and promyelocytes? A-Infection risk is decreasing. B-Disease is progressing. C-Leukemia type is now lymphocytic. D-Drug therapy is effective.
Disease is progressing.
Which new-onset symptom in a client with sickle cell disease (SCD) will the nurse report immediately to the health care provider to prevent harm? A-Distention of neck veins in the sitting position B-Itching of the extremities C-Priapism lasting 30 minutes D-Increased urinary output
Distention of neck veins in the sitting position
An older adult client reports ear pain. Which assessment finding will the nurse report as the priority to the health care provider? A-Pain on movement of the tragus B-Dizziness C-Dry, flaky cerumen D-Ringing in the ears
Dizziness
Which action is most appropriate for the nurse to take first when the water seal chamber of the chest drainage device in a client who had a lobectomy has small bubbles when the client coughs the appropriate action by the nurse? A-Add additional sterile water to the water seal chamber B-Checking the tubing for blood clots C-Briefly increasing the amount of suction D-Documenting the finding in the medical record
Documenting the finding in the medical record
When preparing to examine an ear with drainage, what is the appropriate nursing action? A-Give the client a gown to wear during the examination. B-Provide reassurance that ear drainage is normal. C-Begin testing at 1000 Hz. D-Don clean gloves.
Don clean gloves.
The nurse is caring for a client who is admitted with mastoiditis. Which nursing action is appropriate? A-Don gloves to examine the pinna. B-Prepare to administer IV antibiotics C-Perform a baseline hearing assessment. D-Teach about Swim-Ear to dry the ears better.
Don gloves to examine the pinna.
Which action will the nurse perform first when caring for a client with neutropenia who has a suspected infection? A-Administering prescribed antibiotics B-Administering IV normal saline for hydration C-Placing the client on Contact Precautions D-Drawing blood for cultures
Drawing blood for cultures
Which action will the nurse teach a client with chronic bronchitis to use to mobilize secretions? A-Drinking at least 2 L of fluid daily B-Avoiding triggers that cause coughing C-Elevating the head of the bed 45 degrees D-Assuming the tripod position as often as possible
Drinking at least 2 L of fluid daily
A client tells the nurse in the gynecology clinic that she doesn't get a yearly mammogram because she is afraid of what might be found. Which teaching will the nurse provide? A-People with low breast cancer risk can obtain an MRI instead. B-Detection of breast cancer before or after axillary node invasion yields the same outcome. C-Mammography is needed only if the client has a first-degree relative with breast cancer. D-Early detection is important, as localized breast cancer has a 99% 5-year survival rate
Early detection is important, as localized breast cancer has a 99% 5-year survival rate
A client with a family history of colorectal cancer (CRC) regularly sees a primary health care provider for early detection of any signs of cancer. Which laboratory result may be an indication of CRC in this client? A-Decrease in liver function test results B-Elevated carcinoembryonic antigen C-Negative test for occult blood D-Elevated hemoglobin levels
Elevated carcinoembryonic antigen
A young adult with testicular cancer is admitted for unilateral orchiectomy and retroperitoneal lymph node dissection. Which task will the nurse delegate to assistive personnel (AP)? A-Discuss reproductive options with the client and significant other. B-Evaluate the client's understanding of chemotherapy and radiation treatment. C-Encourage the client to cough and deep-breathe after surgery. D-Teach about the availability of a gel-filled silicone testicular prosthesis.
Encourage the client to cough and deep-breathe after surgery.
When educating a client with B-cell lymphoma, a nurse tells the client that a virus can contribute to the development of their cancer. Which virus is linked with B-cell lymphoma? A-Human lymphotrophic virus type II B-Human papilloma virus C-Epstein-Barr virus D-Hepatitis B virus
Epstein-Barr virus
Which eye procedure requires the nurse to assure that informed consent has been obtained from the client? A-Ophthalmoscopy B-Fluorescein angiography C-Snellen test D-Eyedrop instillation
Fluorescein angiography
Which drug does the nurse anticipate will be prescribed for a client with Ménière disease to decrease endolymph volume? A-Atorvastatin B-Furosemide C-Ibuprofen D-Doxazosin
Furosemide
The oncology nurse is caring for a group of clients receiving chemotherapy. The client with which sign/symptom is displaying bone marrow suppression? A-Hemoglobin of 7.4 g/dL (74 mmol/L) and hematocrit of 21.8% B-5000 white blood cells/mm3 (5 × 109/L) C-250,000 platelets/mm3 (250 × 109/L) D-Potassium level of 2.9 mEq/L (2.9 mmol/L) and diarrhea
Hemoglobin of 7.4 g/dL (74 mmol/L) and hematocrit of 21.8%
Which electrolyte imbalance will the nurse expect to find in a client with polycythemia vera (PV)? A-Hyperkalemia B-Hypokalemia C-Hyponatremia D-Hypernatremia
Hyperkalemia
Which signs and symptoms in an older client receiving a blood transfusion indicate to the nurse that the client is experiencing transfusion-associated circulatory overload (TACO)? A-Urticaria, itching, and bronchospasm B-Hypertension, bounding pulse, and distended neck veins C-Headache, chest pain, and hemoglobinuria D-Fever, chills, and tachycardia
Hypertension, bounding pulse, and distended neck veins
For which side effect will the nurse monitor a client with pulmonary arterial hypertension (PAH) who is receiving endothelin receptor antagonist therapy? A-Hypotension B-Increased clot formation C-Sepsis D-Decreased urine output
Hypotension
A client with erectile dysfunction has been prescribed a PDE-5 inhibitor. Which client statement demonstrates that nursing teaching about the medication has been effective? A-"I have to be sure to be careful when I sit up or stand up." B-"I can drink a little bit of alcohol before intercourse to help me out." C-"I will have my partner take this medication about 30 minutes before intercourse." D-"I need to increase fiber in my diet to avoid constipation."
I have to be sure to be careful when I sit up or stand up.
The nurse is teaching an older client how to prevent a stool impaction that can obstruct the intestines. Which statement by the client indicates a need for further teaching? A-"I will drink lots of fluids every day, especially water." B-"I will increase my exercise, especially walking, every day." C-"I will be sure to take a laxative every night to keep my bowels moving." D-"I will try to eat more high-fiber foods, such as raw vegetables and whole grains."
I will be sure to take a laxative every night to keep my bowels moving."
The nurse is instructing a client with breast cancer who will be undergoing chemotherapy about the side effects of doxorubicin. Which teaching will the nurse provide? A-Report any symptoms of fatigue, cough, or edema to the oncologist. B-There are very few side effects associated with this agent. C-Doxorubicin is a type of selective estrogen receptor modulator (SERM). D-If side effects arise, they begin within 2 days of chemotherapy administration.
If side effects arise, they begin within 2 days of chemotherapy administration.
Which laboratory trend indicates to the nurse that drug therapy with hydroxyurea is effective in the client who has sickle cell (SCD)? A-Increasing hemoglobin-F levels B-Decreasing blood osmolarity C-Increasing platelet levels D-Increasing blood iron levels
Increasing hemoglobin-F levels
Which medication will the nurse prepare to administer to a client who is in sickle cell crisis and requests "something for pain"? A-Intramuscular (IM) meperidine B-Intravenous (IV) hydromorphone C-Oral ibuprofen D-Oral morphine sulfate
Intravenous (IV) hydromorphone
A client is admitted to the emergency department with metal shards in the right eye. Which diagnostic test ordered by the health care provider does the nurse question? A-Radioisotope scanning B-Snellen chart C-Magnetic resonance imaging (MRI) D-Ophthalmoscopy
Magnetic resonance imaging (MRI)
The nurse is caring for a client receiving chemotherapy who reports anorexia. Which measure does the nurse use to best monitor for cachexia? A-Observe for motor deficits. B-Monitor weight. C-Monitor platelets. D-Trend red blood cells and hemoglobin and hematocrit.
Monitor weight.
Which action is most important for a nurse to take to prevent complications for a client with a history of chronic obstructive pulmonary disease (COPD) is admitted for a surgical procedure that is unrelated to the respiratory system? A-Assessing the client's respiratory system every 8 hours B-Instructing the client to use a tissue when coughing or sneezing C-Monitoring for signs and symptoms of pneumonia D-Ensuring the client remains in bed for a full 24 hours after surgery
Monitoring for signs and symptoms of pneumonia
Which cancer type does the nurse interpret from a client's pathology report that indicates "stage 2 rhabdomyosarcoma"? A-Muscle B-Brain C-Bone D-Breast
Muscle
A nurse is giving a group presentation on cancer prevention and factors that cause cancer. Which statement by a client indicates understanding the education provided? A-Nearly 1/3 of cancers in the United States are related to tobacco use." B-Red meat helps to prevent cancer development." C-If I eat a healthy diet and exercise I will not develop cancer." D-Most cancer is hereditary."
Nearly 1/3 of cancers in the United States are related to tobacco use
The nurse at the gynecology clinic is examining a woman's breasts. Which assessment finding requires immediate notification of the primary health care provider? A-Backache and breast fungal infection B-Ill-defined painful rubbery lump in the outer breast quadrant C-A 1-cm freely mobile rubbery mass discovered by the client D-Nipple discharge and dimpling
Nipple discharge and dimpling
While reading a client's optical chart, the nurse notices that the client has emmetropia. Which assessment findings does the nurse anticipate? A-No corrective lenses; this is a normal finding B-Reading glasses C-Contact lenses D-Bilateral eye patches
No corrective lenses; this is a normal finding
Which assessment finding of a newly admitted client with thrombocytopenia requires immediate action by the nurse? A-Elevated temperature B-Pain rating of 8 on a 0 to 10 scale C-Nosebleed D-Decreased urine output
Nosebleed
Which action will the nurse teach an older client with a respiratory problem to make as an accommodation to promote adequate gas exchange? A-Notify your primary health care provider at the first sign of respiratory infection. B-If you must walk any distance in cool weather move quickly to keep warm. C-Replace at least one meal each day with a high-calorie liquid food supplement. D-Avoid any nonessential physical activity or exercise.
Notify your primary health care provider at the first sign of respiratory infection
Which medication does the nurse plan to administer to a client before chemotherapy to decrease the incidence of nausea and vomiting? A-Naloxone B-Ondansetron C-Diazepam D-Morphine
Ondansetron
Which assessment finding is the priority for the nurse to report to the health care provider? A-Painless testicular lump B-Penile discharge C-Hematuria D-Decrease increase in libido
Painless testicular lump
How will the nurse categorize the level of asthma control for a client who reports usually waking at night with wheezing once weekly and needing to use the prescribed reliever inhaler to stop the episode? A-Minimally controlled B-Partly controlled C-Controlled D-Uncontrolled
Partly controlled
What effect does a "passenger" mutation in a gene have on cancer development? A-Passenger mutations do not affect cancer development but can serve as targets for specific cancer therapies. B-These mutations enhance the effectiveness of carcinogens causing direct DNA damage of a normal cell, increasing the likelihood of cancer development. C-These mutations protect against cancer development by reversing the effects of initiation. D-Passenger mutations are another term for proto-oncogene gene mutations.
Passenger mutations do not affect cancer development but can serve as targets for specific cancer therapies
Which nursing action is most effective in reducing the potential for sepsis while caring for a client who has sickle cell disease (SCD)? A-Monitoring for abnormal laboratory values B-Checking vital signs every 4 hours C-Performing frequent and thorough handwashing D-Administering prophylactic drug therapy
Performing frequent and thorough handwashing
What is the priority action for the nurse to take when a client comes to the emergency department with extremely labored breathing and a history of asthma that is unresponsive to prescribed inhalers? A-Establishing IV access to give emergency medications. B-Asking the client how long he or she has had asthma and what triggered this attack C-Preparing the client for intubation D-Placing the client in a high-Fowler position, and starting oxygen
Placing the client in a high-Fowler position, and starting oxygen
Which serum electrolyte will the nurse monitor most closely in a client who receiving four units of packed red blood cells (PRBCs) over the next 12 hours? A-Chloride B-Sodium C-Calcium D-Potassium
Potassium
Which client problem does the nurse determine as the priority for the client experiencing chemotherapy-induced peripheral neuropathy? A-Potential for injury related to sensory and motor deficits B-Altered sexual function related to erectile dysfunction C-Potential for lack of understanding related to side effects of chemotherapy D-Potential for ineffective coping strategies related to loss of motor control
Potential for injury related to sensory and motor deficits
What will the nurse include in teaching to assist the client with BPH to address incontinence? A-Perform routine self-catheterization and bladder retraining. B-Practice Kegel exercises to improve muscle control. C-Request a prescription for sildenafil. D-Use analgesic medications as needed to maintain comfort.
Practice Kegel exercises to improve muscle control.
A client with an intestinal obstruction has pain that changes from a "colicky" intermittent type to constant discomfort. After a complete assessment, what action would the nurse plan implement at this time? A-Change the nasogastric suction level from "intermittent" to "continuous." B-Administer medication for pain based on the client's pain level. C-Position the client in a semi- or high-Fowler position. D-Prepare the client for emergency surgery in collaboration with the health team.
Prepare the client for emergency surgery in collaboration with the health team
When caring for the client with chemotherapy-induced mucositis, which intervention will be most helpful? A-Providing oral care with a disposable mouth swab B-Maintaining NPO until the lesions have resolved C-Encouraging oral care with commercial mouthwash D-Administering a biological response modifier
Providing oral care with a disposable mouth swab
Which collaborative problem will the nurse consider to have the highest priority when caring for a client with multiple myeloma? A-Minimizing the side effects of chemotherapy B-Helping the client conserve energy C-Providing pain control D-Protecting the client from infection
Providing pain control
Which foods will the nurse help the client with vitamin B12 deficiency to increase in the diet? A-Grains B-Unsaturated fats C-Red meat D-Starchy vegetables
Red meat
A 67-year-old male client with no surgical history reports pain in the inguinal area that occurs when he coughs. A bulge that can be pushed back into the abdomen is found in his inguinal area. What type of hernia does he have? A-Reducible B-Strangulated C-Incarcerated D-Femoral
Reducible
A client recently diagnosed with Ménière's disease reports ongoing tinnitus, and difficulty coping, despite treatment. How does the nurse provide support to this client? A-Contact the health care provider. B-Refer the client to the American Tinnitus Association. C-Suggest removing ear-mold hearing aids. D-Conduct further assessment.
Refer the client to the American Tinnitus Association
The nurse is caring for a client with end-stage ovarian cancer who needs clarification on the purpose of palliative surgery. Which outcome will the nurse teach the client is the goal of palliative surgery? A-Prolonging the client's survival time B-Relief of symptoms or improved quality of life C-Allowing other therapies to be more effective D-Cure of the cancer
Relief of symptoms or improved quality of life
Which point is most important to prevent harm for the nurse to teach a client with chronic obstructive pulmonary disease (COPD) who is being discharged on home oxygen th? A-Correct performance when setting up the oxygen delivery system B-Understanding the signs and symptoms of hypoxemia C-Demonstrating how to use a pulse oximetry device D-Removing combustion hazards present in the home
Removing combustion hazards present in the home
Which action is most important for the nurse to take when a client with chronic obstructive pulmonary disease who is taking a cholinergic antagonist now reports nausea, blurred vision, headache, and inability to sleep? A-Reporting the symptoms to the primary health care provider immediately B-Asking the client to explain the exact techniques he or she uses when taking the drug C-Requesting an order to draw blood to determine the drug level D-Reminding the client that these side effects are normal and not to worry
Reporting the symptoms to the primary health care provider immediately
A client reports taking a supplement that his partner recommended for benign prostatic hyperplasia (BPH). Which supplement does the nurse anticipate the client is taking? A-Magnesium B-Calcium C-Saw palmetto D-Feverfew
Saw palmetto
Question 17 of 18 Which warning signs of cancer would the nurse specifically teach in a wellness course directed to a group of older adults? (Select all that apply.) Select all that apply. -Persistent hoarseness -Severe heartburn -Chronic diarrhea -Loss of skin turgor -Curd-like vaginal discharge -Difficulty swallowing with meals
Select all that apply. -Persistent hoarseness -Severe heartburn -Chronic diarrhea -Difficulty swallowing with meals
The nurse is caring for a client who had an anterior-posterior surgical resection for colorectal cancer this morning. What will the nurse anticipate as the client's priority problem at this time? A-Intestinal obstruction B-Nausea and vomiting C-Severe pain D-Constipation
Severe pain
The nurse is caring for a client undergoing mastectomy who asks the nurse about breast reconstruction. Which of these will the nurse include in the discussion? A-Reconstruction of the nipple-areola complex is the first stage in reconstruction. B-Prostheses are not recommended because of the nature of the surgery. C-Reconstruction cannot take place until several months after a mastectomy. D-Some women want breast reconstruction using their own tissue.
Some women want breast reconstruction using their own tissue.
Which outcome indicates to the nurse that oxygen therapy for the client with chronic obstructive pulmonary disease (COPD) who has hypoxemia and hypercarbia is effective? A-PCO2 is within normal range. B-Finger clubbing has resolved. C-Client reports decreased distress. D-SpO2 is between 88% and 90%.
SpO2 is between 88% and 90%
Which action with the nurse take to prevent harm when prescribed to administer an IV antibiotic to a client with pulmonary artery hypertension (PAH) who is being managed with a continuous prostacyclin agonist infusion? A-Requesting a prescription for an oral antibiotic B-Starting a peripheral IV access to use for administering the antibiotic C-Stopping the prostacyclin agonist infusion for 15 minutes to administer the IV antibiotic D-Administering the IV antibiotic through the continuous infusion's side port
Starting a peripheral IV access to use for administering the antibiotic
Why will the nurse administer vitamin supplements to a client who has cystic fibrosis (CF)? A-Clients are too fatigued to ingest sufficient vitamins and nutrients. B-Steatorrhea causes a deficiency of fat-soluble vitamins. C-Increased blood levels of vitamins enhance chloride transport activity. D-High doses of vitamins can slow the progression of the disease.
Steatorrhea causes a deficiency of fat-soluble vitamins.
An older adult client reports nausea during irrigation of the ear canal to remove impacted cerumen. What is the appropriate nursing action? A-Administer an antiemetic. B-Use less water to irrigate. C-Call the health care provider. D-Stop irrigation immediately.
Stop irrigation immediately
Which action is the first priority for the nurse to take when a client who is receiving a blood transfusion suddenly says, "I don't feel right!"? A-Applying oxygen B-Obtaining vital signs and monitoring for changes C-Initiating the Rapid Response Team D-Stopping the transfusion
Stopping the transfusion
Which client circumstance would prompt the nurse to create a three-generation pedigree to more fully explore the possibility of increased genetic risk for cancer? A-Smoked for 20 years but quit 5 years ago B-Personal history of excessive sun exposure C-Most family adult members are overweight D-Strong family history of breast cancer
Strong family history of breast cancer
Which action is most important for the nurse to take when preparing a client with cystic fibrosis (CF) for a lung transplantation procedure? A-Teaching the client how to perform pulmonary muscle strengthening exercises B-Collaborating with the registered dietitian nutritionist to provide high-calorie, high-protein meals C-Reminding the client to continue taking prescribed vitamin supplementation D-Using aseptic technique when assisting the client to perform pulmonary hygiene
Teaching the client how to perform pulmonary muscle strengthening exercises
What is the primary indication for the nurse to apply supplemental oxygen to the client with pulmonary artery hypertension (PAH)? A-Oxygen therapy is part of the client's ongoing clinical management and is applied continuously. B-The client determines when oxygen supplementation is needed. C-The nurse applies oxygen when the client's respiratory rate is decreased. D-The nurse applies oxygen when the client's respiratory rate is increased.
The client determines when oxygen supplementation is needed.
How will the nurse interpret the finding on a client's pathology report that a cancerous tumor has a mitotic index of 8%? A-The tumor has not yet undergone carcinogenesis. B-The tumor is slow-growing. C-Metastasis has already occurred. D-The tumor has an abnormal number of chromosomes.
The tumor is slow-growing
Which action is most important to teach a client living with progressing idiopathic pulmonary fibrosis? A-Maintaining an oral fluid intake of at least 2 L daily B-Taking oral temperature daily C-Using oxygen by nasal cannula whenever dyspnea is present D-Using energy conservation measures
Using energy conservation measures
Which intervention will the oncology nurse use to prevent disseminated intravascular coagulation (DIC)? A-Monitoring platelets B-Using strict aseptic technique to prevent infection C-Administering packed red blood cells D-Administering low-dose heparin therapy for clients on bedrest
Using strict aseptic technique to prevent infection
A client reports "something scratching on the inside of my eyelid." Before examining the eyelid, what is the appropriate nursing action? A-Test the visual field. B-Obtain informed consent. C-Wash the hands. D-Don sterile gloves.
Wash the hands.
