Med Surg - Quiz #2 U-Prep questions

The clinic nurse is caring for a client who has just been diagnosed with a tumor. The client says to the nurse "The doctor says my tumor is benign. What does that mean?" What is the nurse's best response?

"Benign tumors don't usually cause death."

A client who will have his last chemotherapy cycle in 11 days becomes neutropenic. The client understands his condition when he states:

"I'll monitor my temperature frequently and go to the nearest emergency department if my temperature rises above 100.4° F."

The clinic nurse is caring for a client diagnosed with leukopenia. What does the nurse know this client has?

A general reduction in all white blood cells

A 35-year-old male is admitted to the hospital complaining of severe headaches, vomiting, and testicular pain. His blood work shows reduced numbers of platelets, leukocytes, and erythrocytes with a high proportion of immature cells. The nurse caring for this patient suspects a diagnosis of what?

ALL (Acute lymphocytic leukemia)

The nursing instructor is discussing the different types of immunity with the Level I nursing students. The instructor gives an example of a patient given a vaccination for rubella; what will the healthy patient develop?

Active acquired immunity

Which of the following nursing interventions should be incorporated into the plan of care to manage the delayed clotting process in a patient with leukemia?

Apply prolonged pressure to needle sites or other sources of external bleeding.

A client is receiving chemotherapy for acute myeloid leukemia and has poor nutritional intake. The first action of the nurse is to

Ask, "Are you experiencing nausea?"

The client has been diagnosed with myelodysplastic syndrome with an absolute neutrophil count less than 1000/mm³ and is being admitted to the hospital. The nurse...?

Assigns the client to a private room.

Which of the following cell types are involved in humoral immunity?

B lymphocytes

The patient diagnosed with thrombocytopenia is at risk for which of the following adverse effects:

Bleeding

What can occur when there is accumulation of fluid in the pericardial space that compresses the heart?

Cardiac tamponade

A client with multiple myeloma reports pain along the spinal column. The client is prescribed naproxen (Aleve) and oxycodone. Prior to administering these medications, the nurse...?

Checks the client's BUN and creatinine.

A 15-year-old client has been brought to the clinic by their mother and is suspected of having an immune system disorder. What tests would you expect to be ordered for this young client?

Complete blood count with differential

Which of the following is associated with impaired immunity in the aging patient?

Decreased renal function

While administering cisplatin (Platinol-AQ) to a client, the nurse assesses swelling at the insertion site. The first action of the nurse is to?

Discontinue the intravenous medication.

Which precautions should a nurse include in the care plan for a client with leukemia and neutropenia?

Eliminate fresh fruits and vegetables, avoid using enemas, and practice frequent hand washing.

T-cells can be either regulator T cells or effector T cells. Regulator T cells are made up of helper and suppressor cells. What function are helper T-cells important in?

Fighting infection

A nurse is caring for a client with multiple myeloma. Which laboratory value is the nurse most likely to see?

Hypercalcemia

The body has several mechanisms to fight disease, one of which is sending chemical messengers. Specifically, the messengers released by lymphocytes, monocytes, and macrophages have differing roles in the immune response. Which messenger enables cells to resist viral replication and slow viral replication?

Interferons

You are the clinic nurse in an oncology clinic. Your patient arrives for a 2-month follow-up appointment following chemotherapy. You note that the patient's skin appears yellow. Which blood tests should be done to further explore this clinical sign?

Liver function test

Which cell of hematopoiesis is responsible for the production of red blood cells (RBCs) and platelets?

Myeloid stem cell

Which type of cells is capable of directly killing invading organisms and producing cytokines?

Natural killer cells

Ibuprofen (Motrin) has which effect on the immune system?

Neutropenia

Which of the following occurs when the antigen-antibody molecule is coated with a sticky substance what also facilitates phagocytosis?

Opsonization

A nurse is teaching a community class about how to decrease the risk of cancer. Which food should the nurse recommend?

Oranges

You are caring for a client with multiple myeloma. Why would it be important to assess this client for fractures?

Osteoclasts break down bone cells so pathologic fractures occur.

Which of the following terms refers to an abnormal decrease in white blood cells, red blood cells, and platelets?

Pancytopenia

A nurse is assessing a client with multiple myeloma. The nurse should keep in mind that clients with multiple myeloma are at risk for:

Pathologic bone fractures.

Which nursing intervention is most appropriate for a client with multiple myeloma?

Preventing bone injury

The nurse is taking the health history of a newly admitted client. Which of the following conditions would place the client at risk for impaired immune function?

Previous organ transplantation

A man is working in the field beside his house and sustains a deep scratch from an old tool left in the field. The man develops a virulent staphylococci infection of the right leg. The circulating lymphocyte containing the antigenic message returns to the nearest lymph node. What is this known as?

Proliferation Stage

During chemotherapy, an oncology client has a nursing diagnosis of Impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis?

Providing a solution of viscous lidocaine for use as a mouth rinse.

The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for engraphment for a bone marrow transplant. What is a priority nursing diagnosis for this patient?

Risk for infection related to altered immunologic response

You are assisting your client with multiple myeloma to ambulate. What is the most important nursing diagnosis to help prevent fractures in this client?

Safety

Which of the following statements best describes the function of pluripotential stem cells in the bone marrow?

They produce all blood cells.

After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/mm3. What term should the nurse use to describe this low platelet count?

Thrombocytopenia

Which of the following are assessment findings associated with thrombocytopenia? Select all that apply

• Hematemesis • Bleeding gums • Epistaxis

Acute myeloid leukemia (AML) results from a defect in the hematopoietic stem cell that differentiates into which of the following myeloid cells?

• Monocytes • Granulocytes • Erythrocytes • Platelets

As a nursing instructor, you realize the importance of your students understanding the role of the immune system and its role to protect and defend the body from potential harm. What type of cells are the primary participants in immune response? Choose all correct options.

B-cell lymphocytes & T-cell lymphocytes

Which type of lymphocyte is responsible for cell-mediated immunity?

T lymphocyte

The client has received chemotherapy and 1 week later is at home experiencing nausea and vomiting. The first action of the nurse is to recommend?

Taking prescribed ondansetron (Zofran)