Unit Test 1- NUR 275

The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide?

- Use sunscreen when participating in outdoor activities. - Wear a hat, opaque clothing, and sunglasses when in the sun. - Examine your body monthly for any lesions that may be suspicious.

The nurse is monitoring the intravenous infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. On inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed in rate. The nurse suspects extravasation and should take which actions?

-Stop the infusion. -Prepare to apply ice or heat to the site. -Notify the primary HCP. -Prepare to administer a prescribed antidote into the site.

The nurse is applying a topical corticosteroid to client with eczema. The nurse understands it is safe to apply the medication to which body areas?

Back, soles of feet, palms of hands

A nurse is discussing foods that are high in Vitamin D with a client is unable to be out in the sunlight. What should be included in the teaching?

2 large, poached eggs

A nurse in a nutrition clinic is calculating BMI for several clients. The nurse should identify which BMI as overweight?

27

UAP assignment

ADLs, bathing, dressing, grooming, toileting, ambulating, feeding (without swallowing precautions), positioning, routine tasks, bed making, specimen collection, intake and output, vital signs on stable patients

Nationally notifiable diseases

Anthrax, Botulism, Cholera, Congenital rubella syndrome (CRS), Diphtheria, Giardiasis, Gonorrhea, Hepatitis A, B, C, HIV infection, Influenza-associated pediatric mortality, Legionellosis/Legionnaires' disease, Lyme disease, Malaria, Meningococcal disease, Mumps, Pertussis (whooping cough), Poliomyelitis, paralytic, Poliovirus infection, nonparalytic, Rabies (human or animal), Rubella (German measles), Salmonellosis, Severe acute respiratory syndrome-associated coronavirus disease (SARS-CoV), Shigellosis, Smallpox, Syphilis, Tetanus/C. tetani, Toxic shock syndrome (TSS) (other than Streptococcal), Tuberculosis (TB), Typhoid fever, Vancomycin-intermediate and vancomycin-resistant Staphylococcus aureus (VISA/VRSA)

The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which time?

At least 30 minutes prior to exposure to the sun.

LPN assignment

CAN DO: -monitor findings (as input to RN assessment) -reinforce client teaching from care plan -Trach care -Suctioning -Check NG patency -Administer enteral feedings -Insert catheter -Administer medications (except IV in some states)

A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication?

Calcium level

A nurse is discussing essential nutrients for normal functioning of the nervous system with a client. What should the nurse include in the teaching?

Calcium, thiamin, vitamin b6, sodium

Infant Abduction

Code pink; Security measures- key code access in and out, wrist bands that link parents to infants, alarms and cameras

The client with non-Hodgkin's lymphoma is receiving daunorubicin (DaunoXome). Which finding would indicate to the nurse that the client is experiencing an adverse effect related to the medication?

Crackles on auscultation of the lungs

Tertiary Prevention

Decrease complications through rehab and treatment.

A nurse is educating a client who has anemia about dietary intake of iron. Which is a non-heme source of iron?

Dried beans

Secondary Prevention

Early detection through screening, post exposure prophylaxis/quarantine, contact tracing

Hospice client

Enhance quality of life through palliative care- all care aimed at finding a cure is stopped. Priority- controlling manifestations of the medical problem and dying process

Code Red

Fire; fire chief must make the call to evacuate- not the nurse

The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse monitors the client knowing that which indicates a systemic effect has occurred?

Hyperventilation

A school nurse is teaching a high school health class about the possible causes of a negative nitrogen balance. Which causes should the nurse include in the teaching?

Illness, malnutrition, trauma

The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse should tell the client to take which action?

Increase fluid intake to 2000-3000 mL daily.

The nurse is analyzing the laboratory results of a client with leukemia who has received regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy?

Increased uric acid level

The clinic nurse is performing and admission assessment on a client and notes that the client is taking azelaic acid to treat acne. The nurse determines that which client complaint may be associated with use of this medication?

Itching

A charge nurse is conducting a nutritional class for a group of newly licensed nurses regarding basal metabolic rate? The charge nurse should inform the class that which factors increase BMR?

Lactation, prolonged stress, puberty

A nurse is reviewing prescribed medications for a newly admitted client. Which medications increase the body's rate of metabolism?

Levothyroxine

A nurse is reviewing dietary recommendations with a group of clients at a health fair. Which information should the nurse include?

Make protein 10%-35% of total calories each day.

Chemotherapy dosage is frequently based on total body surface area, so it is important for the nurse to perform which assessment before administering?

Measure clients current weight and height.

A nurse on an orthopedic unit is reviewing data for a client who sustained trauma in a motor-vehicle crash. Which of the value indicates the client is in a catabolic state (using protein faster than protein is being synthesized)?

Negative nitrogen balance

Time management

Organize care according to client care needs and priorities. Use time saving strategies and avoid time wasters. Cyclic process.

A client with small cell lung cancer is being treated with etoposide. The nurse monitors the client during administration knowing that which adverse effect is specifically associated with this medication?

Orthostatic hypotension

The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, an antineoplastic agent. The nurse contacts the primary hcp before administering the medication if which disorder is documented in the clients history?

Pancreatitis

The client with ovarian cancer is being treated with vincristine (Vincasar). The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication?

Peripheral neuropathy

The nurse is monitoring the laboratory results of a client receiving an antineoplastic medication by IV. The nurse plans to initiate bleeding precautions if which laboratory result is noted?

Platelet count of 50,000

Primary prevention

Prevention, education

A nurse is conducting a nutrition class at a local community center. Which information should the nurse include in the teaching?

Progress toward limiting saturated fat to 7% of total daily intake.

A client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed?

Pulmonary function studies

A nurse is discussing health problems associated with nutrient deficiencies with a group of clients. Which conditions are associated with a deficiency in Vitamin C?

Scurvy, bleeding gums

A nurse is discussing how the body process food with a client during a routine provider's visit. Which statement should the nurse include?

The liver converts unused glucose into glycogen.

Silversulfadiazine is prescribed for a client with a partial thickness burn and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments?

The medication is likely to cause stinging every time it is applied.

Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client aske the nurse if her family member with bladder cancer can take this medication. The nurse most appropriately responds by making which statement?

This medication can be taken to prevent and treat clients with breast cancer.

Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

Triglyceride level

A nurse is conducting a nutritional class on minerals and electrolytes. The nurse should include which food that is a major source of magnesium?

Tuna

A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would the nurse specifically monitor during treatment with this medication?

Uric acid level

Megestrol acetate, an antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. The nurse reviews the clients history and should contact the primary hcp if which diagnosis is documented in the clients history?

Venous thromboembolism

A client with severe acne is seen in the clinic and the primary hcp prescribes isotretinoin. The nurse reviews the clients medication record and would contact the phcp if the client is also taking which medication?

Vitamin A

A nurse is providing teaching to client who follows vegan dietary practices. The nurse should instruct the client that there is a risk of having a deficit in which nutrients?

Vitamin D, calcium, vitamin b12

Silversulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for follow up by the nurse?

WBC 3,000

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 hcp before receiving immunizations.

Category A Biological Agents

highest priority - risk to national security because they are easily transmitted and have high mortality rates Smallpox, botulism, anthrax, tularemia, hemorrhagic viral fevers, plague

A nurse is teaching a group of female clients about risk factors for developing osteoporosis. Which risk factors should the nurse include?

inactivity, family history, cigarette smoking

Airborne precautions

measles, chickenpox, tb, pertussis, flu, SARS

A nurse is performing a nutrition assessment on a client. Which clinical findings are suggestive of malnutrition?

poor wound healing, dry hair, weak hand grips, impaired coordination

Salicylic acid is prescribed for a client with a diagnosis of Psoriasis. The nurse monitors the client knowing that which finding indicates the presence of systemic toxicity from the medication?

tinnitus

A school nurse is teaching a group of students how to read food labels. Which is a required component of food labels that the nurse should include in the teaching?

total carbohydrates, total fat, calories, dietary fiber