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The public health nurse is presenting a health-promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America?
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. A nurse who works in an oncology clinic is assessing a patient for a 2-month appointment following chemotherapy. The nurse notes that the patients skin appears yellow. Whichblood tests should be done to further explore this clinical sign?
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RN4Cancer#1

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The public health nurse is presenting a health-promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America? B) Smoking cessation;so smoking cessation is the health promotion initiative directly related to lung cancer.
. A nurse who works in an oncology clinic is assessing a patient for a 2-month appointment following chemotherapy. The nurse notes that the patients skin appears yellow. Whichblood tests should be done to further explore this clinical sign? A) Liver function tests (LFTs);Yellow skin is a sign of jaundice and the liver is a common organ affected by metastatic disease. An LFT should be done to determine if the liver is functioning
Research has shown that certain foods indeed appear to increase the risk of cancer. Which of the following menu selections would be the best choice for potentially reducing the risks of cancer? C) Baked apricot chicken and steamed broccoli
Traditionally, nurses have been involved with tertiary cancer prevention. However, an increasing emphasis is being placed on both primary and secondary prevention. What would be an example of primary prevention? C) Teaching patients to wear sunscreen;Primary prevention is concerned with reducing the risks of cancer in healthy people through practices such as use of sunscreen. Secondary prevention as demonstrated by Pap tests, mammograms, and testicular exams.
The nurse is caring for a 39-year-old woman with a family hisof breast cancer. She requested abreast tumormarkingtestresults have come back positive. patient is requesting abilateralmastectomy. This surgery is an example of what type of oncologic surgery C) Prophylactic surgery;Prophylactic surgery is used when there is an extensive family history and nonvital tissues are removed
Salvage surgery Salvage surgery is an additional treatment option that uses an extensive surgical approach to treat the local recurrence of a cancer after the use of a less extensive primary approach.
Palliative surgery Palliative surgery is performed in an attempt to relieve complications of cancer, such as ulceration, obstruction, hemorrhage, pain, and malignant effusion
Reconstructive surgery Reconstructive surgery may follow curative or radical surgery in an attempt to improve function or obtain a more desirable cosmetic effect.
The nurse is caring for a patient who is to begin receiving external radiation for a malignant tumor of the neck. While providing patient education, what potential adverse effects should the nurse discuss with the patient? A) Impaired nutritional status
While a patient is receiving IV doxorubicin hydrochloride for the treatment of cancer, the nurse observes swelling and pain at the IV site. The nurse should prioritize what action? A) Stopping the administration of the drug immediately
A patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe? B) Nausea and vomiting
A patient on the oncology unit is receiving carmustine, a chemotherapy agent, and that a significant side effect of this medication is thrombocytopenia. Which symptom should the nurse assess for in patients at risk for thrombocytopenia? C) Epistaxis (nose bleed)
The nurse is orienting a new nurse to the oncology unit. When reviewing the safe administration of antineoplastic agents, what action should the nurse emphasize? Dispose of the antineoplastic wastes in the hazardous waste receptacle.
A nurse provides care on a bone marrow transplant unit and is preparing a female patient for a hematopoietic stem cell transplantation (HSCT) the following day. What information should the nurse emphasize to the patients family and friends? Do not visit if youve had a recent infection.
A nurse is creating a plan of care for an oncology patient and one of the identified nursing diagnoses is risk for infection related to myelosuppression. What intervention addresses the leading cause of infection-related death in oncology patients? B) Provide skin care to maintain skin integrity.
You are caring for an adult patient who has developed a mild oral yeast infection following chemotherapy. What actions should you encourage the patient to perform? Select all that apply. A) Use a lip lubricant. C) Use dental floss every 24 hours. D) Rinse the mouth with normal saline
The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for HSCT. What is a priority nursing diagnosis for this patient? C) Risk for infection related to altered immunologic response
An oncology nurse is caring for a patient who has developed erythema following radiation therapy. What should the nurse instruct the patient to do? D) Avoid using soap on the treatment area.
The nurse is caring for a patient has just been given a 6-month prognosis extensive stage small-cell lung cancer. The patient states that he would like to die at home, are unable to be met in a home environment. What might yousuggest as an alternative? D) Discuss a referral for hospice care.
The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. Which response by the nurse would best reassure this patient? A) These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and x-ray studies.
A 16-year-old female patient experiences alopecia resultingprompting the nursingdiagnoses of disturbed body image and situational low self-esteem. What action by the patient wouldbest indicate meeting the goal of improved body image and self-esteem? A) The patient requests that her family bring her makeup and wig.
A 50-year-old man diagnosed with leukemia will begin chemotherapy. What would the nurse do to combat the most common adverse effects of chemotherapy? Administer an antiemetic.
A 58-year-old male patient has been hospitalized for a wedge resection of the left lower lung lobe after a routine chest x-ray shows carcinoma. The patient is anxious and asks if he can smoke. Which statement by the nurse would be most therapeutic? C) You are anxious about the surgery. Do you see smoking as helping?
An oncology nurse educator is providing health education to a patient who has been diagnosed with skin cancer. Thewife has asked about the differences between normal cells and cancer cells. What characteristic of a cancer cell should the educator cite? B) Malignant cells contain proteins called tumor-specific antigens.
A patients most recent diagnostic imaging has revealed that his lung cancer has metastasized to his bones and liver. What is the most likely mechanism by which the patients cancer cells spread? B) Lymphatic circulation
The nurse describingmajor characteristics of cancer to a patientrecentlyreceived a diagnosis of malignant melanoma.differentiating between benign and malignantcancer cells, the nurse should explain differences the following aspects? Select all that apply A) Rate of growth B) Ability to cause death E) Ability to spread
A 54-year-old diagnosis of breast cancertearfully discussing diagnosis with nurse.patienstatescancermalignant,coworkers breast tumor preparing a response to patient, nursecognizant characteristic distinguishes malignant cells from benign cellssame tissue B) Different proteins in the cell membrane
An oncology patient will begin a course of chemotherapy and radiation therapy for the treatment of bone metastases. What is one means by which malignant disease processes transfer cells from one place to another? A D) Invading healthy host tissues
The nurse is performing an initial assessment of an older adult residentnurses interview with the patient,she drinks around20 ounces of vodka every evening. What types of cancer does this put her at risk for? Select all that apply. C) Breast cancer D) Esophageal cancer E) Liver cancer
The clinic nurse is caring for a patient whose grandmother and sister have both had breast can sherequested a screening test to risk of developing breast cancercome backpositive.she can do to help prevent breast cancer from occurring..your best response? B) Research has shown that taking the drug tamoxifen can reduce your chance of breast cancer.
A public health nurse has formed an interdisciplinary team educational programCancer: The Risks and What You Can Do About Them. tmajor focus will be screening for relevant cancers. This program is an example of what type ofhealth promotion activity? C) Secondary prevention
A 62-year-old woman with breast cancer is scheduled partial mastectomy. oncologynurse explained surgeontake tissue samples disease has not spread adjacent axillary lymph nodes. patient asked her lymph nodes dissected alternative to lymph node dissectio D) Sentinel node biopsy;Sentinel lymph node biopsy (SLNB), also known as sentinel lymph node mapping, is a minimally invasive surgical approach that, in some instances, has replaced more invasive lymph node dissections
You are caring for a patienttold that her stage IV colon cancer has recurred and metastasized to the liver. The oncologist offers the patient the option of surgery to treat the progression of this disease. What type of surgery does the oncologist offer? A) Palliative
The nurse is caring for a patient with an advanced stage of breast cancer and the patientcancer has metastasized.patient struggling tobreath and the nurses rapid assessment reveals patients jugular veins are distended. nurseshould suspect what oncologic B) Superior vena cava syndrome (SVCS)
The hospice nurse is caring for a patient with cancer in her home. The nurse has explained thepatient is at riskforhypercalcemiaeducated them on that signs andsymptoms of this health problem. nurse teach this patient and family reduce risk of hypercalcemi C) Consume 2 to 4 L of fluid daily.
The home health nurse is performing a home visit for an oncology patient discharged 3 days ago after completing treatment for non-Hodgkin lymphoma. The nurses assessment should include examination for the signs and symptoms of what complication? A) Tumor lysis syndrome (TLS)
The nurse is admitting an oncology patient to the unit prior to surgery. The nurse reads patient has just finished radiation therapy. With knowledge of the consequenthealth risks, the nurse should prioritize assessments related to what health problem? B) Impaired wound healing
An oncology patient has just returned from the postanesthesia care unit after an open hemicolectomy. This patients plan of nursing care should prioritize which of the following? C) Assess the patients wound for dehiscence every 4 hours.
The hospice nurse has just admitted a new patient to the program. What principle guides hospice care? A) Care addresses the needs of the patient as well as the needs of the family.
A 60-year-old patient with a diagnosis of prostate cancer is scheduled to have an interstitial implant for high-dose radiation (HDR). What safety measure should the nurse include in this patients subsequent plan of care? A) Limit the time that visitors spend at the patients bedside.
An oncology patient has begun to experience skin reactions to radiation therapy, prompting the nurse to make the diagnosis Impaired Skin Integrity: erythematous reaction to radiation therapy. What intervention best addresses this nursing diagnosis? D) Avoid rubbing or scratching the affected area
A patient with a diagnosis of gastric cancer has been unable to tolerate oral food and fluid intake and her tumor location precludes the use of enteral feeding. What intervention should the nurse identify as best meeting this patients nutritional needs? B) TPN administered via a peripherally inserted central catheter
An oncology nurse is contributing to the care of a patient whorespond appreciably conventional cancer treatments. team is considering the possible use of biologicresponse modifiers (BRFs). The nurse should know that these achieve a therapeutic effect by w D) Altering the immunologic relationship between the tumor and the patient
In the past three to four decades, nursing has moved into the forefront in providing care for the dying. Which phenomenon has most contributed to this increased focus of care of the dying? D) Demographic changes in the population
A nurse who works in the specialty of palliative care frequently encounters issues and situations that constitute ethical dilemmas. What issue has most often presented challenging ethical issues, especially in the context of palliative care Ability of technology to prolong life beyond meaningful quality of life
The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adhere to treatment. What is the most likely psychosocial purpose of this patients strategy? A) The patient may be trying to protect loved ones from the emotional effects of the illness.
A nurse who sits on the hospitals ethics committee is reviewing a complex case that has many of the hallmarks of assisted suicide. Which of the following would be an example of assisted suicide? A) Administering a lethal dose of medication to a patient whose death is imminent
A medical nurse is providing palliative care to a patient with a diagnosis of end-stage chronic obstructive pulmonary disease (COPD). What is the primary goal of this nurses care? A) To improve the patients and familys quality of life
After contributing to the care of several patients who died in the hospital, the nurse has identified some lapses in the care that many of What have research studies identified as a potential deficiency in the care of the dying in hospital settings? A) Families needs for information and support often go unmet.
An adult oncology patient has a diagnosis of bladder cancer with metastasis and the patient has asked the nurse about the possibility of hospice care. Which principle is central to a hospice setting? A) The patient and family should be viewed as a single unit of care.
A clinic nurse is providing patient education prior to a patients scheduled palliative radiotherapy to her spine. At the completion of the patient teaching, What is the plausible conclusion that the nurse should draw from this? D) The patient has not achieved the desired learning outcomes.
The nurse is part of the health care team at an oncology center. A patient has been diagnosed with leukemia and the prognosis is poor, but the patient is not yet aware of the prognosis. How can the bad news best be conveyed to the patient? B) The prognosis should be delivered with the patient at eye level.
. A patient has just been told that her illness is terminal. The patient tearfully states, I cant believe I am going to die. Why me? What is your best response? C) This must be very difficult for you.
The nurse has observed that an older adult patient with a diagnosis of end-stage renal failure seems to prefer to have his eldest son make all of his health care decisions. While the family is visiting, How should you respond? C) Work with the team to negotiate informed consent.
One aspect of the nurses comprehensive assessment when caring for the terminally ill is the assessment of hope. The nurse is assessing a patient with liver failure for the presence of hope. What would the nurse identify as a hope-fostering category? A) Uplifting memories
A medical nurse is providing end-of-life care for a patient with metastatic bone cancer. The nurse notes that the patient has been receiving oral analgesics for her pain with adequate effect,. What should the nurse do? A) Request the physician to order analgesics by an alternative route.
A 66-year-old patient is in a hospice receiving palliative care for lung cancer which has metastasized to the patients liver and bones. What nursing action is most appropriate to help to relive the dyspnea the patient is experiencing? D) Administer bronchodilators and corticosteroids, as ordered.
The nurse is caring for a patient who has terminal lung cancer and is unconscious. Which assessment finding would most clearly indicate to the nurse that the patients death is imminent? A) Mottling of the lower limbs
A patient on the medical unit is dying and the nurse has determined that the familys psychosocial needs during the dying process need to be addressed. What is a cause of many patient care dilemmas at the end of life? A) Poor communication between the family and the care team
The nurse is assessing a 73-year-old patient who was diagnosed with metastatic prostate cancer.the nurse will document that the patient is most likely in what stage of death and dying? A) Depression
You are caring for a 50-year-old man diagnosed with multiple myeloma; he has just been told by the care team that his prognosis is poor. He is tearful and trying to express his feelings, but he is having difficulty. What should you do first? A) Ask if he would like you to sit with him while he collects his thoughts.
The nurse in a pediatric ICU is caring for a child who is dying of sickle cell anemia. The childs motherWhat intervention has the highest priority? A) Allowing the patient to express her feelings without judging her
You are caring for a patient, a 42-year-old mother of two children, with a diagnosis of ovarian cancer. told that her ovarian cancer is terminal.his patient, What question would it have been most important for you to evaluate during thisassessment? B) Does she have a sense of peace of mind and a purpose to her life
A patients rapid cancer metastases have prompted a shift from active treatment to palliative care. When planning this patients care, the nurse should identify what primary aim? B) To prevent and relieve suffering
The organization of a patients care on the palliative care unit is based on interdisciplinary collaboration. How does interdisciplinary collaboration differ from multidisciplinary practice? C) It is based on communication and cooperation between disciplines.
As the American population ages, nurses expect see more patients admitted to long-term care facilities in need of Regulations now in place that govern how the care in these facilities is both organized and reimbursed emphasize what aspect of care? B) Restorative measures
A patient with end-stage heart failure has participated in a family meeting with the interdisciplinary team and opted for hospice care. On what belief should the patients care in this setting be based? C) Meaningful living during terminal illness is best supported in the home.
A nurse who provides care on an acute medical unit has observed that physicians are frequently reluctant to refer patients to hospice care. What are contributing factors that are known to underlie this tendency? Select all that apply. A) Financial pressures on health care providers B) Patient reluctance to accept this type of care D) Advances in curative treatment in late-stage illness
A nurse is caring for an 87-year-old Mexican-American female patient who is in end-stage renal disease. The physician the patients daughterapproaches you and asks what hospice care is. What would this lack of knowledge about hospice care beperceived as? C) A barrier to hospice care for this patient
Patients who are enrolled in hospice care through Medicare are often felt to suffer unnecessarily because they do not receive adequate attention for their symptoms of the underlying illness. What factor most contributes to this phenomenon? B) Rules concerning completion of all cure-focused medical treatment
One of the functions of nursing care of the terminally ill is to support the patient and his or her family as they come to terms with How should nurses support patients and their families during this process? Select all that apply. C) Try to appreciate and understand the illness from the patients perspective. D) Assist patients with performing a life review. E) Provide interventions that facilitate end-of-life closure.
The nurse is admitting a 52-year-old father of four into hospice care. The patient has a diagnosis of Parkinsons disease, which is progressing rapidly. The patient What interventions should the nurse prioritize in the plan of care? D) Supporting the patients and familys values and choices
A patient has just died following urosepsis that progressed to septic shock. The patients spouse says, I knew this was coming, but I feel so numb and hollow inside. The nurse should know that these statements are characteristic of what? B) Uncomplicated grief and mourning
A 67-year-old woman experienced the death of her husband from a sudden myocardial infarction 5 weeks ago. What processes of mourning will allow the woman to accommodate the loss in a healthy way? Select all that apply. B) Reinvesting in new relationships at the appropriate time C) Reminiscing about the relationship she had with her husband D) Relinquishing old attachments to her husband at the appropriate time
A nurse has made a referral to a grief support group, knowing that many individuals find these both comforting and beneficial after the death of a loved one. What is the most important accomplishment available by attending a grief support group? D) Normalization of feelings and experiences
A patients daughter has asked the nurse about helping him end his terrible suffering. The nurse is aware of the ANA Position Statement assisted suicide is a violation of the Code for Nurses. What does the Position Statement further stress? B) Identifying patient and family concerns and fears
A hospice nurse is caring for a 22-year-old with a terminal diagnosis of leukemia. When updating this patients plan of nursing care, what should the nurse prioritize? C) Providing realistic emotional preparation for death
A pediatric nurse is emotionally distraught by the death of a 9-year-old girl who received care on the unit over the course of many admissions spanning several years. What action is the most appropriate response to the nurses own grief? D) Attend the patients memorial service.
As a staff member in a local hospice, a nurse deals with death and dying on a frequent basis. Where would be the safe venue for the nurse to express her feelings of frustration and grief about a patient who has recently died? B) At a staff meeting
A hospice nurse is well aware of how difficult it is to deal with others pain on a daily basis. This nurse should put healthy practices into place to guard against what outcome? C) Emotional exhaustion
The hospice nurse is caring for a 45-year-old mother of three young children in the patients home. During the most recent visit, the nurse has observed that the patient has a new onset of What goal of nursing interventions should the nurse identify? D) Teaching family members how to interact with, and ensure safety for, the patient with impaired cognition
You are caring for a patient who has just been told that his illness is progressing and nothing more can be done for him. After the physician What would be an appropriate response for you to make at this time? B) Do you need more time to think about this?
A patient who is receiving care for osteosarcoma has been experiencing severe pain since being diagnosed. As a result, the patient has been receiving analgesics on both a scheduled and PRN basis. How should the patients pain control regimen be affected? A) The patients pain control regimen should be continued.
An oncology nurse is providing health education for a patient who has recently been diagnosed with leukemia. What should the nurse explain about commonalities between all of the different subtypes of leukemia? A) The different leukemias all involve unregulated proliferation of white blood cells.
A nurse is caring for a patient who has a diagnosis of acute leukemia. What assessment most directly addresses the most common cause of death among patients with leukemia? A) Monitoring for infection
An oncology nurse is caring for a patient with multiple myeloma who is experiencing bone destruction. When reviewing the patients most recent blood tests, the nurse should anticipate what imbalance? A) Hypercalcemia
A nurse is planning the care of a patient who has been admitted to the medical unit with a diagnosis of the nurse has identified a diagnosis of Risk for Injury. What pathophysiologic effect of multiple myeloma most contributes to this risk? C) Decreased bone density
A patient with advanced leukemia is responding poorly to treatment. The nurse finds the patient tearful and trying to express his feelings, but he is clearly having difficulty. What is the nurses most appropriate action? C) Ask if he would like you to sit with him while he collects his thoughts.
A nursing student is caring for a patient with acute myeloid leukemia who is preparing to undergo induction therapy. In preparing a plan of care for this patient, the student should assign the highest priority to which nursing diagnoses? B) Risk for Infection
A 77-year-old male is admitted to a unit with a suspected diagnosis of acute myeloid leukemia (AML). When planning this patients care, the nurse should be aware of what epidemiologic fact? A C) Five-year survival for patients over 75 years old is less than 2%.
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, leukocytesThe nurse caring for this patient suspects a diagnosis of what? D) ALL
A patient with leukemia has developed stomatitis and is experiencing a nutritional deficit. An oral anesthetic has consequently been prescribed. What health education should the nurse provide to the patient? A) Chew with care to avoid inadvertently biting the tongue.
A patient diagnosed with acute myelogenous leukemia has just been admitted to the oncology unit. When writing this patients care plan, what potential complication should the nurse address? B) Hemorrhage
An emergency department nurse is triaging a 77-year-old man who presents with uncharacteristic fatigue as well as back and rib pain.The nurse should recognize the need for this patient to be assessed for what health problem? C) Multiple myeloma
A home health nurse is caring for a patient with multiple myeloma. Which of the following interventions should the nurse prioritize when addressing the patients severe bone pain? D) Helping the patient manage the opioid analgesic regimen
A nurse is caring for a patient with Hodgkin lymphoma at the oncology clinic. The nurse should be aware of what main goal of care? A) Cure of the disease
A patient with non-Hodgkins lymphoma is receiving information from the oncology nurse. The patient asks the nurse why she should stop drinking and smoking and stay out of the sun. What would be the nurses best response? D) Its important to reduce other factors that increase the risk of second cancers.
An adult patient has presented to the health clinic with a complaint of a firm, painless cervical lymph node. The patient denies any recent infectious diseases. What is the nurses most appropriate response to the patients complaint? B) Promptly refer the patient for medical assessment.
A nurse practitioner is assessing a patient who has a fever, malaise, and a white blood cell count that is elevated. Which of the following principles should guide the nurses management of the patients care? B) Infection is the most likely cause of the patients change in health status.
Diagnostic testing has resulted in a diagnosis of acute myeloid leukemia (AML) in an adult patient who is otherwise healthy. The patient and the care team have collaborated and the patient will soon begin induction therapy. The nurse should prepare the D) An aggressive course of chemotherapy
A patient with a diagnosis of acute myeloid leukemia (AML) is being treated with induction therapy on the oncology unit. What nursing action should be prioritized in the patients care plan? A) Protective isolation and vigilant use of standard precautions
A nurse is caring for a patient who has been diagnosed with leukemia. The nurses most recent assessment reveals the presence of ecchymoseson the patients sacral area and petechiae in her forearms. B) Check the patients most recent platelet level.
A 60-year-old patient with chronic myeloid leukemia will be treated in the home setting and the nurse is preparing appropriate health education. What topic should the nurse emphasize? A) The importance of adhering to the prescribed drug regimen
An older adult patient is undergoing diagnostic testing for chronic lymphocytic leukemia (CLL). What assessment finding is certain to be present if the patient has CLL? B) Increased lymphocyte level
A patient has been found to have an indolent neoplasm. The nurse should recognize what implication of this condition? A) The patient faces a significant risk of malignancy.
A nurse is caring for a patient who is being treated The patient was able tomaintain her nutritional status for the first few weeks following her diagnosis but is now exhibiting early signs and symptoms of malnutrition. In collaboration with the dietiti C) Provide the patient with several small, soft-textured meals each day.
A patient who is undergoing consolidation therapy for the treatment of leukemia has been experiencing debilitating fatigue. How can the nurse best meet this patients needs for physical activity? B) Assist the patient to a chair during awake times, as tolerated.
An oncology nurse recognizes a patients risk for fluid imbalance while the patient is undergoing treatment for leukemia. What relevant assessments should the nurse include in the patients plan of care? Select all that apply. A) Monitoring the patients electrolyte levels C) Measuring the patients weight on a daily basis D) Measuring and recording the patients intake and output E) Auscultating the patients lungs frequently
After receiving a diagnosis of acute lymphocytic leukemia, a patient is visibly distraught, stating, I have no idea where to go from here. How should the nurse prepare to meet this patients psychosocial needs? C) Assess the patients specific needs for education and support.
A patient has completed the full course of treatment for acute lymphocytic leukemia and has failed to respond appreciably. When preparing for the patients subsequent care, the nurse should perform what action? D) Identify the patients specific wishes around end-of-life care.
Following an extensive diagnostic workup, an older adult patient has been diagnosed with a secondary myelodysplastic syndrome (MDS). What assessment question most directly addresses the potential etiology of this patients health problem? A) Were you ever exposed to toxic chemicals in any of the jobs that you held?
A patient with a myelodysplastic syndrome is being treated on the medical unit. What assessment finding should prompt the nurse to contact the patients primary care provider? C) The patient has an oral temperature of 37.5C (99.5F).
A nurse is preparing health education for a patient who has received a diagnosis of myelodysplastic syndrome (MDS). Which of the following topics should the nurse prioritize? B) Emergency management of bleeding episodes
A clinic patient is being treated for polycythemia vera and the nurse is providing health education. What practice should the nurse recommend in order to prevent the complications of this health problem? D) Avoiding tight and restrictive clothing on the legs
A clinic nurse is working with a patient who has a long-standing diagnosis of polycythemia vera. How can the nurse best gauge the course of the patients disease? D) Follow the trends of the patients hematocrit.
A nurse is planning the care of a patient who has been diagnosed with essential thrombocythemia (ET). What nursing diagnosis should the nurse prioritize when choosing interventions? A) Risk for Ineffective Tissue Perfusion
A nurse at a long-term care facility is amending the care plan of a resident who has just been diagnosed with essential thrombocythemia (ET). The nurse should anticipate the administration of what medication? C) Hydroxyurea
A nurse is writing the care plan of a patient who has been diagnosed with myelofibrosis. What nursing diagnoses should the nurse address? Select all that apply. Disturbed Body Image A) B) Impaired Mobility C) Imbalanced Nutrition: Less than Body Requirements D) Acute Confusion E) Risk for Infection
An adult patients abnormal complete blood count (CBC) and physical assessment have prompted the primary care provider to order a diagnostic workup for Hodgkin lymphoma. The presence of what assessment finding is considered diagnostic of the disease? B) Reed-Sternberg cells
A young adult patient has received the news that her treatment for Hodgkin lymphoma has been deemed successful . The care team should ensure that the patient receives regular health assessments in the future due to the risk of what complication? C) Hematologic cancers
The clinical nurse educator is presenting health promotion education to a patient who will be treated for non-Hodgkin lymphoma on an outpatient basis. The nurse should recommend which of the following actions? C) Avoiding highly crowded public places
A patient has a diagnosis of multiple myeloma and the nurse is preparing health education in preparation for discharge from the hospital. What action should the nurse promote? B) Close monitoring of urine output and kidney function
A nurse is caring for patient whose diagnosis of multiple myeloma is being treated with bortezomib. The nurse should assess for what adverse effect of this treatment? D) Peripheral neuropathy
While taking a health history on a 20-year-old female patient, the nurse ascertains that this patient is taking miconazole (Monistat). The nurse is justified in presuming that this patient has what medical condition? C) Candidiasis
A patient with genital herpes is having an acute exacerbation. What medication would the nurse expect to be ordered to suppress the symptoms and shorten the course of the infection? D) Acyclovir (Zovirax)
A patient with trichomoniasis comes to the walk-in clinic. In developing a care plan for this patient the nurse would know to include what as an important aspect of treating this patient? A) Both partners will be treated with metronidazole (Flagyl).
A student nurse is doing clinical hours at an OB/GYN clinic. The student is helping to develop a plan of care for a patient with gonorrhea who has presented at The student should include which of the following in the care plan for this patient? D) The patient should also be treated for chlamydia.
When teaching patients about the risk factors of cervical cancer, what would the nurse identify as the most important risk factor? B) Human papillomavirus (HPV)
The nurse is providing preoperative education for a patient diagnosed with endometriosis. A hysterectomy has been scheduled. What education topic should the nurse be sure to include for this patient? D) The bladder must be emptied prior to surgery and a catheter may be placed during surgery.
A patient has returned to the post-surgical unit after vulvar surgery. What intervention should the nurse prioritize during the initial postoperative period? C) Monitoring the integrity of the surgical site
A patient comes to the free clinic complaining of a gray-white discharge that clings to her external vulva and vaginal walls. A nurse practitioner assesses the patient and diagnoses Gardnerella vaginalis. What would be the most appropriate nursing actio A) Advise the patient that this is an overgrowth of normal vaginal flora.
A female patient with HIV has just been diagnosed with condylomata acuminata (genital warts). What information is most appropriate for the nurse to tell this patient? A) This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually
The nurse is teaching a patient preventative measures regarding vaginal infections. The nurse should include which of the following as an important risk factor? D) Frequent douching
A nurse is caring for a pregnant patient with active herpes. The teaching plan for this patient should include which of the following? A) Babies delivered vaginally may become infected with the virus.
A patient with ovarian cancer is admitted to the hospital for surgery and the nurse is completing the patients health history. What clinical manifestation would the nurse expect to assess? B) Increased abdominal girth
Created by: hobart3809
 

 



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