KAPLAN MEDSURG FINAL QUESTIONS AND ANSWERS

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The nurse cares for the client diagnosed with cancer of the cervix. The client has an internal radium implant. Which client statement indicates to the nurse that the teaching about the safety measures... is effective? A “I will not permit my 3-year old granddaughter to visit.” Which statement correctly indicates the client understands the side effects of chemotherapy drugs used to treat cancer? A “I have a banquet to attend in about 2 weeks. I’ll tell them I won’t be coming.” The nurse recognizes which sign as an indication of cancer of the larynx? A Difficulty swallowing (hoarseness, difficulty swallowing, color changes in mouth or tongue, and oral lesions that do not heal are warning signs of laryngeal cancer) Which nursing goal should the nurse recognize as the HIGHEST priority for the client receiving narcotic analgesics for pain from metastatic lung cancer? A Effective airway and respirations. The nurse instructs the staff members about care of a client diagnosed with cancer of the cervix. The client has internal radiation in place. The nurse should intervene if a staff makes which statement? A “I should place all linens in a special, lead-lined hamper.” The nurse understands which risk factor is the MOST significant factor for developing lung cancer? A Advancing age The nurse makes staff assignments for the oncology unit. The nurse’s main concern is that there is a client on the unit who has an internal radiation source implanted for the treatment of prostate cancer. Which should the nurse plan to protect the staff from radiation exposure? A Limiting any staff members contact with client to not exceed 30 minutes per 8-hous shift. The nurse assesses the client with a diagnosis of colorectal cancer. The nurse understands that eating which foods may contribute to the client developing the colon cancer? A Fried red meat and bacon. The nurse cares for a client with stomatitis due to chemotherapy. Which action is MOST important for the nurse to include in the clients plan of care? A Examine the client’s mouth for blisters, sores, or drainage. The nurse teaches a class on basal cell carcinoma to young adults working in the agriculture industry. One of the goals of the class is to teach methods to prevent skin cancer. Which item should be included as a carcinogenic agent to which these young adults might be exposed? A Pesticides. The nurse makes a home visit to a client receiving chemotherapy for the treatment of cancer. The nurse instructs the client about ways to avoid injury due to bone marrow suppression. The nurse should intervene if which of the following is observed: A The client takes Alka-Seltzer for indigestion. The nurse performs health screening on a group of people. The nurse identifies which individual is at GREATEST risk for developing skin cancer? A A 62-year-old male with light skin worked as a roofer for 40 years. Which would the nurse include when teaching the client how to prevent skin cancer? A Wear a hat and opaque clothing when out in the sun. The nurse cares for the child receiving chemotherapy for cancer. Which parental statement indicates that the parents need further instruction? A I will give my child aspirin if my child develops a fever. After 2 weeks of chemotherapy treatments, a client’s white blood cell count is 2,000/mm^3. The nurse knows this finding is MOST likely due to which factor? A Bone marrow depression. Which concern is MOST important for the nurse to consider when planning the care for the client receiving chemotherapy? A Preventing individuals with known infections from visiting the client. The client has an internal radium implant for uterine cancer. Which client statement indicates an understanding of safety concerns? A “It is okay for you to talk with me from the doorway.” The nurse cares for the client diagnosed with cancer of the cervix. The client undergoes brachytherapy. To minimize the danger of radiation exposure, the nurse should include which intervention in the plan of care? A Assign a different nurse each day. The nurse cares for the client diagnosed with malignant melanoma. Which treatment should the nurse expect will be used? A Wide excision, full thickness surgical removal. Prior to insertion of a cervical radioactive implant, enemas are prescribed for the client. The nurse understands enemas are prescribed for which reason? A Decrease the chance of the implant becoming dislodged. The nurse knows which is the most life-threatening side effect of chemotherapy? A Bone marrow suppression For which reason is chemotherapy given to clients diagnosed with leukemia? A To destroy the fastest growing cells in the body. On the unit, there are three clients with brachytherapy. The staff consists of three nurses, one of whom is pregnant. When planning the staff assignments, which decision by the charge nurse is appropriate? A The pregnant nurse is not assigned any of the three clients with brachytherapy. The nurse instructs a group of clients about dietary habits to reduce the risk of cancer. Which statement, if made by the client to the nurse, indicates further teaching is necessary? A “Eating polyunsaturated fats will decrease my chances of developing cancer.” The client diagnosed with cancer asks the nurse, “Why must I take so many drugs?” Which response by the nurse is BEST? A “Like bacteria, cancer cells can resist chemotherapy drugs. By using drugs with different actions. More cells are destroyed before resistance develops.” The nurse identifies nasogastric drainage, vomiting, diarrhea, and the use of diuretics likely cause which electrolyte imbalance? A Hypokalemia The toddler has nausea, vomiting, and diarrhea. Which implementation is BEST for the nurse to use to maintain an adequate fluid intake? A Offer oral rehydration solutions (ORS) to re-hydrate. The 3-year-old child is brought to the emergency department with a history of vomiting and diarrhea for the past three days. Which finding is the nurse MOST likely to see? A Sunken eyes A client diagnosed with AIDS has recurrent bouts of diarrhea, nausea, and vomiting. Which is the most important goal for the client? A Maintenance of fluid and electrolyte balance. The client experiences lower leg cramps. The nurse notices the clients serum potassium level is 2.9 mEq/l. Which non-pharmacologic intervention does the nurse perform to assist in maintaining a normal serum potassium? A Teaches the client about the importance of eating bananas and drinking orange juice. The client has a nasogastric tube connected to intermittent suction. Which blood test results are of MOST concern to the nurse? [Show More]

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