NURSING > Study Notes > weekly notes.docx[TO IMPROVE ON GRADE A+][ALSO CONTAININGDISEASES AND QUESTIONS AND ANSWERS (All)

weekly notes.docx[TO IMPROVE ON GRADE A+][ALSO CONTAININGDISEASES AND QUESTIONS AND ANSWERS

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WEEK 1 CANCER 1. A nurse is teaching a group of middle adult clients about early detection of colorectal cancer. The nurse should include the American Cancer Society recommendation that men and women beginning at the age 50 who are at average risk should have a fecal occult blood test (FOBT) and a colonscopy at which of the following intervals 10 years 2. A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following sceenrois should the nurse document as the explanation for this situation The client developed a tolerance to the medication 3. A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take? Check the results of the clients most recent CBC 4. A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opiod pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the clients death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication? Nonmaleficence 5. A nurse is caring for a client schedule to receive external radiation to the neck for cancer of the larynx. During a pre treatment exam, the nurse explains to the client that the most likely side effect would be Dysphagia 6. A nurse is a providers clinic is assessing a client who has cancer and a prescription for methotrexate. Which of the following actions should the nurse take when the client reports bleeding gums? Check the value of the clients current platelet count 7. A client is receiving treatment for stage IV ovarian cancer and ask the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client? Poor 8. A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the clients plan of care? Fresh flowers and potted plants in the room 9. A nurse is caring for a client who has metastatic bone cancer. The client states, I want to go home and die. The family is concerned about meeting the clients care needs at home. Which of the following actions should the nuse take? Discuss initiating hospice care with the client and the family 10. A nurse is teaching a client who is receiving treatments for metastatic colorectal cancer about the adverse effects of bevacizumab with the nurse should instruct the client to report which of the following findings as an adverse effect of the medication? Nosebleeds 11. A nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. The nurse should include that which of the following is an adverse effect of this medication? Hot flashes

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