NURS 1102 - PASSPOINT-ONCOLOGIC

Passpoint-Oncologic Question 1 A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingooophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. Duri ...

Passpoint-Oncologic Question 1 A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingooophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which assessment finding requires immediate intervention? You Selected:  Shallow breathing and increasing lethargy Correct response:  Shallow breathing and increasing lethargy Explanation: Remediation: Question 2 See full question A client has just begun treatment with busulfan, 4 mg by mouth daily, for chronic myelogenous leukemia. The client receives busulfan until his white blood cell (WBC) count falls to between 10,000/mm3 and 25,000/mm3 . Then the drug is stopped. When should treatment resume? You Selected:  When the WBC count rises to 50,000/mm3 Correct response:  When the WBC count rises to 50,000/mm3 Explanation: Remediation: Question 3 See full question A client with metastatic brain cancer is admitted to the oncology floor. According to the SelfDetermination Act of 1991 concerning the execution of an advance directive, the hospital is required to: You Selected:  inform the client or legal guardian of their rights to execute an advance directive. Correct response:  inform the client or legal guardian of their rights to execute an advance directive. Explanation: Remediation: Question 4 See full question Which nursing goal is appropriate for a client with multiple myeloma? You Selected:  Decrease episodes of nausea and vomiting. Correct response:  Achieve effective management of bone pain. Explanation: Remediation: Question 5 See full question A 56-year-old woman is admitted for a modified radical mastectomy. The client appears anxious and asks many questions. The nurse's best course of action is to: You Selected:  explain to the client that she should discuss her questions with her health care provider (HCP). Correct response:  tell the client as much as she wants to know and is able to understand. Explanation: Remediation: Question 6 See full question A nurse is teaching an older adult who has had a left modified radical mastectomy with axillary node dissection about lymphedema. The nurse should tell the client that lymphedema occurs: You Selected:  at any time after surgery. Correct response:  at any time after surgery. Explanation: Remediation: Question 7 See full question A client is newly diagnosed with cancer and is beginning a treatment plan. Which action by the nurse will be most effective in helping the client cope? You Selected:  Identify available resources for the client and family. Correct response:  Identify available resources for the client and family. Explanation: Remediation: Question 8 See full question A client with cancer is uncertain about how to cope with all the issues that will arise. The nurse can best support the coping behaviors of a client with cancer by: You Selected:  relieving the client of decision making as much as possible. Correct response:  helping the client identify available resources. Explanation: Remediation: Question 9 See full question A terminally ill client’s husband tells the nurse, “I wish we had taken that trip to Europe last year. We just kept putting it off, and now I am furious that we did not go.” The nurse interprets the husband’s statement as indicating which stage of adaptation to dying? You Selected:  depression Correct response:  anger Explanation: Remediation: Question 10 See full question A 70-year-old client asks the nurse if she needs to have a mammogram. Which is the nurse's bestresponse? You Selected:  "We need to consider your family history of breast cancer first." .....Continued...