NURS FUNDAMENTA Lim quizzes and midterm/GRADE A GUIDE

NURS FUNDAMENTA Lim quizzes and midterm/GRADE A GUIDE 1. A nurse is teaching for a client who is to begin taking Tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following fi ...

NURS FUNDAMENTA Lim quizzes and midterm/GRADE A GUIDE 1. A nurse is teaching for a client who is to begin taking Tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication? 2. Patient with bladder cancer receiving Cisplatin medication what to expect 3. A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider? 4. Primary prevention for cancer 5. Recommend time for colon cancer at age 50 6. Patient concerned about the adverse effect of chemo 7. Patient dying of cancer wants to go home and die family can’t take care what should be recommended 8. Older adult client lives with family member comes in with bruises what should the nurse do first 9. Thrombocytopenia nursing action a. Hold puncture site for 10 min 10. A client is receiving treatment for stage IV ovarian cancer and asks 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? 11. SATA 4/5 for palliative car 12. What are expected lab values SATA 3 13. As adults age what decreases SATA 3 14. Neutropenic precaution what restrictions should the nurse put in the patients plan of care 15. The nurse is caring for a client who is on morphine PRN for pain. The client is having difficulty breathing, the nurse decides to not administer the medication because she fears the client will die. What ethical principle is the nurse performing? 16. Bleeding gums what is nursing action 17. A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. An important nursing intervention for the patient is to 18. Coming in or chemo what patient teaching 19. A nurse is caring for a client who is scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the clients the most likely side effect would be 20. Expected side effect of chemo Alopecia 21. Most common adverse effect of chemo a. Nausea and vomiting 22. Hair loss a. Hair will grow back but may not be the same 23. A patient was alert and oriented upon arrival but suddenly became confused and disoriented what should the nurse do? a. Move the patient to a room closer to the nurses station 24. Patient will have peripheral neuropathy what are the expected findings? a. Tingling in the extremities 25. Patient is receiving chemo via IV and reports burning and stinging what is the nursing action? a. Discontinue immediately 26. A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums? a. Check the value of the client's current platelet count Q- 1 Joy WED 1. PPE what order to take off? a. gloves b. goggles c. gown d. mask 2. Thrombocytopenia (a lot of Qs) a. 10 min b. Administer oprelvekin to stimulate platelet production monitor platelet count 3. Expected side effect of chemo a. patient will lose hair and eyebrows i. Rationale: alopecia 4. Immunosuppressed patient at home a. avoid people with recent immunization 5. Neutropenia a. bottled water 6. Where to take bone marrow biopsy treatment other than iliac crest a. sternum 7. Patient teaching to all age groups a. Fecal occult 8. To help with n/v, what to avoid a. Unsaturated fat 9. Before chemo avoid fluid intake by a. Not drinking an hour before treatment 10. Skin cancer melanoma? SATA a. Genetics b. UV c. Skin injury 11. What kind of isolation do you put on patient a. Preventative 12. Hand hygiene a. 4-5 ml of soap b. Hot water 13. What precaution for patient with bone marrow transplant a. Neutropenic/preventative b. contact 14. Patient afraid of pain from bone marrow transplant a. Call Dr. patient has questions 15. Patient with low WBC count a. No fresh flowers 16. Patient with low platelet counts a. Limit IM injections 17. Patient with low platelet a. Pad areas to prevent injury 18. A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching? a. "I'll call my doctor if I notice any unusual menstrual bleeding." 19. A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching? a. Bottled water is an appropriate choice to increase fluid intake 20. Infected iv site a. you will see purulent fluid 21. What to do with patient for risk of skin breakdown a. best options are move patient with draw sheet b. use cornstarch to keep areas dry (has to be talcum powder) 22. Hospice care patient teaching a. Hospice care must be in long term care facility i. Can be at home b. Dr. will try to cure i. Not cure just for comfort c. Doesn't matter what life expectancy is there is one more option I picked that one cause those i. Life expectancy is 6 months 23. A nurse if caring for an older adult client who has a WBC of 2,000/mm^3 after three rounds of chemotherapy. Which of the following actions should the nurse take? a. Serve cooked fruit with meals Quiz 1 Joy SAT 1. SATA; Nurse is explaining nonpharmacologic interventions, what responses by the client indicates proper understanding? a. nonpharmacologic interventions may be used with pharmacotherapy b. nonpharmacologic intervention may be used adjunct with pharmacotherapy c. nonpharmacologic intervention has not made it to mainstream yet d. nurses do not value this method of nonpharmacologic 2. Elder comes in with bruises, what do do? a. report to supervisor 3. Alzheimer’s partner is having a difficult time, what finding indicates caretaker is fatigue/strained ? a. caretaker loses 20 lbs in 2 months b. putting locks on doors c. hiring a housekeeper d. redirecting alzheimer's patient when patient is frustrated 4. Laryngeal cancer a. dysphagia 5. SATA risk factors for cancer a. Bloating b. change in bowel movement c. change in moles d. sore that doesn't heal e. coughing 6. Heavy long-term smoker develops laryngeal cancer, what is the first symptom that develops? a. hoarseness 7. a. Clean dentures in cup b. cook fruit 8. Stem cell transplant; WBC is 2,000 a. Negative airflow room b. change water in flower vase c. humidifier 9. S/E radiation therapy a. Fatigue b. constipation