ONCO NCM 112

43問 • 2年前

問題一覧

Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply.

Reduce exposure to environmental organisms, Use strict aseptic technique for all procedures, Ensure that anyone entering the child's room wears a mask

The nurse is performing an assessment on a 10-year-old child suspected to have Hodgkin's disease. Which assessment findings are specifically characteristic of this disease? Select all that apply.

Abdominal pain, Painless, firm, and movable adenopathy in the cervical area

Patients receiving chemotherapy are at risk for thrombocytopenia related to chemotherapy or disease processes. Which actions are needed for patients who must be placed on bleeding precautions? (Select all that apply.)

Use paper tape on fragile skin., Provide a soft toothbrush or oral sponge., Avoid aspirin or aspirin-containing products., Avoid overinflation of blood pressure cuffs., Pad sharp corners of furniture.

A patient has undergone a mastectomy. The nurse determines that the client is having the most difficulty adjusting to the loss of the breast if which behavior is observed?

Refuses to look at the dressing

A client is preparing for discharge 10 days after a radical vulvectomy. The nurse determines that the client has the best understanding of the measures to prevent complications when the client expresses plans to engage in which activity after discharge?

Walk

The nurse provides a teaching session to the nursing staff regarding osteosarcoma.Which statement by a member of the nursing staff indicates a need for information?

"the child does not experience pain at the primary tumor site"

The nurse inspects the skin of a client receiving external radiation therapy and documents a finding as moist desquamation. The nurse underdtands that moist desquamation is best described as which?

weeping of the skin

An older patient needs treatment and relief for severe localized pain related to postherpetic neuralgia that developed during chemotherapy. The nurse is most likely to question the prescription of which type of medication?

Tricyclic antidepressant

The nurse has provided instructions to a client regarding testicular self-examination (TSE). Which client statement indicates the need for further teaching regarding TSE?

"I examine myself every 2 months."

The nurse is caring for a patient with esophageal cancer. Which task could be delegated to unlicensed assistive personnel (UAP)?

Assisting the patient with oral hygiene

During the nursing assessment, the client says, "My doctor just told me that my cancer has spread and I have less than 6 months to live." Which of the following nursing responses would be therapeutic?

"I am sorry, would you like to discuss this with me some more?"

A 4-year-old child is admitted to the hospital for abdominal pain. The mother reports that the child has been pale and excessively tired and is bruising easily. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed because acute lymphocytic leukemia is suspected. The nurse determines that which laboratory result confirms the diagnosis?

Bone marrow Biopsy showing blast cells

The nurse is caring for a client who has just had a mastectomy. Which exercise should the nurse assist the client in doing during the first 24 hours after surgery?

Elbow flexion and extension

A client with renal cell carcinoma of the left kidney is scheduled for nephrectomy The right kidney appears normal at this time. The client is anxious about whether dialysis will ultimately be needed. The nurse should plan to use which information in discussions with the client to alleviate anxiety?

One kidney is adequate to meet the needs of the body as long as it has normal function.

The patient describes a burning sensation in the leg. The health care provider tells the nurse that a medication will be prescribed for neuropathic pain secondary to chemotherapy. The nurse is most likely to question the prescription of which drug?

Morphine

Which patient is at greatest risk for pancreatic cancer?

An elderly African-American man who smokes

The nurse is caring for a client with cancer of the lung who is receiving chemotherapy. The nurse reviews the laboratory results and notes that the platelet count is 18,000/mm3. Based on this laboratory result, which of the following would the nurse implement?

Bleeding precautions

A client has had a left mastectomy with axillary lymph node dissection. The nurse determines that the client understands postoperative restrictions and arm care when the client states the intention to engage in which activity?

Using gloves when working in the garden

The nurse has provided instructions to a client receiving external radiation therapy. Which client statement would indicate a need for further instruction regarding self-care related to the radiation therapy?

"I need to apply pressure on the irritated area by wearing snug clothing to prevent bleeding."

The night shift nurse tells the oncoming dayshift nurse that the cancer patient is on around-the-clock dosing of morphine but that the patient might be having end-of-dose pain. Which question is the most important to ask the night shift nurse?

“Did you notify the health care provider (HCP), and were changes prescribed?"

A nurse is caring for a client with cancer who has a nursing diagnosis of Body Image Disturbance related to alopecia. The nurse plans to teach the client which of the following related to this nursing diagnosis?

The use of wigs, which are often covered by insurance

The nurse is caring for a 25-year-old client who will undergo bilateral orchiectomy for testicular cancer. Considering the nature of the illness, the nurse should make it a priority to explore which potential psychological concern with this client?

Loss of reproductive ability

A community health center is preparing a presentation on the prevention and detection of cancer. Which task would be best to assign to the LPN/LVN?

Prepare a poster on the seven warning signs of cancer

A client who has been admitted to a surgical unit with a diagnosis of cancer is scheduled for surgery in the morning. When the nurse enters the room and begins the surgical preparation, the client states, "I'm not having surgery -you must have the wrong person! My test results were negative. I'll be going home tomorrow." The nurse recognizes that the client is engaging in the use of which defense mechanism?

Denial

A 56-year-old patient comes to the walk-in clinic reporting scant rectal bleeding and intermittent diarrhea and constipation for the past several months. There is a history of polyps and a family history of colorectal cancer. While you are trying to teach about colonoscopy, the patient becomes angry and threatens to leave. What is the priority diagnosis?

Anxiety related to unknown outcomes and perceived threats to body integrity

A patient who has cancer will need ongoing treatment for pain. Which brochure is the nurse most likely to prepare that addresses questions related to the first-line treatment of cancer pain?

"An Illustrated Guide to the Analgesic Ladder"

The ambulatory care nurse is providing discharge instructions to a female client who underwent cryosurgery with laser therapy because of a positive Papanicolaou test. Which statement by the client indicates an understanding of the instructions?

"I should expect the vaginal discharge to be clear and watery."

A child undergoes surgical removal of a brain tumo During the postoperative period, the nurse notes that the child is restless, the pulse rate is elevated, and the blood pressure has decreased significantly from the baseline value. The nurse suspects that the child is in shock. Which is the most appropriate nursing action?

Notify the health care provider (HCP).

On physical assessment, a 32-year-old female client tells the nurse that she has a history of fibrosystic disorder of the breasts. The nurse determines that the client understands the nature of this disorder if the client states that signs/symptoms are more likely to occur at which time?

Before Menses

For a patient who is receiving chemotherapy, which laboratory result is of particular importance?

White blood cell (WBC) count

The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500 mm3 (19.5 × 109/L). On the basis of this laboratory result, which intervention should the nurse include in the plan of care?

Initiate bleeding precautions

When planning for the care of the client who is dying of cancer, one of the goals is that the client verbalize his or her acceptance of impending death. Which client statement indicates to the nurse that this goal has been reached?

"I would like to have my family here when I die."

The physician tells the patient with cancer that there will be an initial course of treatment with continued maintenance treatments and ongoing observation for signs and symptoms over a prolonged period of time. Which patient statement would concern you the most?

"My pain will be relieved, but I am going to die soon; I would like to have control over my own life and death."

A client is admitted to the hospital with a diagnosis of infiltrating ductal carcinoma of the breast. Which expected manifestation should the nurse assess the client for?

A fixed, irregularly shaped mass

For a patient receiving the chemotherapeutic drug vincristine (Oncovin), which side effects should be reported to the physician?

Paresthesia

The nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP?

Vomiting

An experienced nurse is precepting a newly hired nurse who has 2 years of medical-surgical experience but limited experience with patients who have cancer. The new hire seems to be consistently under medicating the patients' pain. What should the preceptor do first

Determine the new nurse's understanding and beliefs about cancer pain and treatments

Which nurse is demonstrating the first step in managing cancer pain by using the ABCDE (ask, believe, choose, deliver, and empower) clinical approach to pain management as recommended by the Agency for Healthcare Research and Quality?

Nurse K asks the patient to describe pain and uses a numerical pain scale.

The nurse is preparing a poster for a booth at a health fair to promote primary prevention of cervical cancer. Which recommendation should the nurse include on the poster?

Seek treatment promptly if cervical infection is suspected.

A postmastectomy client has been found to have an estrogen receptor-positive tumor. The nurse interprets after reading this information in the pathology report that the client will most likely have which common follow-up treatment prescribed?

Administration of tamoxifen

A dx of Hodgkin's disease is suspected in a 12 year old child.several diagnostic studies are performed to determine the presence of this disease. Which diagnostic test result will confirm the dx of Hodgkin's disease

The presence of Reed-Sternberg cells in the lymph nodes

The nurse has explained the reason that the physician has chosen laser surgery to treat a client's cervical cancer. Which statement by the client indicates an understanding of the explanation?

"I want to be asleep during the my procedure."

The nurse assesses the patient and determines that the patient is having frequent breakthrough cancer pain. Which member of the health care team is the nurse most likely to contact first?

Health care provider to review medication, dosage, and frequency

GERIA PRELIMS

GERIA PRELIMS

CARDIO NCM 112

CARDIO NCM 112

PERI-OP NCM 112

PERI-OP NCM 112

CHN PRELIMS

CHN PRELIMS

NURSING RESEARCH PRELIMS

ユーザ名非公開 · 15問 · 2年前

NURSING RESEARCH PRELIMS

GERIA MT

GERIA MT

RESPI NCM 112

RESPI NCM 112

HEMA NCM 112 (not final)

ユーザ名非公開 · 25問 · 2年前

HEMA NCM 112 (not final)

25問 • 2年前

ユーザ名非公開

NURSING RESEARCH 1 MT

ユーザ名非公開 · 30問 · 2年前

NURSING RESEARCH 1 MT

30問 • 2年前

ユーザ名非公開

問題一覧

Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply.

Reduce exposure to environmental organisms, Use strict aseptic technique for all procedures, Ensure that anyone entering the child's room wears a mask

The nurse is performing an assessment on a 10-year-old child suspected to have Hodgkin's disease. Which assessment findings are specifically characteristic of this disease? Select all that apply.

Abdominal pain, Painless, firm, and movable adenopathy in the cervical area

A patient has undergone a mastectomy. The nurse determines that the client is having the most difficulty adjusting to the loss of the breast if which behavior is observed?

Refuses to look at the dressing

Walk

The nurse provides a teaching session to the nursing staff regarding osteosarcoma.Which statement by a member of the nursing staff indicates a need for information?

"the child does not experience pain at the primary tumor site"

The nurse inspects the skin of a client receiving external radiation therapy and documents a finding as moist desquamation. The nurse underdtands that moist desquamation is best described as which?

weeping of the skin

Tricyclic antidepressant

The nurse has provided instructions to a client regarding testicular self-examination (TSE). Which client statement indicates the need for further teaching regarding TSE?

"I examine myself every 2 months."

The nurse is caring for a patient with esophageal cancer. Which task could be delegated to unlicensed assistive personnel (UAP)?

Assisting the patient with oral hygiene

"I am sorry, would you like to discuss this with me some more?"

Bone marrow Biopsy showing blast cells

The nurse is caring for a client who has just had a mastectomy. Which exercise should the nurse assist the client in doing during the first 24 hours after surgery?

Elbow flexion and extension

One kidney is adequate to meet the needs of the body as long as it has normal function.

Morphine

Which patient is at greatest risk for pancreatic cancer?

An elderly African-American man who smokes

Bleeding precautions

Using gloves when working in the garden

"I need to apply pressure on the irritated area by wearing snug clothing to prevent bleeding."

“Did you notify the health care provider (HCP), and were changes prescribed?"

The use of wigs, which are often covered by insurance

Loss of reproductive ability

A community health center is preparing a presentation on the prevention and detection of cancer. Which task would be best to assign to the LPN/LVN?

Prepare a poster on the seven warning signs of cancer

Denial

Anxiety related to unknown outcomes and perceived threats to body integrity

A patient who has cancer will need ongoing treatment for pain. Which brochure is the nurse most likely to prepare that addresses questions related to the first-line treatment of cancer pain?

"An Illustrated Guide to the Analgesic Ladder"

"I should expect the vaginal discharge to be clear and watery."

Notify the health care provider (HCP).

Before Menses

For a patient who is receiving chemotherapy, which laboratory result is of particular importance?

White blood cell (WBC) count

Initiate bleeding precautions

"I would like to have my family here when I die."

"My pain will be relieved, but I am going to die soon; I would like to have control over my own life and death."

A client is admitted to the hospital with a diagnosis of infiltrating ductal carcinoma of the breast. Which expected manifestation should the nurse assess the client for?

A fixed, irregularly shaped mass

For a patient receiving the chemotherapeutic drug vincristine (Oncovin), which side effects should be reported to the physician?

Paresthesia

Vomiting

Determine the new nurse's understanding and beliefs about cancer pain and treatments

Nurse K asks the patient to describe pain and uses a numerical pain scale.

The nurse is preparing a poster for a booth at a health fair to promote primary prevention of cervical cancer. Which recommendation should the nurse include on the poster?

Seek treatment promptly if cervical infection is suspected.

Administration of tamoxifen

The presence of Reed-Sternberg cells in the lymph nodes

The nurse has explained the reason that the physician has chosen laser surgery to treat a client's cervical cancer. Which statement by the client indicates an understanding of the explanation?

"I want to be asleep during the my procedure."

The nurse assesses the patient and determines that the patient is having frequent breakthrough cancer pain. Which member of the health care team is the nurse most likely to contact first?

Health care provider to review medication, dosage, and frequency