NCLEX- Oncology/Hematology Questions

NCLEX- Oncology/Hematology Questions ScienceMedicineNursing ldmason81Top creator on Quizlet Save Cancer & Oncology Nursing NCLEX ...50 terms dwren47Preview Hematology NCLEX 33 terms araymer22Preview Hematology NCLEX questions 62 terms quizlette34314570 Preview Endocr 121 term awe The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in the disorder?

• Increased Ca level
• Increased WBC's
• Decreased BUN level
• Decreased number of plasma cells int he bone marrow

1.*Hypercalcemia caused by the release of calcium from the deteriorating bone tissue, and elevated BUN level The nurse is creating a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?

• Encouraging Fluids
• Providing frequent oral care
• Coughing and deep breathing
• Monitoring the red blood cell count

1.**Fluids are needed to dilute the calcium overload and to prevent protein from precipitating in the renal tubules When caring for a client with an internal radiation implant, the nurse should observe which principles? (SATA) 1.Limiting the time with the client to 1 hour per shift

• Keeping pregnant women out of the client's room
• Placing the client in a private room with a private bath
• Wearing a lead shield when providing direct client care
• Removing the dosimeter film badge when entering the client's room
• Allowing individuals younger than 16 years old in the room as long as they are 6 ft away from patient

2,3,4

During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which manifestation as typical of the disease?

• Diarrhea
• Hypermenorrhea
• Abnormal bleeding
• Abd distention

4.**S/S of ovarian cancer - abd distention, urinary frequency and urgency, pain form pressure caused by growing tumor The nurse is caring for a client with lung cancer and bone metastasis. What S/S would the nurse recognize as indications of a possible oncological emergency? (SATA)

• Facial edema in the morning
• Serum Ca of 12
• Serum Na of 136
• Serum K+ of 3.4
• Weight loss of 20lb in 1 month
• Numbness and tingling of the lower extremities

1,2,6 A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing which condition?

• Rupture of the bladder
• The development of a vesicovaginal fistula
• Extreme stress caused by the diagnosis of cancer
• Altered perineal sensation as a S/E of radiation therapy

2.**Vesicovaginal Fistula: genital fistula that occurs between the bladder and vagina The nurse is conducting a history and monitoring laboratory values on a client with multiple myeloma. What assessment findings should the nurse expect to note? (SATA)

• Pathological fx
• Urinalysis positive for Bence Jones protien
• Hemoglobin level of 15.5
• Ca level of 8.6
• Serum Crea of 2.0

1,2,5 A Gastrectomy is performed on a client with gastric cancer. In the immediate postoperative period, the nurse notes bloody drainage from the nasogastric tube. The nurse should take which most appropriate action?

• measure abd girth
• Irrigate the NG tube
• Continue to monitor the drainage
• Notify the HCP

3.**drainage is normally bloody for first 24 hrs post op, changes to brown-tinged and then yellow/clear

When would a nurse expect the colostomy to start functioning after an abdominal perineal resection?within 72 hrs **The nurse should assess for return of peristalsis, listen for bowel sounds, and check for the passage of flatus The nurse is assessing a client who has a new ureterostomy. Which statement by the client indicates the need for more education about urinary stoma care?

• "I change my pouch every week"
• "I change the appliance in the morning"
• "I empty the urinary collection bag when it is two-thirds full"
• "When I'm in the shower I direct the flow of the water away from my stoma"

3.Empty when is is 1/3 full A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that the primary health care provider will request which prescriptions? (SATA)

• Radiation
• Chemotherapy
• Increased fluid intake
• Decreased oral sodium intake
• Serum sodium level determination
• Medication that is antagonistic to antidiuretic hormone

1,2, 5,6

The nurse is monitoring a client for s/s related to superior vena cava syndrome. Which is an early sign of this oncological emergency?

• Cyanosis
• Arm Edema
• Periorbital edema
• Mental status canges

3 The nurse manager is teaching the nursing staff about our s/s related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which is a late s/s of this oncological emergency?

1. HA

• Dysphagia
• Constipation
• ECG changes

4 *Constipation is an early sign The community health nurse is instructing a group of young female clients about breast self-examination. The nurse should instruct the clients to perform the examination at which time?

• At the onset of menstruation
• Every month during ovulation
• Weekly at the same time of day
• One week after menstruation begins

4

A client is dx as having an intestinal tumor. The nurse should monitor the client for which complications of this type of tumor? (SATA)

• Flatulence
• Peritonitis
• Hemorrhage
• Fistula formation
• Bowel perforation
• Lactose intolerance

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