NUR 206 FINAL EXAM LATEST -
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+
The nurse is instructing a patient who is on a biologic response modifier (BRM) colonystimulating drug. The nurse teaches that about which desired action from this medication? - Correct Answer - Enhanced recovery of bone marrow
A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion. Lab studies reveal hyperkalemia and Hyperuricemia the nurse recognizes that the patient is most likely suffering from? - Correct Answer - Tumor Lysis Syndrome (TLS)
A patient receiving chemotherapy has thrombocytopenia. What is the most appropriate that the nurse should teach the patient? - Correct Answer - Do not take aspirin for a headache
The nurse is constructing a teaching plan about fatigue management for a patient who is taking radiation treatments. Which information should the nurse include? - Correct Answer - Prioritize activities and alternate rest with periods of activity.
A 32-year-old mother is undergoing radiation from a sealed-source modality and has been isolated in a private room for 3 days. How should the nurse best prepare for the patient's 8-year-old twins to visit? - Correct Answer - Put chairs in the hall for "longdistance" visitation.
Which description(s) is/are characteristic of a malignant neoplasm? (Select all that apply.) - Correct Answer - -Disorganization -Altered DNA -Invasion of nearby organs -Travel through body fluid
The 52-year-old male who was diagnosed with a benign growth in her colon is concerned about the growth spreading. Which explanation best allays the patient's anxiety? - Correct Answer - "Benign growths are surrounded by fibrous tissue that prevents spread."
The nurse assesses several patients in the outpatient clinic. Which patient has the greatest risk for developing cancer? - Correct Answer - 45-year-old farmer from Texas who has worked on his family's cotton farm since the age of 12
The nurse assesses a man who is scheduled for a prostate-specific antigen (PSA) test.The nurse understands that which situation could delay the test? - Correct Answer - The patient reports having a recent urinary tract infection (UTI).
The nurse is educating the 40-year-old female patient about the American Cancer Society (ACS) recommendations for early detection of cancer. Which information should she include when teaching? - Correct Answer - Obtain a mammogram every year
The 26-year-old patient with a malignant neoplasm has experienced a 10-pound weight loss in 3 weeks. To which factor is this patient's rapid weight loss most likely related? - Correct Answer - The malignancy's high nutritional demand
The nurse cautions that the most common site of cancer in adult men is the: - Correct Answer - Prostate
A patient has developed stomatitis from chemotherapy. What should the appropriate intervention for this condition include? - Correct Answer - Using a soft toothbrush
A patient is undergoing external radiation and helping the patient with effects the nurse would? - Correct Answer - Instruct the patient to wear loose fitting, cotton clothing
The nurse caring for a patient who has peritonitis and has developed a paralytic ileus assesses that the patient is passing gas (flatus). The assessment is an indication of: - Correct Answer - returned peristalsis.
The nurse is caring for a patient with a 4-day-old ileostomy. The patient complains of cramping, the nurse notes decreased output, and the bowel sounds have a high pitched sound. What action should the nurse take? - Correct Answer - Notify the charge nurse immediately.
The nurse is reinforcing teaching with a client who is post-op following an ileostomy.Which of the following instructions should the nurse include in the teaching? - Correct Answer - Avoid medications encapsulated
Which type of hernia can lead to necrosis? - Correct Answer - Strangulated hernia
The nurse is aware that an unresolved intestinal obstruction can lead to which complications? - Correct Answer - Intestinal rupture and shock
The nurse explains which advantage benefits patients with a Kock pouch ileostomy? - Correct Answer - The patient does not have to wear a collection device.
The nurse is educating a patient with diverticulitis. Which statement indicates that the nurse's teaching about the importance of seeking treatment has been successful? - Correct Answer - "If left untreated, the inflamed bowel can perforate and cause peritonitis."
Which viruses are responsible for specific cancers? (Select all that apply.) - Correct Answer - -Liver cancer from hepatitis B virus -Burkitt lymphoma from Epstein-Barr virus -Cervical cancer from human papillomavirus -Kaposi sarcoma from human immunodeficiency virus
The patient has terminal cancer of the prostate and screams at you. What type of emotion he he experiencing? - Correct Answer - Anger
The nurse reinforces patient instructions regarding neutropenic precautions. Important topics should include which of the following? - Correct Answer - - No fresh fruit
- No raw vegetables or salads
- Encourage hand hygiene
The nurse is teaching a 50-year-old male patient who is taking estrogens as treatment of prostate cancer. The nurse should educate the patient about which expected side effect? - Correct Answer - Gynecomastia
The nurse is caring for a terminally ill cancer patient who is receiving palliative care. The patient's wife asks how her husband's pain will be controlled as he nears death. Which is the nurse's best response? - Correct Answer - "Most of the time we can manage the pain with oral morphine and transdermal pain medication."
The nurse explains that metastasis from the original site to a new site can occur in a variety of ways. Which mechanisms do malignant cells use to metastasize? (Select all that apply.) - Correct Answer - -"Transplantation" via surgical instruments during surgery.-Entering a body cavity and attaching to an organ.-Traveling through the lymphatic system.-"Relocation" from contaminated gloves during surgery.
The nurse found a pellet in the bed of a patient receiving sealed internal radiation. What should the nurse do? - Correct Answer - Pick it up with a long handled lead tong and place it in lead container.
Radiation has an immediate and delayed effect on cells. What statement holds true? - Correct Answer - The delayed effect is that it alters the DNA and impairs the ability to replicate or reproduce
Using the TNM staging classification system, what does a tumor staged as T2N2M2 mean? - Correct Answer - large tumor, with lymph node involvement, and metastases