Nc4

Front 1

If radioactive implant is inserted into a patient, it is appropriate to include what in the educational plan?

Back 1

"Nurses will always be available, however, they will spend only short periods of time at your bedside."

Front 2

When caring for a patient with a vaginal implant, which action represents the greatest hazard to nursing personnel?

Back 2

Standing at the foot of the bed to talk.

Front 3

While a vaginal radioactive implant is in place, the patient must be prohibited from doing:

Back 3

Getting out of bed to go to the bathroom.

Front 4

Alkylating agents are chmotherapy drugs that acty by:

Back 4

Preventing DNA replication

Front 5

When Cytoxan is used as a chemotherapeutic agent, the first toxic effects the nurse is most likely to observe:

Back 5

nausea, vomiting, diarrhea.

Front 6

Anemia, petechiae and ecchymosis, are side effects of chemotherapy due to:

Back 6

Bone marrow suppression

Front 7

Interferon works best:

Back 7

In conjunction with other cancer therapies

Front 8

The parts of the body that are most sensitive to side effects of chemotherapy are:

Back 8

bone marrow, GI tract, and hair follicles.

Front 9

The nurse should implement which of the following actions for a patient with thrombocytopenia:

Back 9

apply pressure to venipuncture and intramuscular sites.

Front 10

Clinical manifestations of benigh or malignant prostatic hypertrophy include:

Back 10

Frequency and urgency of urniation, nocturia, retention. NOT polyuria.

Front 11

The nurse should include discussion of sexual issues and possibility of impotence in pre-op teaching for:

Back 11

Perineal prostatectomy
retropubic prostatectomy
suprapubic prostatectomy

Front 12

Nursing interventions for establishing adequate bladder drainage after prostate surgery include:

Back 12

Irrigate the system to keep clots from forming
Observe drainage for signs of increased bleeding
Observe for signs of bladder distension.

Front 13

American Cancer Society recommends what guideliin for early detection of colorectal cancer:

Back 13

Occult blood test yearly after 50.

Front 14

TPN is given to maintain protein synthesis when:

Back 14

additional nutrients to enteral feedings are required.

Front 15

Cachexia is usually a sign of advanced cancer represented by:

Back 15

anorexia, early satiety and filling, weight loss, decreased energy.

Front 16

All of the following nutrients can increased the risk of colon cancer:

Back 16

high intake of fats, low intake fo fruits and vegetalbes, low intake of fiber, low intake of complex carbohydrates

Front 17

When performing a physical assessment, the nurse shoudl recognize which of the following as a possible early symptom of cancer of the larynx:

Back 17

Hoarseness

Front 18

The nurse cautions the patient with a laryngectomy to be careful bathing:

Back 18

To prevent aspiration of water.

Front 19

Which info in a patient's nursing history puts her at increased risk for breast cancer:

Back 19

family history

Front 20

Which activity is desirable for the postop mastectomy patient:

Back 20

start gentle arm exercises.

Front 21

Cystic breast disease may be characterized by:

Back 21

breast pain (mastodynia), fibroadenomas, presence of lumps

Front 22

What is true about Allopurinol

Back 22

may cause rash, itching, and anemias, used for secondary hyperuricemia with cancer therapy, used to lower plasma and urinary uric acid.

Front 23

Assessment of side effects of corticosterods may include:

Back 23

gastric bleeding and ulcers, infections due to immunosuppression, psychosis

Front 24

Nursing care for a patient with leukemia is aimed at:

Back 24

Preventing bleeding and infections

Front 25

Insufficient number of platelets is usually found in children with leudemia as manifested by:

Back 25

petechiae and ecchymosis

Front 26

Which food is most appropriate for a patient with stomatitis

Back 26

vanilla pudding

Front 27

Preop teaching for a patient undergoing a bone marrow transplant should include:

Back 27

Strict reverse isolation

Front 28

A patient expresses concerns about whether or not to go through with her scheduled surgery:

Back 28

Assess the patient's understanding and concerns

Front 29

Following a colostomy, the nurse would expect:

Back 29

a small amount of bleeding at the stoma site, a small amount of liquid stool, the stoma to be beefy red and swolen

Front 30

Adenocarcinomas are related to:

Back 30

smoking

Front 31

Which food is most appropriate for a patient with stomatitis

Back 31

vanilla pudding

Front 32

Preop teaching for a patient undergoing a bone marrow transplant should include:

Back 32

Strict reverse isolation

Front 33

A patient expresses concerns about whether or not to go through with her scheduled surgery:

Back 33

Assess the patient's understanding and concerns

Front 34

Following a colostomy, the nurse would expect:

Back 34

a small amount of bleeding at the stoma site, a small amount of liquid stool, the stoma to be beefy red and swolen

Front 35

Adenocarcinomas are related to:

Back 35

smoking

Front 36

When assessing a patient for malignant melanoma, the nurse should report:

Back 36

changes in the pigmentation of nevi and irregular borders around the nevi (moles)

Front 37

Hodgkin's disease is a malignant disorder of the:

Back 37

Lymph nodes

Front 38

A patient was recently diagnosed with Hodgkin's disease. The symptoms most likely identified are:

Back 38

unexplained fever, night sweats, and fatigue.

Front 39

When a cesium implant falls out in the bed:

Back 39

use long-handled forceps to place implant in lead-lined container

Front 40

A health education program for individuals at risk for skin cancer should include:

Back 40

Daily application of SPF 25 sunscreen, at least one skin cancer can cause death, if not discomvered promptly, skin cancesr are on the rise in the southern states

Front 41

A 50 year old man refused to have a digital rectal exam due to embarrassment. The female nurse should:

Back 41

Offer a male examiner, discuss how his privacy will be maintained, give info about scheduling the exam with a physician

Front 42

To reduce cancer risks, a family should make the following dietary modifications:

Back 42

Add a serving of fruit to each meal, use only whole grain breads and lean cuts of meat, use a fiber rich food list to go shopping

Front 43

Cancer patients with more advanced diseas may require surgery as a palliative procedure to:

Back 43

Lessen the growth of tumors by removing the hormone-producing organs, reduce the bulk of a growing yet non-resectable tumor, relieve airway obstruction with a trach.

Front 44

What best describes the effects of biotherapy:

Back 44

ability to modify the body's response to cancer or cancer therapy.

Front 45

Interferons are produced by leukocytes in response to viral infections or other stimuli. They can best help patients whose immune system has not been previously weakened by chemo and radiation by:

Back 45

`activating natural killer cells, working synergistically with certain cancer drugs and radiation

Front 46

Common side effects of biotherapy:

Back 46

fever chills and malaise, headaches and rigors, anxiety and/or depression

Front 47

True statements about lung cancer:

Back 47

smoking is responsible fo r80-90% of all lung cancer, more than 90% of cancers originate from the epithelium of the bronchus, clinical manifestations are usually nonspecific and appear late in the disease process.

Front 48

When intractable pain occurs in terminal cancer, it is important that the nurse be involved in the collaborative management for pain relief and also keep the family info4rmed and involved in this phase of care. What may achieve pain relief:

Back 48

combination drug therapy, radiation therapy, surgical procedures

Front 49

The major immunosuppressive drugs, given to prevent rejection of transplanted organs include:

Back 49

Prednisone, Imuran, Cyclosporine

Front 50

Which type of lung cancer responds best to cytotoxic chemo?

Back 50

Small cell lung cancer

Front 51

Which lab test do you monitor to assess therapeutic response to Neupogen?

Back 51

WBC

Front 52

The drug most often used to treat prostate cancer:

Back 52

Lupron

Front 53

Discharge planning for a mastectomy patient should include:

Back 53

referral to Reach for Recovery, how to perform a monthly BSE, importance of using a compression bandage on the affected arm.

Front 54

Which is the highest nursing diagnoses as related to anemia?

Back 54

Impaired gas exchange.

Front 55

Following a brain tumor resection near the hypothalaums the nurse should assess for

Back 55

inability to regulate body temp

Front 56

Ablative surgery may be performed for a patient with prostate cancer

Back 56

To remove excess tissue that may worsen the patient's condition

Front 57

The respiratory control center is located in the:

Back 57

Medulla

Front 58

Patency of the respiratory tract is maintained by:

Back 58

coughing, sneezing, anatomic structure (cilia)

Front 59

Adequate______is necessary for the transport of ozygen to the cells

Back 59

hemoglobin

Front 60

A patient has been on strict bed rest for several weeks with very little activity. His respiratory rate and depth will be:

Back 60

slow and shallow

Front 61

Ablative surgery may be performed for a patient with prostate cancer

Back 61

To remove excess tissue that may worsen the patient's condition

Front 62

The respiratory control center is located in the:

Back 62

Medulla

Front 63

Patency of the respiratory tract is maintained by:

Back 63

coughing, sneezing, anatomic structure (cilia)

Front 64

Adequate______is necessary for the transport of ozygen to the cells

Back 64

hemoglobin

Front 65

A patient has been on strict bed rest for several weeks with very little activity. His respiratory rate and depth will be:

Back 65

slow and shallow

Front 66

In assessing effectively for cyanosis, the nurse would look in all of the following body areas:

Back 66

nail beds, palms of the hands, buccal mucosa

Front 67

When a patient inadvertently takes fluid into their lungs:

Back 67

aspiration

Front 68

The patient with leukemia who has been getting Myleran (busulfan) now has an order for Zyloprim (allopurinol). The nurse tells the patient that the purpose of the drug is:

Back 68

to prevent hyperuricemia

Front 69

Neutorpenic precautions will be needed if the patient's white cell count becomes

Back 69

2,000

Front 70

When attempting to control hypovolemic shock, the nurse needs to monitor the SBP, which should be maintained at

Back 70

90-100

Front 71

When listening for breath sounsd with a stethoscope, the nurse auscultates

Back 71

the anterior and posterior chest wall

Front 72

When auscultating for breath sounds, the nurse should instruct the patient to:

Back 72

take slow, deep breaths through the mouth and exhale with mouth open

Front 73

When a patient with a trach is receiving oxygen therapy the nursing care must include:

Back 73

Make sure humidifier delivers a constant mist, remove and clean the trach coloar with water every 4 hourse, empty the condensation of the tubing every 2 hours

Front 74

When instructing the patient how to cough and deep breathe effectively, start by telling them to take deep breaths, aerating all portions of the lung by:

Back 74

inhaling slowly and deeply feeling the abdomen rise

Front 75

Signs of hypoxia include:

Back 75

rapid pulse and rapid respiration, restlessness, cyanosis

Front 76

MDI bronchodilator is scheduled before posture drainage:

Back 76

to enhance secretion removal

Front 77

When a patient is receiving 02 via nasal cannula:

Back 77

check for pressure areas over the ears, frequent oral care, moisten lips and nose with appropriate lubricants

Front 78

Signs of partial upper airway obstruction would include:

Back 78

retraction of the upper chest, sternum, and intercostal spaces, low-pitched snoring sound during inhalation, gurgly or bubbly sounds during inspiration

Front 79

A patient has been maintained on mechanical ventilation and is being weaned. The nurse could identify this by what mode/setting on the ventilator?

Back 79

SIMV

Front 80

The fourth leading cause of death in the US is:

Back 80

COPD

Front 81

A patient has had a total laryngectomy. He has a trach and tube with an inflatable cuff. What does the nurse do first to suction his trach?

Back 81

perform nasopharyngeal suction as needed

Front 82

The treatment of CHF is directed at:

Back 82

decreasing the oxygen nees of the heart, increasing the cardiac output by strengthening muscle contraction or decreasing peripheral resistance, reducing the amount of circulating fluids

Front 83

An example of a potassium-sparing diuretic that might be prescribed for CHF:

Back 83

Aldactone

Front 84

Clinical manifestations of chronic venous insufficiency include:

Back 84

pallor when legs are dependent

Front 85

The nurse finds out that the patient has partial portal vein obstruction due to cancer. Assess for what complication:

Back 85

ascites

Front 86

With chronic arterial occlusive disease, leg pain during rest can be reduced by:

Back 86

placing the limbs in a dependent position

Front 87

A nurse teaches a patient with chronic venous insufficiency to do all of the following:

Back 87

avoid constricting garments, elevate the legs above the heart for 30 minutes every 3 hours, sleep with the foot of thwe bed elevated about 6 inches

Front 88

The pain characteristic that the nurse would assess as being diagnostic of angina pectoris would be the:

Back 88

relief with NTG and/or rest

Front 89

Oxygen for a patient in acute pulmonary edema shoudl be administered via:

Back 89

facemask at a flow rate high enough to quickly raise Pa02

Front 90

Morphine is given to acute pulmonary edema patients to redistribute the pulmonary circulation to the periphery by:

Back 90

decreasing sympathetic nervous system response, decreasing pulmonary capillary pressure, increasing venous system capacity

Front 91

Management of tracheobronchitis includes:

Back 91

racemic epinephrine, vaccine for flu, using cool vaor therapy to relieve laryngeal and tracheal irritation

Front 92

For a patient with chronic bronchitis, the nurse would expe ct to see the major clinical symtoms of:

Back 92

exertional dyspnea and a productive cough

Front 93

Modifiable risk factors of hypertension include:

Back 93

obesity, smoking, chronic emotional stress

Front 94

Diuretics act as an antihypertensive medication by:

Back 94

blocking sodium reabsorption, blocking water reabsorption in the renal tubule, producing a decreased blood volume

Front 95

Which of the following meds is not sued to treat malignant hypertension:

Back 95

Nifedipine

Front 96

The DASH diet is comprised of

Back 96

fruits, vegetables, low-fat dairy

Front 97

Rhonchi and wheezes may be attributed to:

Back 97

partial obstruction of bronchi and bronchioles

Front 98

Following a fiberoptic bronchoscopy, what is your most important observation:

Back 98

function of the vagus nerve

Front 99

The most important postop activity the thoracic patient performs is:

Back 99

deep breathing and expectorating sputum to promote ventilation

Front 100

After a partial lobectomy:

Back 100

decreased FEV and respiratory acidosis

Front 101

Essential purpose of water-sealed drainage system:

Back 101

drain off excess fluid and air, promoting reestablishment of negative intrapleural pressure

Front 102

Chest tube. Fluctuations of fluid in the tubing indicate:

Back 102

There is no obstruction, there are no dependent loops, wall suction is operating propery