MDC2 Test 1 Questions and Answers 100% Pass

MDC2 Test 1 Questions and Answers 100% Pass A nurse should instruct a pt with a positive family history of colon cancer to adhere to which of the following lifestyle modifications? Encourage baseline colonoscopy screening What is the step in which normal cells become damaged? This step is irreversible and leads to cancer development. Initiation Ellen is a 56 yo female in the ER with complaints of a fever for last 3 days. Recently completed a cycle of chemo. Temp is 103.6, HR 128, 89% on RA BP 88/60. The doc orders a CBC, ABGs, & metabolic panel. What do you anticipate the lab work to reveal? decreased absolute neutrophil count A nurse is caring for newly diagnosed leukemia pt who recently completed the initial round of chemo. Which of the following should be included in the family education? Pt is at increased risk of infections. A nurse is providing education to a pt and family that is undergoing radiation as part of his cancer treatment for a brain rumor. Which of the following is a side effect of radiation? weight loss A nurse is caring for a newly diagnosed cancer pt undergoing chemo. The family has remained with the pt and assist the pt to the bathroom. Which of the following is important to share with the caring for the pt? Chemotherapy precautions Which type of malignant tumors originates in the epithelial cells of the skin, lungs, liver, kidney, stomach, breast, prostate, and thyroid? Carcinomas A nurse is caring for a 36 yo M who presented to the ER with bright red rectal bleeding for 3 days. He is hypotensive and tachycardiac. He experienced two episodes of diarrhea in the ER with visible bright red blood. Which of the following diagnostic test do you anticipate the pt will undergo? Colonoscopy A nurse is caring for a pt who presented to the ER with nagging cough, unusual bleeding and change in bowel and bladder habits. Based on these findings, the nurse would anticipate which of the following diagnosis. Cancer Which of the following questions should the nurse ask the pt who has a family history of breast cancer? Have you had genetic testing performed? A nurse should instruct a pt to follow which strategies to prevent cancer? vaccinations, routine screening, adhere to medication, reduce frequency of smoking A nurse is providing pt and family education. Which of the following examples would indicate the pt and family understanding of secondary cancer prevention Routine screening A nurse is caring for a pt recently diagnosed with lung cancer. Based on testing there is no indication that the cancer has spread to other organs. The pt. is scheduled for surgery to have a lobectomy performed. This is classified as which type of surgical treatment? Curative Amy is a 26 yo with a family history of breast cancer. Amy lost her mom and sister to breast cancer and is concerned about her risk. She underwent genetic testing which indicates that she could be at genetic risk. She has opted to have bilateral masectomy. What surgical treatment option would this fall under. Prophylatic Nursing care for patients who underwent surgical treatment for removal of caner include: pain control, encourage coughing and deep breathing, nutritional support, discharge instructions. Treatment plans for cancer pts can include a single type of treatment or a combination of treatment based on the cancer type. Which is not a cancer treatment option? Herbal medications Which of the following does not influence cancer growth? gender Which of these factors in the pts history is most likely related to the dev of lung cancer? history of smoking for 20 years A pt with family history of cancer should focus on which type of cancer prevention? Primary A nurse is caring for a pt who undergoes external radiation treatment for cancer. What info needs to be provided to the family and pt? Importance of maintaining external marking for future treatments. Cancer management requires a collaborative approach including a multidisciplinary team. Determining the plan following diagnosis is which collaborative intervention? Develop a treatment plan A nurse is providing pt and family education regarding common problems associated with cancer diagnosis. Which of the following statements would indicate and understanding? I am at an increased risk of developing and infection Which of the following are oncological emergency situations that the nurse should report immediately to the doc? metabolic, structural, hematological A nurse is caring for a pt. that has been recently diagnosed with ca. and undergoing chemo. morning labs say hyperphosphatemia , hyperkalemia and acidosis. Based on labs what is the pt. exhibiting Tumor lysis syndrome a nurse is caring for a pt. who is undergoing treatment for liver ca. The pt. is having pain which of the priority interventions should be included int eh plan of care? administer pain med as prescribed A nurse is caring for a pt. recently diagnosed with lung ca. In morning assessment nurse notes that the pt. is SOB with R R of 36 min/hr HR of 130 and had distended neck veins. what is the pt. experiencing ? malignant pericardial effusion A nurse is caring for a pt. recently diagnosed with ca. who is having S/S of SVC. Which of the following is a positive tx option? Radiation pt diagnosed with ca. who have exhausted all tx options are good candidates for Hospice care A nursing is talking to pt who was diagnosed with liver cancer 9 months ago and the family. Family is wanting assistance to deal with the diagnosis. Nurse gives info about palliative care. which of the following is not a goal of palliative care? To secure financial assistance Caring for an 84 yo with nausea who has been vomiting for the past three days. Upon assessment the nurse notes elevated HR dry oral musous membranes and poor skin tugor. what intervention can the nurse anticipate based on the assessment findings? obtain IV access and administer fluids Caring for a 29 yo female with a history of diabetes and asthma who presented at the hospital with a diabetic Ketoacidosis. What electrolyte imbalances would you and anticipate? Hypokalemia caring for a pt with hypovolemia a nurse should determine whether the pt. has which of the following abnormal lab values? decreased blood urea nitrogen, decreased serum potassium, decreased urine sodium a nurse assesses a pt diagnosed with hypoparathyroid which of the following lab values correlates with this diagnosis? increased calcium caring for a pt. who is being tx for hypokalemia which of the following is correct regrading potassium administration? administer via an infusion pump caring for a pt who is on a fluid restriction and are preparing for his discharge. Which of the following should be included in the education? explain the purpose of the fluid restriction teach the pt and family about performing daily weight determine pt food preferences when planning diet after discharge caring for a 72yo female with a diagnosis of dehydration all of the following nursing diagnosis should be included in the plan of care except fluid volume overload what is the normal values of serum sodium 136-144 mEq/L a pt comes in to the ED with SOB and pitting edema of his lower extremities. His doc recently increased his lasix. Pt. has a hx of HF and diabetes. Pt. labs are na 150 K+ 2.5. which of the following electrolyte imbalances is pt. having? Hypernatremia & hypokalemia 46yo female went to the ED with fever N/V and fatigue over the past few days. Recently diagnosed with Breast ca. and has been having chemo. Labs show Na+ 150 K+ 3.2 Ca 15. what is the fluid and electrolyte imbalance pt. having. hypovolemia hypernatremia hypokalemia hypercalcemia which of the these lab results would be a priority for a nurse to monitor for a pt that is dehydrated? Sodium caring for a pt. who presents new onset of seizures confusion and muscle tremors. pt lab shows hypomagnesemia. Which of the following would be the cause of hypomagnesemia? alcoholism caring for a pt. with HF who is getting diuretics and beta- blockers. which of the following fluid and electrolyte imbalances would the nurse anticipate? hypokalemia which of the following causes hypovolemia? V/D What is the difference between benign and malignant tumor cells? a benign tumor has not migrated to another site and is not as harmful where as malignant tumor has migrated and is Ca. pt ask the nurse how radiation works to destroy ca cells. what is the best response? the goal of radiation therapy is to destroy the ca cells while minimizing further damage in the body pt asks nurse to explain radiation exposure refers to which of these are correct that refers to the amount of radiation delivered. pt. would like to know what it means that her breast ca has metastasized what does this mean? Ca cells have moved from their primary site. pt. undergoing chemo is receiving education about reduction of infection risk. which of these actions is the most important in reducing that risk during chemo? Hand Hygiene A tumor was staged as T4 N3 M0 what does this mean? The tumor is large has not metastasized and has much node involvement . an outdoor construction worker with profuse diaphoresis is at risk for which of the following conditions? hyponatremia