NUR 2392 Multidimensional Care MDC II Exam I

A patient has a positive family history of colon cancer. Which of the following is a recommendation you would want them to adhere to? A. Encourage baseline colonoscopy screening B. Strict physical activity C. Encourage the patient to increase dietary intake of red meats D. Encourage the patient to reduce intake of fiber - A. Encourage baseline colonoscopy screening The patient asks the nurse how radiation works to destroy cancer cells. How would you respond? A. The goal of radiation therapy is to destroy the cancer cells, while minimizing further damage to the body B. The goal of localized radiation therapy is to kill all of the rapidly dividing cells throughout the body C. The goal of radiation therapy is to localize the tumor and reverse it back to normal tissue D. The goal of radiation therapy is to promote cell proliferation - A. The goal of radiation therapy is to destroy the cancer cells, while minimizing further damage to the body A patient asks the nurse to explain what radiation "exposure" refers to. Which response is correct? A. It refers to the amount of radiation absorbedB. It refers to the amount of local treatment C. It refers to the amount of radiation being delivered D. It refers to ionization liquification - C. It refers to the amount of radiation being delivered A patient asks the nurse to explain the difference between a benign tumor and a malignant tumor. What is an appropriate response? A. "Don't worry about it. The point is you're okay." B. "A benign tumor is normal cells growing in the wrong place at the wrong time. But they are not cancerous." C. "A benign tumor will kill you, whereas a malignant tumor cannot." D. "A benign tumor has not undergone apoptosis, whereas a malignant tumor has." - B. "A benign tumor is normal cells growing in the wrong place at the wrong time. But they are not cancerous." A patient is undergoing chemotherapy and is receiving education about the reduction of infection risk. Which action reduces the risk of infection? A. Live vaccine B. Hand hygiene C. Weight bearing exercises D. Monitor for bruising - B. Hand hygiene A patient would like to know what it means that her breast cancer has metastasized.A. irreversible damage has caused tumor growth B. a tumor has sent chemical signals to develop its own vasculature C. cancer cells have moved from their primary site D. repeated exposure lead to mutation - C. Cancer cells have moved from their primary site The patient who has undergone which procedure is at most risk for hypocalcemia? A. Thyroidectomy B. Adrenalectomy C. Pancreactectomy D. Gastectomy - A. Thyroidectomy What serum laboratory value does the nurse expect to see with a patient who is hypokalemic? A. Calcium less than 8.0 mEq/L B. Potassium less than 5.0 mEq/L C. Calcium less than 11.0 mEq/L D. Potassium less than 3.5 mEq/L - D. Potassium less than 3.5 mEq/L The nurses uses which phrase to describe palliative care? A. care for a patient with a prognosis less than 6 monthsB. palliative care focuses on end of life patient care C. patient care with a focus on treatment of symptoms D. its client education about relative treatment alternatives - C. Patient care with a focus on treatment of symptoms A nurse is caring for a 72 year old female. She has a diagnosis of dehydration. Which of the following nursing diagnoses should NOT be included in their plan? a. Safety, fall and risk b. Fluid volume overload c. Fluid volume deficit d. Knowledge deficit - b. fluid volume overload Calculate the intake for a 7-3 shift: At breakfast 2 cups of coffee, a 4 oz glass of orange juice At lunch 8 oz chicken broth, 8 oz diet soda IV of normal saline at 100 mL per hour - 1880 mL breakfast: 16 oz coffee + 4 oz OJ = 20 oz x 30 mL = 600 mL lunch: 8 oz + 8 oz = 16 oz x 30 mL = 480 mL IV: (100mL x 8 hours) = 800 mL