NUR 2392 Multidimensional Care II MCD II Exam 1

The nurse is caring for a 56-year-old female patient brought into the emergency room by her family with complaints of fever over the past 3 days. The patients temp 103.6, HR 128, & RR 28, BP 88.60, what would you expect? Decreased absolute neutrophil count (ANC) Cancer management requires a collaborative approach including a multidisciplinary team. Determining the plan after diagnosis is which collaborative intervention? Developing a treatment plan An outdoor construction worker with profuse diaphoresis is at risk for which electrolyte imbalance Hyponatremia A nurse is caring for a 26 year old female patient with a family hx of breast cancer. The patient lost her mom and her sister to breast cancer and is concerned about her risk, she underwent genetic testing which indicated she also has a genetic disposition for breast cancer. The patient has opted to have a bilateral mastectomy. What surgical treatment option would this fall under? Prophylactic A tumor was staged as T4N3M0 what does that mean? The tumor is large, has not yet metastasized but it has multiple node involvement A nurse should instruct a patient to follow which strategies to prevent cancer (SATA)? Get vaccinations Have a diet low in saturated fats Smoking cessation Avoid alcohol8 A nurse is providing patient education to patients and their family. Which of the following examples indicates patients and family's understanding of a secondary cancer prevention? Mammography A nurse is providing patient & family education and its regarding common problems associated with cancer diagnosis. Which statement from the patient indicates an understanding? I'm at an increased risk for developing infection A nurse is providing education to a patient and family about radiation as part of their cancer treatment for a brain tumor. Which of the following is NOT a side effect of radiation? Constipation A nurse is caring for a newly diagnosed leukemia patient. They recently completed their first round of chemotherapy. Which of the following would you include in patient and family education? The patient is at an increased risk for developing mucositis A nurse is caring for an 84 year old with nausea and vomiting for 3 days. They vomited upon arriving, upon assessment elevated HR,Dry oral mucous membranes and poor skin turgor, what is the priority intervention? Obtain an order for IV access and start fluids A nurse is caring for a patient with a diagnosis of hypernatremia. Which of the following assessments would you expect to see? Increased thirst A nurse is caring for a patient who presents with new onset seizures, confusion, and muscle tremors. Their laboratory results show hypomagnesemia. Which of the following could cause hypomagnesemia? Alcoholism