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Exam (elaborations)

Passpoint-Oncologic
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  • Nursing assessment
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  • Nursing Assessment

Exam of 122 pages for the course Nursing assessment at Nursing assessment (Passpoint-Oncologic)

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Document information

  • March 30, 2022
  • 122
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

  • passpoint oncologic

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  • Nursing assessment
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Question 1 See full question

A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-
oophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the
second postoperative day, which assessment finding requires immediate intervention?

You Selected:

 Shallow breathing and increasing lethargy

Correct response:

 Shallow breathing and increasing lethargy

Explanation:

Remediation:

Question 2 See full question

A client has just begun treatment with busulfan, 4 mg by mouth daily, for chronic myelogenous leukemia.
The client receives busulfan until his white blood cell (WBC) count falls to between 10,000/mm 3 and
25,000/mm3. Then the drug is stopped. When should treatment resume?

You Selected:

 When the WBC count rises to 50,000/mm 3

Correct response:

 When the WBC count rises to 50,000/mm 3

Explanation:

Remediation:

Question 3 See full question

A client with metastatic brain cancer is admitted to the oncology floor. According to the Self-
Determination Act of 1991 concerning the execution of an advance directive, the hospital is required to:

You Selected:

 inform the client or legal guardian of their rights to execute an advance directive.

Correct response:

 inform the client or legal guardian of their rights to execute an advance directive.

Explanation:

Remediation:

Question 4 See full question

Which nursing goal is appropriate for a client with multiple myeloma?

,You Selected:

 Decrease episodes of nausea and vomiting.

Correct response:

 Achieve effective management of bone pain.

Explanation:

Remediation:

Question 5 See full question

A 56-year-old woman is admitted for a modified radical mastectomy. The client appears anxious and asks
many questions. The nurse's best course of action is to:

You Selected:

 explain to the client that she should discuss her questions with her health care provider (HCP).

Correct response:

 tell the client as much as she wants to know and is able to understand.

Explanation:

Remediation:

Question 6 See full question

A nurse is teaching an older adult who has had a left modified radical mastectomy with axillary node
dissection about lymphedema. The nurse should tell the client that lymphedema occurs:

You Selected:

 at any time after surgery.

Correct response:

 at any time after surgery.

Explanation:

Remediation:

Question 7 See full question

A client is newly diagnosed with cancer and is beginning a treatment plan. Which action by the nurse will
be most effective in helping the client cope?

You Selected:

 Identify available resources for the client and family.

Correct response:

,  Identify available resources for the client and family.

Explanation:

Remediation:

Question 8 See full question

A client with cancer is uncertain about how to cope with all the issues that will arise. The nurse
can best support the coping behaviors of a client with cancer by:

You Selected:

 relieving the client of decision making as much as possible.

Correct response:

 helping the client identify available resources.

Explanation:

Remediation:

Question 9 See full question

A terminally ill client’s husband tells the nurse, “I wish we had taken that trip to Europe last year. We just
kept putting it off, and now I am furious that we did not go.” The nurse interprets the husband’s
statement as indicating which stage of adaptation to dying?

You Selected:

 depression

Correct response:

 anger

Explanation:

Remediation:

Question 10 See full question

A 70-year-old client asks the nurse if she needs to have a mammogram. Which is the
nurse's bestresponse?

You Selected:

 "We need to consider your family history of breast cancer first."

Correct response:

 "The incidence of breast cancer increases with age."

Explanation:

, Remediation:

Question 11 See full question

The primary reason that a herpes simplex virus (HSV) infection is a serious concern to a client with
human immunodeficiency virus (HIV) infection is that it:

You Selected:

 causes severe electrolyte imbalances.

Correct response:

 is an acquired immunodeficiency virus (AIDS)–defining illness.

Explanation:

Remediation:

Question 12 See full question

A woman tells the nurse, “There has been a lot of cancer in my family.” The nurse should instruct the
client to report which possible sign of cervical cancer?

You Selected:

 leg edema

Correct response:

 light bleeding or watery vaginal discharge

Explanation:

Remediation:

Question 13 See full question

A right orchiectomy is performed on a client with a testicular malignancy. The client expresses concerns
regarding his sexuality. The nurse should base the response on the knowledge that the client:

You Selected:

 should retain normal sexual drive and function.

Correct response:

 should retain normal sexual drive and function.

Explanation:

Remediation:

Question 14 See full question

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