WK 5 Principles MED SURG II
Question:
During morning rounds the nurse notes that a client is scheduled for a CT scan of the head with contrast. The client is scheduled to receive metformin (Glucophage). Which of the following interventions is the most appropriate?
Your Answer:
Speak to ...
Question:
During morning rounds the nurse notes that a client is scheduled for a CT scan of the head with
contrast. The client is scheduled to receive metformin (Glucophage). Which of the following
interventions is the most appropriate?
Your Answer:
Speak to the prescriber prior to administering the medication.
Principle:
Metformin should be stopped 48 hours before and after the administration of iodinated contrast
medium ; Page#
Metformin should be stopped 48 hours before and after the administration of iodinated contrast
medium ; Page# - ANS Question:
After receiving a report that a tumor biopsy is benign, a client demonstrates understanding by
making which of the following statements to the nurse?
Your Answer:
'I'm glad the tumor had normal cells.'
Correct Answer:
'The tumor did not spread to other parts of my body.'
Principle:
Malignant neoplasms invade other areas (metastasis) and branch off while benign tumors do
not metastasize ; Page#
Malignant neoplasms invade other areas (metastasis) and branch off while benign tumors do
not metastasize ; Page#
Question:
When administering chemotherapy medications to a client, the nurse understands the need to
instruct the client that there is an increased risk for which of the following?
Your Answer:
Opportunistic infections.
Principle:
Mylosuppression, induced by chemotherapy, results in pancytopenia and increases the risk for
infection, bleeding and fatigue ; Page#
Mylosuppression, induced by chemotherapy, results in pancytopenia and increases the risk for
infection, bleeding and fatigue ; Page# - ANS Question:
The nurse would expect to observe which of the following laboratory findings in a client with
symptomatic human immunodeficiency virus (HIV) infection?
Your Answer:
Decreased production of T-helper cells.
Principle:
CD4 cells (helper T cells) stimulate the immune system and help to destroy organisms ; Page#
, CD4 cells (helper T cells) stimulate the immune system and help to destroy organisms ; Page
Question:
When caring for a client with human immunodeficiency virus (HIV), the nurse recognizes which
of the following factors may contribute to the client's increased risk for opportunistic infections?
Your Answer:
Having a protein deficiency.
Decreased creatinine level.
Correct Answer:
Having a protein deficiency.
Principle:
Protein deficiency increases the risk of infection ; Page#
Protein deficiency increases the risk of infection ; Page# - ANS Question:
A client with human immunodeficiency virus (HIV) has developed Kaposi sarcoma. The nurse
recognizes this complication is increased due to which causative factor?
Your Answer:
Weakened immune system.
Principle:
Cancer develops when the immune system fails to recognize and destroy abnormal cells ;
Page#
Cancer develops when the immune system fails to recognize and destroy abnormal cells ;
Page#
Question:
A client's breast biopsy report shows a 7 centimeter (cm) tumor with lymph node involvement.
The nurse understands this client's treatment will be mainly based on which of the following?
Your Answer:
Node involvement
Principle:
Staging of a tumor is done to communicate the size of the tumor, if lymph nodes are involved,
and if there is metastasis ; Page#
Staging of a tumor is done to communicate the size of the tumor, if lymph nodes are involved,
and if there is metastasis ; Page# - ANS Question:
When providing self-care instructions to a client with human immunodeficiency virus (HIV), the
nurse includes which of the following symptoms that should be reported promptly to the health
care provider.
Your Answer:
Temperature of 100.4 F
Principle:
Being immunocompromised reduces the clinical manifestations of infection so a temp greater
than 100.4 for an hour is significant and should be reported ; Page#
Being immunocompromised reduces the clinical manifestations of infection so a temp greater
than 100.4 for an hour is significant and should be reported ; Page#
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DocLaura. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
