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TEST BANK FOR NURSING TODAY TRANSITION AND TRENDS 10TH EDITION BY ZERWEKH A+
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Nursing Today: Transition and Trends 10th Edition Test Bank By JoAnn Zerwekh and Ashley Garneau | Chapter 1 – 26, Latest-2024|
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Created by: A SolutionTest Bank for Nurse Practitioner Certification Exam Prep
6th Edition by Margaret A. Fitzgerald 9780803677128
Chapter 1-19 Complete Guide A+
Pacing activities throughout the day conserves energy, and nursing care should be paced as well.
Fatigue is a common side effect of cancer and treatment; and while adequate sleep is important,
an increase in the number of hours slept will not resolve the fatigue. Restriction of visitors does
not promote healthy coping and can result in feelings of isolation. - 3. Which of the following is
the most appropriate intervention for the nurse to include when planning care for a patient
experiencing fatigue due to chemotherapy?
a. Prioritization and administration of nursing care throughout the day
b. Completing all nursing care in the morning so the patient can rest the remainder of the
day
c. Completing all nursing care in the evening when the patient is more rested
d. Limiting visitors, thus promoting the maximal amount of hours for sleep
ANS: D
The earliest sign of infection in an immunosuppressed patient can be a mild fever. Mucositis,
confusion, and depression are possible clinical manifestations but are representative of less life-
threatening complications. - 4. The nurse is caring for a patient who received a recent bone
marrow transplant. The nurse would monitor for which of the following clinical manifestations
that could indicate a potentially life- threatening situation?
a. Mucositis
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b. Confusion
c. Depression
d. Mild temperature elevation
ANS: B
Primary prevention of cancer involves avoidance to known causes of cancer, such as sun
exposure. Secondary screening involves physical and diagnostic examination. - 1. Which of the
following options should the nurse incorporate into the plan of care as a primary prevention
strategy for reduction of the risk for cancer?
a. Yearly mammography for women aged 40 years and older
b. Using skin protection during sun exposure while at the beach
c. Colonoscopy at age 50 and every 10 years as follow-up
d. Yearly prostate-specific antigen (PSA) and digital rectal exam for men aged 50 and over
ANS: A
Early colon cancer is often asymptomatic, with occult or frank blood in the stool being an
assessment finding in a patient diagnosed with colon cancer. If pain is present, it is usually lower
abdominal cramping. Constipation and diarrhea are more frequent findings than nausea or
ascites. - 2. While the nurse is collecting a health history on a patient admitted for colon cancer,
which of the following questions should the nurse ask as a priority?
a. "Have you noticed any blood in your stool?"
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b. "Have you been experiencing nausea?"
c. "Do you have back pain?"
d. "Have you noticed any swelling in your abdomen?"
ANS: D
Aging is a non-modifiable risk factor for the development of cancer with an associated increase
seen with aging. In terms of gender and age, lifetime risk is higher for males than females.
Family history of co-morbidities such as hypertension is not directly correlated with cancer
development. Cigarette smoking as a teenager for the patient is a risk factor but may have
mitigated impact at this point in time based on the patient's stated age and length of time as a
non-smoker. - 5. While the nurse is obtaining the health history of a 75-year-old female patient,
which of the following has the greatest implication for the development of cancer?
a. Being a woman
b. Family history of hypertension
c. Cigarette smoking as a teenager
d. Advancing age
ANS: D
Common signs/symptoms of lung cancer include coughing, hemoptysis, and weight loss,
shortness of breath and chest pain. The nurse should expect to see weight loss and altered
breathing patterns. Clear sputum and orthostatic blood pressure changes would not be seen. - 6.
In caring for a patient admitted with lung cancer, which of the following should the nurse expect
to find on assessment?
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a. No use of accessory muscles during respirations
b. Orthostatic hypotension upon change of positioning
c. Clear sputum
d. Weight loss compared to last admission
ANS: A
A comprehensive health history is vital to treating and caring for the patient. Often times,
symptoms are vague. The nurse should conduct a symptom analysis to gather as much
information as possible. Questions should address the duration of the symptoms and include
the location, characteristics, aggravating and relief factors, and any treatments taken thus far. - 7.
A female patient complains of a "scab that just won't heal" under her left breast. During your
conversation, she also mentions chronic fatigue, loss of appetite, and slight cough, attributed to
allergies. What is the nurse's best action?
a. Continue to conduct a symptom analysis to better understand the patient's symptoms and
concerns.
b. End the appointment and tell the patient to use skin protection during sun exposure.
c. Suggest further testing with a cancer specialist and provide the appropriate literature.
d. Tell her to put a bandage on the scab and set a follow-up appointment in 1 week.
ANS: B
A nurse should be aware of potential complications relative to hormonal therapy such as the
development of thrombus formation. Massaging a calf that is swollen and painful is never
correct, because this action might break a clot, causing formation of an embolus, which could
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