Exam (elaborations)
NRSG 312 Med Surg Test -3 Questions And Answers Latest Update
- Course
- NRSG 312
- Institution
- University Of Kansas School Of Nursingg
NRSG 312 Med Surg Test -3 Questions And Answers Latest Update
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2024/2025NRSG 312 Med/Surg Test #3
Questions And Answers Latest
Update
What are the five primary cancer prevention tactics?
1. Avoidance of known/potential carcinogens 2. Modifying associated risk 3. Removal of "at risk"
tissue 4. Chemoprevention 5. HPV vaccination
Drugs, chemicals, natural nutrients, or other substances that are used to disrupt on or more steps in
cancer development is called:
Chemoprevention
An example of chemoprevention is reducing the risk for breast cancer by taking Tamoxifen and:
Vitamin D
Cancer that has metastasized means that it has spread to other regions of the body and has made it:
Incurable
When a patient is receiving radiation, it is important to educate the client on what two things?
1. Skin care needs 2. Do not removed temporary ink or dye markings
Patients who are receiving head or neck radiation have an increased risk for tooth decay and mouth
and throat sores due to a decrease in size and function of:
The salivary glands
Prior to doing chemotherapy treatment, a patient should have blood work done to check their WBCs
to ensure they are not:
Neutropenic
During IV chemotherapy, it is important for nurses to check for blood return at the site during
infusion to ensure chemo drugs is not leaking into the surrounding tissue, this is called?
Extravasation
Checking for extravasation should be done how often?
Every hour
Oral anticancer drugs are just as toxic to patients taking the drugs and the person:
Handling the drug
,2024/2025
Decreased numbers of platelets, which leads to impaired clotting and bleeding, is an example of
what chemotherapy side effect?
Thrombocytopenia
What 7 things should be done when caring for a patient with myelosuppression and neutropenia?
1. Monitor vital signs every 4 hours 2. Inspect skin and mucosa for fissures or abscesses 3. Use strict
aseptic technique for all invasive procedures 4. Encourage activity 5. Monitor WBC count daily 6.
Avoid indwelling urinary catheters 7. Restrict flowers or potted plants in patients' room
To help reduce nausea and vomiting induced by chemotherapy, it is important to do what prior to
starting the treatment?
Pre-medication
When administering monoclonal antibodies, it is important to assess for infusion reactions,
especially in the first ___________ of initiation.
30 minutes to 2 hours
What syndrome is it called when a large amount of a tumor is destroyed (radiation combined with
chemotherapy) and the contents of the tumor cells enter the blood stream and can lead to an
oncologic emergency?
Tumor Lysis Syndrome
How long does it take for hair regrowth to occur after completion of chemotherapy?
1 month
What side effect does the nurse assess in a client undergoing radiation for breast cancer?
Radiation-induced fatigue
What are the seven nonmodifiable risk factors for primary osteoporosis?
1. 50 years of age or older 2. Menopause/Total hysterectomy 3. Parental/Maternal history 4. Euro-
Caucasian or Asian ethnicity 5. Eating disorder/anorexia 6. Rheumatoid arthritis 7. History of low-
trauma fracture after age 50
What are the eight modifiable risk factors for primary osteoporosis?
1. Low body weight/thin build 2. Chronic low calcium/Vitamin D intake 3. Estrogen or androgen
deficiency 4. Smoking 5. Drinking two or more alcohol drinks a day 6. Chronic steroid therapy 7.
Poor nutrition 8. Lack of weight bearing exercise
What hormone, when decreased in men, can put them at risk for osteoporosis?
Testosterone
, 2024/2025
An infection in bony tissue caused by bacteria such as staphylococcus aureus, that can then develop
into MRSA and is more common in someone who has poor blood sugar control is called:
Osteomyelitis
Which type of osteomyelitis is typically caused by foot ulcers or bone surgery, does not cause a fever,
has localized pain, and sinus tract formation?
Chronic
What disease is a chronic disease of cellular regulation and causes bone loss leading to significantly
decreased bone density?
Osteoporosis
What type of osteomyelitis causes swelling around the affected area, with tenderness, erythema, and
heat, causes constant bone pain that worsens with movement, and causes a fever usually above 101
degrees?
Acute
What reactive protein that is present in infections may raise later in osteomyelitis disease process?
ESR
What is the expected range for WBCs?
5,000/mm-10,000/mm
For a patient who has osteomyelitis, an elevated ESR would be over:
20mm/hr
What is the first sign of osteoporosis?
Fracture
A fragility fracture, is a fracture caused by osteoporosis, is sometimes referred to as a:
Bone attack
What percentage of postmenopausal women of Euro-American ethnicity have a change of a bone
attack in their lifetime?
50%
After a hip fracture, the mortality rate is high in patients for the first:
6-12 months
Bone loss related to lack of vitamin D leading to disruption of bone building and lack of calcification
of the bone is called:
Osteomalacia
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