RN Targeted Medical Surgical Immune System 2019
questions with correct answers
A nurse is providing teaching to a client who has Hodgkin's lymphoma
and is undergoing external radiation treatment. Which of the following
instructions should the nurse include?
-Use an antibacterial soap to cleanse the skin.
-Wash the ink marking off when showering.
-Rub the skin with a towel when drying.
-Avoid direct sun exposure to the skin. Correct Answer-Avoid direct sun
exposure to the skin.
The nurse should instruct the client to avoid sun exposure because the
client's skin is sensitive to sunburn due to the external radiation.
The nurse should instruct the client to cleanse their skin with mild soap
and water because the client's skin is fragile due to the external radiation.
The client should avoid antibacterial soaps because they can irritate the
skin.
The nurse should instruct the client not to remove the ink or dye
markings because they identify the location of the site that is being
radiated.
The nurse should instruct the client to pat, rather than rub, the skin dry to
avoid damage to the skin.
,The nurse should instruct the client to avoid sun exposure because the
client's skin is sensitive to sunburn due to the external radiation.
A nurse is providing teaching to a client who has rheumatoid arthritis
and a new prescription for methotrexate. Which of the following client
statements indicates an understanding of the teaching?
-"I will avoid being in large crowds while taking this medication."
-"I should expect symptoms to subside in 1 to 2 weeks after starting this
medication."
-"I will increase my intake of vitamin D while taking this medication."
-"I should expect to experience constipation while taking this
medication." Correct Answer-"I will avoid being in large crowds while
taking this medication."
The nurse should instruct the client to avoid crowds when taking
methotrexate. Methotrexate can cause leukopenia due to bone marrow
suppression, which can increase the client's risk for infection.
The nurse should inform the client that it takes 4 to 6 weeks for the
manifestations of rheumatoid arthritis to respond to methotrexate
therapy.
The nurse should instruct the client to increase their intake of folic acid,
not vitamin D, to help decrease the adverse effects of methotrexate.
"I should expect to experience constipation while taking this
medication."
, A nurse is planning an education program about testicular cancer for a
group of male adolescents. Which of the following information should
the nurse include?
-Testicular cancer is more common in males who are older than 65.
-With early treatment, the survival rate is 50%.
-Examine the testicles immediately after showering.
-Schedule an annual ultrasound to screen for testicular cancer. Correct
Answer-Examine the testicles immediately after showering.
The client should perform a testicular self-examination on a monthly
basis by examining the testicles after a bath or shower to allow for easier
palpation.
Males who are between the ages of 15 to 39 have an increased risk for
developing testicular cancer.
The survival rate for testicular cancer, when diagnosed and treated early,
is nearly 100%.
Ultrasounds are not used to screen for testicular cancer. However, if
there is a change in testicular size, shape, or texture, the provider might
schedule an ultrasound.
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