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Test Bank For Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 2024 /2025 graded A+

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Test Bank For Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 2024 /2025 graded A+

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  • 23 de mayo de 2024
  • 34
  • 2023/2024
  • Examen
  • Preguntas y respuestas

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  • test bank for lewiss medical surgical nursing as
  • test bank for lewiss medical surgical nursing a
  • test bank for lewiss medical surgical nursing

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  • Ewis's Medical-Surgical Nursing: As
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Test Bank For Lewis's Medical-Surgical Nursing:
Assessment and Management of Clinical Problems
2024 /2025 graded A+

What is the second most common cause of death in the United States? - ANSWER-Cancer


What is the highest incidence of cancer in men? - ANSWER-Prostate cancer



The nurse is teaching a wellness class to a group of women at their workplace. Which findings represent
the highest risk for developing cancer?
Body mass index of 35 kg/m2 and smoking cigarettes for 20 years
Family history of colorectal cancer and consumes a high-fiber diet
Limits fat consumption and has regular mammography and Pap screenings

Exercises five times every week and does not consume alcoholic beverages - ANSWER-Body mass index
of 35 kg/m2 and smoking cigarettes for 20 years



The nurse is caring for an 18-yr-old female patient with acute lymphocytic leukemia that is scheduled for
hematopoietic stem cell transplantation (HSCT). Which patient statement indicates a correct
understanding of the procedure?
"I understand the transplant procedure has no dangerous side effects."

"After the transplant, I will feel better and can go home in 5 to 7 days."
"My brother will be a 100% match for the cells used during the transplant."

"Before the transplant, I will have chemotherapy and possibly full-body radiation." - ANSWER-"Before the
transplant, I will have chemotherapy and possibly full-body radiation."



The nurse assesses a 76-yr-old man with chronic myeloid leukemia receiving chemotherapy using a kinase
inhibitor medication. Which question is most important for the nurse to ask?
"Have you had a fever?"

"Have you lost any weight?"

"Has diarrhea been a problem?"
"Have you noticed any hair loss?" - ANSWER-"Have you had a fever?"

,Test Bank For Lewis's Medical-Surgical Nursing:
Assessment and Management of Clinical Problems
2024 /2025 graded A+
A 64-yr-old male patient who is receiving radiation to the head and neck as treatment for an invasive
malignant tumor complains of mouth sores and pain. Which intervention should the nurse add to the plan
of care?

Provide ice chips to soothe the irritation.
Weigh the patient every month to monitor for weight loss.

Cleanse the mouth every 2 to 4 hours with hydrogen peroxide.

Provide high-protein and high-calorie, soft foods every 2 hours. - ANSWER-Provide high-protein and high-
calorie, soft foods every 2 hours.



A 70-yr-old man who has end-stage lung cancer is admitted to the hospital with confusion and oliguria for
2 days. Which finding would the nurse report immediately to the health care provider?

Weight gain of 6 lb
Nausea and vomiting
Urine specific gravity of 1.004

Serum sodium level of 118 mEq/L - ANSWER-Serum sodium level of 118 mEq/L



The nurse is caring for a patient receiving an initial dose of chemotherapy to treat a rapidly growing
metastatic colon cancer. The nurse is aware that the patient is at risk for tumor lysis syndrome (TLS) and
will monitor for which abnormality associated with this oncologic emergency?

Hypokalemia
Hypocalcemia

Hypouricemia

Hypophosphatemia - ANSWER-Hypouricemia


The nurse is caring for a patient suffering from anorexia secondary to chemotherapy. Which strategy
would be most appropriate to increase the patient's nutritional intake?

Increase intake of liquids at mealtime to stimulate the appetite.

Serve three large meals per day plus snacks between each meal.
Avoid the use of liquid protein supplements to encourage eating at mealtimes.

,Test Bank For Lewis's Medical-Surgical Nursing:
Assessment and Management of Clinical Problems
2024 /2025 graded A+
Add items such as skim milk powder, cheese, honey, or peanut butter to selected foods. - ANSWER-Add
items such as skim milk powder, cheese, honey, or peanut butter to selected foods. Correct



Which item would be most beneficial when providing oral care to a patient with metastatic cancer who is
at risk for oral tissue injury secondary to chemotherapy?
Firm-bristle toothbrush

Hydrogen peroxide rinse

Alcohol-based mouthwash
1 tsp salt in 1 L water mouth rinse - ANSWER-1 tsp salt in 1 L water mouth rinse



Which nursing diagnosis is most appropriate for a patient experiencing myelosuppression secondary to
chemotherapy for cancer treatment?
Acute pain
Hypothermia

Powerlessness

Risk for infection - ANSWER-Risk for infection


Previous administrations of chemotherapy agents to a cancer patient have resulted in diarrhea. Which
dietary modification should the nurse recommend?
A bland, low-fiber diet

A high-protein, high-calorie diet
A diet high in fresh fruits and vegetables

A diet emphasizing whole and organic foods - ANSWER-A bland, low-fiber diet



A 33-yr-old patient has recently been diagnosed with stage II cervical cancer. Which statement by the
nurse best explains the diagnosis?
"The cancer is found at the point of origin only."

"Tumor cells have been identified in the cervical region."

"The cancer has been identified in the cervix and the liver."

, Test Bank For Lewis's Medical-Surgical Nursing:
Assessment and Management of Clinical Problems
2024 /2025 graded A+
"Your cancer was identified in the cervix and has limited local spread." - ANSWER-Your cancer was
identified in the cervix and has limited local spread."



A patient has been diagnosed with Burkitt's lymphoma. In the initiation stage of cancer, the cells genetic
structure is mutated. Exposure to what may have functioned as a carcinogen for this patient?
Bacteria

Sun exposure

Most chemicals
Epstein-Barr virus - ANSWER-Epstein-Barr virus



Which statement by the nurse most facilitates patient cancer prevention during the promotion stage of
cancer development?
"Exercise every day for 30 minutes."
"Follow smoking cessation recommendations."

"Following a vitamin regime is highly recommended."

"I recommend excision of the cancer as soon as possible." - ANSWER-"Follow smoking cessation
recommendations."



When caring for the patient with cancer, what does the nurse understand as the response of the immune
system to antigens of the malignant cells?

Metastasis
Tumor angiogenesis

Immunologic escape

Immunologic surveillance - ANSWER-Immunologic surveillance



The patient is told that her adenoma tumor is not encapsulated but has normally differentiated cells and
surgery will be needed. The patient asks the nurse what this means. What should the nurse tell the
patient?

It will recur.
It has metastasized.

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