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#
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