NSG 170 Final Exam 2023 with Questions and Answers The nurse is formulating a teaching plan according to evidence-based breast cancer screening guidelines for a 50-year-old woman with low risk factors. Which diagnostic methods should be included in the plan? (Select all that apply.) A. Annual mammogram B. Magnetic resonance imaging (MRI) C. Breast ultrasound D. Breast self-awareness E. Clinical breast examination - ANSWER A. Annual mammogram D. Breast self-awareness E. Clinical breast examination A client hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL. What medication should the nurse prepare to administer? A. Epoetin alfa (Epogen) B. Filgrastim (Neupogen) C. Mesna (Mesnex) D. Oprelvekin (Neumega) - ANSWER A. Epoetin alfa (Epogen) A client receiving chemotherapy has a white blood cell count of 1000/mm3. What actions by the nurse are most appropriate? (Select all that apply.) A. Assess all mucous membranes every 4 to 8 hours. B. Do not allow the client to eat meat or poultry. C. Listen to lung sounds and monitor for cough. D. Monitor the venous access device appearance with vital signs. E. Take and record vital signs every 4 to 8 hours. - ANSWER A. Assess all mucous membranes every 4 to 8 hours. C. Listen to lung sounds and monitor for cough. D. Monitor the venous access device appearance with vital signs. E. Take and record vital signs every 4 to 8 hours. After receiving the hand-off report, which client should the oncology nurse see first? A. Client who is afebrile with a heart rate of 108 beats/min B. Older client on chemotherapy with mental status changes C. Client who is neutropenic and in protective isolation D. Client scheduled for radiation therapy today - ANSWER B. Older client on chemotherapy with mental status changes A cancer patient's susceptibility to the syndrome of inappropriate antidiuretic hormone (SIADH) can be suspected with which of the following laboratory results? A. Serum potassium of 5.2 mmol/L B. Serum sodium of 120 mmol/L C. Blood urea nitrogen (BUN) of 10 mg/dL D. Hematocrit of 40% - ANSWER B. Serum sodium of 120 mmol/L Which statement about carcinogenesis is accurate? A. An initiated cell will always become clinical cancer. B. Cancer becomes a health problem once it is 1 cm in size. C. Normal hormones and proteins do not promote cancer growth. D. Tumor cells need to develop their own blood supply. - ANSWER D. Tumor cells need to develop their own blood supply. A pregnant woman has come to the emergency department with complaints of nasal congestion and epistaxis. What is the correct interpretation of these symptoms by the practitioner? A. These conditions are abnormal. Refer the patient to an ear, nose, and throat
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