NUR 514 exam 3 Questions and Correct Answers the Latest Update
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Course
Nur 514
Institution
Nur 514
The nurse is caring for a client with prostate cancer. Which laboratory finding indicates to the
nurse that the cancer has metastasized to the bone?
a. Serum calcium, 21.6 mg/dL
b. Creatine kinase, 55 U/mL
c. Alkaline phosphatase, 45 IU/mL
d. Lactate dehydrogenase, 120 U/L
ANS: A
Metastas...
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NUR 514 exam 3 Questions and Correct
Answers the Latest Update
The nurse is caring for a client with prostate cancer. Which laboratory finding indicates to the
nurse that the cancer has metastasized to the bone?
a. Serum calcium, 21.6 mg/dL
b. Creatine kinase, 55 U/mL
c. Alkaline phosphatase, 45 IU/mL
d. Lactate dehydrogenase, 120 U/L
✓ ANS: A
✓ Metastasis of tumor to bone results in release of calcium into the bloodstream, causing an
elevation of the serum calcium level (normal range, 9 to 10.5 mg/dL). The other
laboratory values are within normal limits and do not indicate metastasis to the bone.
Which statement by the nurse about Tumor Lysis Syndrome (TLS) requires further teaching?
a. medical emergency with leukemia patients
b. usually the result of chemotherapy treatment
c. may occur 2 weeks after antineoplastic therapy is initiated
d. intracellular contents are rapidly released into the bloodstream
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c. Place a pillow between the clients knees when in the side-lying position.
d. Use a lift sheet to reposition the client.
✓ ANS: D
✓ Severe osteoporosis causes such bone density loss that pathologic fractures can easily
occur when lifting or pulling a client. Use of a lift sheet when positioning reduces this risk.
The most important intervention for this client is to prevent bone fractures.
Which instruction is most important for the RN to provide to the nursing assistant assigned to
care for a client with primary osteoporosis?
a. Clean up clutter in the room.
b. Encourage the client to bathe herself or himself.
c. Monitor urinary output.
d. Perform passive range-of-motion exercises.
✓ ANS: A
✓ Clients with osteoporosis are at risk for fracture when they fall. Clutter in the room is a
risk factor for falls. The other choices have nothing to do with prevention of bone fracture
in a client with primary osteoporosis.
An adult clients susceptibility to osteoporosis is caused by which aspect of his or her history?
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✓ ANS: B
✓ A history of smoking has been identified as a risk factor for osteoporosis. A history of
low-trauma fracture after the age of 50 has been identified as a risk factor. Vitamin D
and weight lifting are measures that can be used to prevent this disease.
Two hours after limb salvage surgery for a client with left leg bone sarcoma, the nurse notes
that the toes of the left foot are more edematous, are cooler to the touch, and have a slower
capillary refill. Which action does the nurse take first?
a. Apply ice to the distal extremity.
b. Check the splint for proper placement.
c. Elevate the left foot.
d. Loosen the pressure dressing.
✓ ANS: B
✓ Assessment of the neurovascular status of the affected extremity should be performed
every 1 to 2 hours after surgery. Splinting or casting the limb may cause neurovascular
compromise and needs to be checked for proper placement.
The nurse is caring for a client with a lesion in the area of the tibia that is swollen and tender.
Which client problem is the highest priority for nursing care?
a. Need for increased calories related to increased metabolism
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