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2024 MED-SURG PATIENT WITH CANCER AND NCLEX CH25 STUDY GUIDE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 MED-SURG PATIENT WITH CANCER AND NCLEX CH25 STUDY GUIDE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 MED-SURG PATIENT WITHCANCER AND NCLEX CH25 STUDY
GUIDE EXAM QUESTIONS WITH
CORRECT ANSWERS
100%
Which are major systemic side effects of antineoplastic rugs? (Select all that
apply)
1. Dry mouth
2. Bone marrow suppression
3. Urinary retention
4. Sedation
5. N&V
6. Constipation
7. Dizziness
8. Alopecia
9. Electrolyte imbalance - CORRECT-ANSWERS2. Bone marrow suppression
5. N&V
8. Alopecia
The nurse observes that a female pt with breast cancer is experiencing
alopecia, as a side effect of her chemo. Which is a correct response the
nurse should say to the pt?
1. Increase protein in your diet to encourage new hair growth
2. increase fluid intake so new hair growth will not be dry
3. examine your scalp for bleeding, which may be a temporary response to
chemo
4. Your new hair may be different color and texture - CORRECT-ANSWERS4.
Your new hair may be different color and texture
A pt with cancer is complaining of N&V associated with chemo. Which food
and beverages should the nurse recommend for this pt? (Select all that
apply)
1. Clear broth
2. Coffee
3. White rice
4. Crackers or pretzels
,5. Yogurt
6. Cooked broccoli - CORRECT-ANSWERS1. Clear broth
3. White rice
4. Crackers or pretzels
5. Yogurt
A pt is receiving radiation tx to her head and neck. Which is a special
problem for this pt, putting her at risk for infections of the gums and teeth?
1. Dry mouth (xerostomia)
2. N&V
3. Bone marrow suppression
4. Anorexia - CORRECT-ANSWERS1. Dry mouth (xerostomia)
A pt receiving Andriamycin for tx of cancer is experiencing signs of
cardiomyopathy. Which finding should the nurse report to the health care
provider, if experienced by the pt?
1. Dehydration
2. Dyspnea
3. Alopecia
4. Urinary retention - CORRECT-ANSWERS2. Dyspnea
A cancer pt has the lower abd irradiated. Which is a priority nursing activity
for the pt?
1. Monitor pt for edema
2. Increase fluid intake and have pt empty bladder often
3. Encourage pt to eat food high in iron
4. Observe pt for palpitations, pallor, and excessive fatigue - CORRECT-
ANSWERS2. Increase fluid intake and have pt empty bladder often
Which pt should be placed in a private room?
1. Pt with internal radiation
2. Pt with external radiation
3. Pt with chemotherapy
4. Pt requiring standard precautions - CORRECT-ANSWERS1. Pt with internal
radiation
A pt experiences erythema and peeling of the skin while receiving radiation
therapy. Which are appropriate nursing interventions for this pt? (Select all
that apply)
1. Increase fluid intake
2. Use lotions
, 3. Watch for excessive bruising and bleeding
4. Report fever
5. Keep skin moist
6. Wear cotton clothing - CORRECT-ANSWERS1. Increase fluid intake
3. Watch for excessive bruising and bleeding
4. Report fever
6. Wear cotton clothing
The outcome criterion of a pt's completion of essential activities without
dyspnea or tachycardia is related to pts with:
1. Alopecia
2. Loss of body parts
3. Anemia
4. Denial - CORRECT-ANSWERS3. Anemia
The outcome criterion for a patient with anemia is the
patient's completion of essential activities without
dyspnea or tachycardia. The remaining three answers are not related to the
patient's ability to complete essential activities without dyspnea or
tachycardia.
The priority care for pts experiencing neurotoxicity from antineoplastic drugs
is to:
1. Monitor for edema
2. Protect pt from infection
3. Protect extremities from injury
4. Asses skin turgor - CORRECT-ANSWERS3. Protect extremities from injury
The priority care for patients experiencing neurotoxicity
from antineoplastic drugs is to protect extremities from
injury. Monitoring for edema (1), protecting the patient
from infection (2), and assessing for skin turgor (4) are all related to the care
of patients receiving antineoplastic drugs, but they are not related to the
side effect of neurotoxicity
What is appropriate teaching for the pt who is having external radiation
therapy?
1. "The tx may be painful for the first 5 minutes, but the pain will subside"
2. "You will be radioactive as long as the machine is turned on"
3. "Skin marking made by the radiologist are used to mark areas that be not
be irradiated"
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