Term 1 of 341
The nurse is to administer a vesicant chemotherapeutic drug to a client who had a right
mastectomy and inserts the intravenous line
In the client's left hand
With a butterfly needle
In the client's right forearm
With a soft, plastic catheter,
In a peripheral vein
With a butterfly needle
In the client's right forearm
With a soft, plastic catheter
Term 2 of 341
A 52-year-old client tells the nurse that she has never had a mammogram because she is terrified
that she will have cancer. Which response by the nurse is therapeutic?
"Don't worry, most lumps are discovered by women during breast self-examination."
"Does anyone in your family have breast cancer?"
"Finding a cancer in the early stages increases the chance for cure."
"Have you noticed a lump or thickening in your breast?"
,Term 3 of 341
A client is scheduled for a nerve-sparing prostatectomy. The emotional spouse confides in the
nurse that the client will not talk about the cancer and/or upcoming surgery. Which nursing
diagnosis will the nurse choose as primary diagnosis for this client?
Sexual Dysfunction
Fear
Knowledge Deficit
Grieving,
Term 4 of 341
Which of the following is a term that refers to individual, family, group, and cultural expressions of
grief and associated behaviors?
Mourning
Grief
Bereavement
Spirituality
Term 5 of 341
Which solution is hypotonic?
Lactated Ringer solution
0.45% NaCl
0.9% NaCl
5% NaCl
,Term 6 of 341
The nurse is providing education to a client with cancer radiation treatment options. The nurse
determines that the client understands the teaching when the client states that which type of
radiation aims to protect healthy tissue during the treatment?
Proton therapy
Teletherapy
Brachytherapy
External,
Term 7 of 341
The nurse is caring for a client in heart failure with signs of hypervolemia. Which vital sign is
indicative of the disease process?
Low heart rate
Elevated blood pressure
Rapid respiration
Subnormal temperature
Term 8 of 341
The oncology nurse is caring for a group of clients receiving chemotherapy. The client with which
sign/symptom is displaying bone marrow suppression?
Hemoglobin of 7.4 g/dL (74 mmol/L) and hematocrit of 21.8%
Potassium level of 2.9 mEq/L (2.9 mmol/L) and diarrhea
250,000 platelets/mm3 (250 × 109/L)
5000 white blood cells/mm3 (5 × 109/L)
, Term 9 of 341
The nurse should teach the patient who is being radiated about protecting his skin and oral
mucosa. An important teaching point would be to tell the patient to:
Cleanse the skin with a mild soap, using his fingertips, not a rough wash cloth.
Use an ointment, after treatment, to decrease the feeling of burning, which may last for
several hours.
Apply a small ice compress to the treated area afterward to decrease localized redness,
post-radiation.
Use an approved emollient 2 hours before the radiation to give the skin time to absorb the
medication and provide a shield for damage.,
Term 10 of 341
While providing care to a terminally ill client, the client's niece asks the nurse about the client's
condition and prognosis. Which of the following would be most appropriate?
Provide the niece with the information that she is requesting.
Ask the client's consent before sharing any information with the niece.
Check with the client's immediate family members about sharing information.
Refer the niece to the client's physician for information.
Term 11 of 341
A 90-year-old home care client's son has been designated to make decisions regarding the
client's medical care when the client is no longer able to do so. As the client nears the end of life,
the son is consulted on an ever-increasing basis. What legal instrument activates the son's
decision-making designation?
durable power of attorney for health care
power of attorney
living will
designated signer
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