NUR 265 Exam 4 Questions with
100% Correct Answers (Graded A+)
The decision to begin antiretroviral therapy is based on: - Answer-The CD4 cell count
The plasma viral load
The intensity of the patient's clinical symptoms
Which client problem relating to altered nutrition is a consequence of AIDS? - Answer-
Decreased protein absorption
As a knowledgeable nurse, you know that the primary goals of antiretroviral therapy
(ART) include all, EXCEPT: - Answer-Elimination of HIV entirely from the body
Which is the most common HIV-related neurological complication? - Answer-
Toxoplasmosis
A client with pemphigus is being seen in the clinic regularly. The nurse plans care based
on which of the following descriptions of this condition? - Answer-An autoimmune
disease that causes blistering in the epidermis
32-year-old male patient is to undergo radiation therapy to the pelvic area for Hodgkin's
lymphoma. He expresses concern to the nurse about the effect of chemotherapy on his
sexual function. The best response by the nurse to the patient's concerns is
A - Answer-It is possible you may have some changes in your sexual function, and you
may want to consider pretreatment harvesting of sperm if you want children."
40-year-old divorced mother of four school-age children is hospitalized with metastatic
cancer of the ovary. The nurse finds the patient crying, and she tells the nurse that she
does not know what will happen to her children when she dies. The most appropriate
response by the nurse is - Answer-Why don't we talk about the options you have for the
care of your children?"
A patient who has terminal cancer of the liver and is cared for by family members at
home tells the nurse, "I have intense pain most of the time now." The nurse recognizes
that teaching regarding pain management has been effective when the patient -
Answer-takes opioids around the clock on a regular schedule and uses additional doses
when breakthrough pain occurs.
, Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell
carcinoma. The nurse teaches the patient that the purpose of therapy with this agent is
to - Answer-enhance the patient's immunologic response to tumor cells.
The home health nurse is caring for a patient who has been receiving interferon therapy
for treatment of cancer. Which statement by the patient may indicate a need for a
change in treatment? - Answer-"I rarely have the energy to get out of bed."
Which information noted by the nurse reviewing the laboratory results of a patient who
is receiving chemotherapy is most important to report to the health care provider? -
Answer-WBC count of 1700/µl
*Noraml 5,000-10,000
A bone marrow transplant is being considered for treatment of a patient with acute
leukemia that has not responded to chemotherapy. In discussing the treatment with the
patient, the nurse explains that - Answer-hospitalization will be required for several
weeks after the hematopoietic stem cell transplant (HSCT).
The patient requires strict protective isolation to prevent infection for 2 to 4 weeks after
HSCT while waiting for the transplanted marrow to start producing cells. The
transplanted cells are infused through an IV line, so the transplant is not painful, nor is
an operating room required. The HSCT takes place 1 or 2 days after chemotherapy to
prevent damage to the transplanted cells by the chemotherapy drugs.
The nurse has identified the nursing diagnosis of imbalanced nutrition: less than body
requirements related to altered taste sensation in a patient with lung cancer who has
had a 10% loss in weight. An appropriate nursing intervention that addresses the
etiology of this problem is to - Answer-avoid presenting foods for which the patient has a
strong dislike.
Which action by a nursing assistant (NA) when caring for a patient who is pancytopenic
indicates a need for the nurse to intervene? - Answer-The NA assists the patient to use
dental floss after eating.
Use of dental floss is avoided in patients with pancytopenia because of the risk for
infection and bleeding.
with tumor lysis syndrome (TLS) is taking allopurinol (Xyloprim). Which laboratory value
should the nurse monitor to determine the effectiveness of the medication? - Answer-
Uric acid level
For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention is the
most appropriate? - Answer-Encouraging the client to use nasal saline sprays
100% Correct Answers (Graded A+)
The decision to begin antiretroviral therapy is based on: - Answer-The CD4 cell count
The plasma viral load
The intensity of the patient's clinical symptoms
Which client problem relating to altered nutrition is a consequence of AIDS? - Answer-
Decreased protein absorption
As a knowledgeable nurse, you know that the primary goals of antiretroviral therapy
(ART) include all, EXCEPT: - Answer-Elimination of HIV entirely from the body
Which is the most common HIV-related neurological complication? - Answer-
Toxoplasmosis
A client with pemphigus is being seen in the clinic regularly. The nurse plans care based
on which of the following descriptions of this condition? - Answer-An autoimmune
disease that causes blistering in the epidermis
32-year-old male patient is to undergo radiation therapy to the pelvic area for Hodgkin's
lymphoma. He expresses concern to the nurse about the effect of chemotherapy on his
sexual function. The best response by the nurse to the patient's concerns is
A - Answer-It is possible you may have some changes in your sexual function, and you
may want to consider pretreatment harvesting of sperm if you want children."
40-year-old divorced mother of four school-age children is hospitalized with metastatic
cancer of the ovary. The nurse finds the patient crying, and she tells the nurse that she
does not know what will happen to her children when she dies. The most appropriate
response by the nurse is - Answer-Why don't we talk about the options you have for the
care of your children?"
A patient who has terminal cancer of the liver and is cared for by family members at
home tells the nurse, "I have intense pain most of the time now." The nurse recognizes
that teaching regarding pain management has been effective when the patient -
Answer-takes opioids around the clock on a regular schedule and uses additional doses
when breakthrough pain occurs.
, Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell
carcinoma. The nurse teaches the patient that the purpose of therapy with this agent is
to - Answer-enhance the patient's immunologic response to tumor cells.
The home health nurse is caring for a patient who has been receiving interferon therapy
for treatment of cancer. Which statement by the patient may indicate a need for a
change in treatment? - Answer-"I rarely have the energy to get out of bed."
Which information noted by the nurse reviewing the laboratory results of a patient who
is receiving chemotherapy is most important to report to the health care provider? -
Answer-WBC count of 1700/µl
*Noraml 5,000-10,000
A bone marrow transplant is being considered for treatment of a patient with acute
leukemia that has not responded to chemotherapy. In discussing the treatment with the
patient, the nurse explains that - Answer-hospitalization will be required for several
weeks after the hematopoietic stem cell transplant (HSCT).
The patient requires strict protective isolation to prevent infection for 2 to 4 weeks after
HSCT while waiting for the transplanted marrow to start producing cells. The
transplanted cells are infused through an IV line, so the transplant is not painful, nor is
an operating room required. The HSCT takes place 1 or 2 days after chemotherapy to
prevent damage to the transplanted cells by the chemotherapy drugs.
The nurse has identified the nursing diagnosis of imbalanced nutrition: less than body
requirements related to altered taste sensation in a patient with lung cancer who has
had a 10% loss in weight. An appropriate nursing intervention that addresses the
etiology of this problem is to - Answer-avoid presenting foods for which the patient has a
strong dislike.
Which action by a nursing assistant (NA) when caring for a patient who is pancytopenic
indicates a need for the nurse to intervene? - Answer-The NA assists the patient to use
dental floss after eating.
Use of dental floss is avoided in patients with pancytopenia because of the risk for
infection and bleeding.
with tumor lysis syndrome (TLS) is taking allopurinol (Xyloprim). Which laboratory value
should the nurse monitor to determine the effectiveness of the medication? - Answer-
Uric acid level
For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention is the
most appropriate? - Answer-Encouraging the client to use nasal saline sprays
