NURS 498 Exam #3 Questions With Complete Solutions
A client has tumor lysis syndrome and is started on allopurinol.
What lab values need to be monitored?
A) Uric acid level
B) Serum phosphate
C) Serum potassium
D) Blood urea nitrogen Correct Answers A
A client is receiving a vesicant chemotherapeutic agent IV.
Which of the following actions is most important?
A) Infuse the medication over a short period of time
B) Hold the medication unless a central venous line is available
C) Administer the chemotherapy through a small-bore catheter
D) Stop the infusion if swelling observed at the site Correct
Answers D
A client is receiving a vesicant chemotherapeutic agent IV.
Which of the following actions is most important?
A) Infuse the medication over a short period of time
B) Hold the medication unless a central venous line is available
C) Administer the chemotherapy through small-bore catheter
D) Stop the infusion if swelling is observed at the site Correct
Answers D
A client is told that he will require a right orchiectomy and
chemotherapy for testicular cancer. The client asks the nurse of
he will be infertile after the procedure. Which response should
be made by the nurse?
a) "Has your surgeon discussed cryopreservation of your
sperm?"
,b) "Don't be concerned about this now, at this point you need to
be concerned about removal of the cancer."
c) "Since only one testicle is being removed your fertility will
not be effected."
d) "This procedure will make you infertile." Correct Answers A
A client with a gunshot wound to the abdomen undergoes
surgery, and a colostomy is formed as illustrated. Which of the
following information should the nurse include in client
teaching?
A) Soft, formed stool can be expected as drainage.
B) Irrigations can regulate drainage from the stoma
C) Stool will be expelled from both ostomy stomas.
D) This type of colostomy is usually temporary. Correct
Answers D
A client with cirrhosis is receiving lactulose. The nurse notes the
client is more confused and has asterixis. The nurse should:
A) monitor serum bilirubin levels
B) withhold the lactulose
C) assess for gastrointestinal bleeding
D) increase protein in the diet Correct Answers C
A client with ulcerative colitis who is taking azathioprine calls
the nurse in the outpatient clinic about all of these symptoms.
Which of the following symptoms is most important to
communicate to the health care provider?
A) Elevated temp
B) Frequent headaches
C) Joint pain
D) Nausea Correct Answers A
, A drop in blood sugar following the ingestion of high
carbohydrates is caused by this:
A) Diabetes
B) Dumping syndrome
C) Cholithiasis
D) Incisional hernia Correct Answers B
A few months after bariatric surgery, an older-adult client tells
the nurse, "My skin is hanging in folds. I think I need cosmetic
surgery." Which of the following responses by the nurse is best?
A) "The skin folds will gradually disappear once most of the
weight is lost."
B) "Cosmetic surgery is certainly a possibility once your weight
has stabilized."
C) "Perhaps you would like to talk to a counsellor about your
body image."
D) "The important thing is that your weight loss is improving
your health." Correct Answers B
A hospitalized patient had brachytherapy implants in the
prostate. What nursing action should be included?
A) Wash the area with hydrogen peroxide
B) Allow the patients grandchildren time to visit
C) Limit the time spent in the patients room
D)Place the used linen in a biological hazard bin Correct
Answers C
A hospitalized patient has brachytherapy implants in the
prostate. What nursing action should be included?
A) Was the area with hydrogen peroxide
A client has tumor lysis syndrome and is started on allopurinol.
What lab values need to be monitored?
A) Uric acid level
B) Serum phosphate
C) Serum potassium
D) Blood urea nitrogen Correct Answers A
A client is receiving a vesicant chemotherapeutic agent IV.
Which of the following actions is most important?
A) Infuse the medication over a short period of time
B) Hold the medication unless a central venous line is available
C) Administer the chemotherapy through a small-bore catheter
D) Stop the infusion if swelling observed at the site Correct
Answers D
A client is receiving a vesicant chemotherapeutic agent IV.
Which of the following actions is most important?
A) Infuse the medication over a short period of time
B) Hold the medication unless a central venous line is available
C) Administer the chemotherapy through small-bore catheter
D) Stop the infusion if swelling is observed at the site Correct
Answers D
A client is told that he will require a right orchiectomy and
chemotherapy for testicular cancer. The client asks the nurse of
he will be infertile after the procedure. Which response should
be made by the nurse?
a) "Has your surgeon discussed cryopreservation of your
sperm?"
,b) "Don't be concerned about this now, at this point you need to
be concerned about removal of the cancer."
c) "Since only one testicle is being removed your fertility will
not be effected."
d) "This procedure will make you infertile." Correct Answers A
A client with a gunshot wound to the abdomen undergoes
surgery, and a colostomy is formed as illustrated. Which of the
following information should the nurse include in client
teaching?
A) Soft, formed stool can be expected as drainage.
B) Irrigations can regulate drainage from the stoma
C) Stool will be expelled from both ostomy stomas.
D) This type of colostomy is usually temporary. Correct
Answers D
A client with cirrhosis is receiving lactulose. The nurse notes the
client is more confused and has asterixis. The nurse should:
A) monitor serum bilirubin levels
B) withhold the lactulose
C) assess for gastrointestinal bleeding
D) increase protein in the diet Correct Answers C
A client with ulcerative colitis who is taking azathioprine calls
the nurse in the outpatient clinic about all of these symptoms.
Which of the following symptoms is most important to
communicate to the health care provider?
A) Elevated temp
B) Frequent headaches
C) Joint pain
D) Nausea Correct Answers A
, A drop in blood sugar following the ingestion of high
carbohydrates is caused by this:
A) Diabetes
B) Dumping syndrome
C) Cholithiasis
D) Incisional hernia Correct Answers B
A few months after bariatric surgery, an older-adult client tells
the nurse, "My skin is hanging in folds. I think I need cosmetic
surgery." Which of the following responses by the nurse is best?
A) "The skin folds will gradually disappear once most of the
weight is lost."
B) "Cosmetic surgery is certainly a possibility once your weight
has stabilized."
C) "Perhaps you would like to talk to a counsellor about your
body image."
D) "The important thing is that your weight loss is improving
your health." Correct Answers B
A hospitalized patient had brachytherapy implants in the
prostate. What nursing action should be included?
A) Wash the area with hydrogen peroxide
B) Allow the patients grandchildren time to visit
C) Limit the time spent in the patients room
D)Place the used linen in a biological hazard bin Correct
Answers C
A hospitalized patient has brachytherapy implants in the
prostate. What nursing action should be included?
A) Was the area with hydrogen peroxide
