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Terms in this set (100)
A nurse is assessing a client with a C. The client reports a feeling of a lump in the
family history of cancer. Which throat.
finding requires immediate follow-
up? The sensation of a lump in the throat is one of the
warning signs of esophageal cancer and requires
A. The client has gained 10 lb (4.5 kg) immediate follow-up. Other symptoms of
over the past year. esophageal cancer include dysphagia, substernal
B. The client reports knee pain upon pain, regurgitation of undigested food, foul breath,
rising. and hiccups. A weight gain of 10 lb in a year, a
C. The client reports a feeling of a blood pressure of 135/80 mmHg, and a pulse rate
lump in the throat. of 70 beats/minute are normal findings. Although
D. The client has a blood pressure of the nurse should ultimately investigate the
135/80 mmHg and a pulse rate of 70 complaint of pain in the knees upon rising, this
beats/minute. finding isn't the priority at this time.
,A client, age 42, visits the D. history of human papillomavirus infection
gynecologist. After examining the
client, the healthcare provider The nurse would assess for risk factors associated
suspects cervical cancer. What will with cervical cancer. The most important risk factor
be most important for the nurse to for cervical cancer is human papillomavirus
include in assessing the client's infection. The onset of sexual activity may indirectly
health history? increase the risk of cervical cancer. Smoking is a
risk factor for cervical cancer but not the most
A. the onset of sexual activity important one. Diet and exercise are not important
B. smoking history risk factors for cervical cancer.
C. diet and exercise
D. history of human papillomavirus
infection
A client who is receiving D. "Your hair loss will be temporary. Would you like
chemotherapy expresses concern at to tell me about your concerns?"
the thought of losing hair on the
head. The nurse's best response is: Alopecia, which can occur with the administration
of some chemotherapeutic agents, is
A. "Don't worry about your hair loss. psychologically disturbing for many clients even
A good wig can disguise that." though the loss is temporary. Clients should be
B. "No one knows how long it will reassured that their hair will grow back. The nurse
take your hair to grow back. You'll should encourage the client to discuss any
have to learn to cope with its loss." concerns and should explore the various options
C. "A little hair loss shouldn't concern available to the client (e.g., caps, wigs, scarves,
you. You have more serious things to turbans).
worry about." Telling the client not to worry about hair loss or
D. "Your hair loss will be temporary. that there are more serious worries trivializes the
Would you like to tell me about your client's concerns. Telling the client to learn to cope
concerns?" with hair loss conveys negativity and harsh
judgment and is likely to demoralize the client.
,A client with a modified radical B. same nurse who has cared for her the past 3
mastectomy is being discharged. The days, for continuity of care.
client has been very reluctant to
discuss the surgery or her situation. Continuity of care is crucial for this client to feel
The nurse making assignments more comfortable about asking questions and
should delegate the client's care to discussing her care at home. A UAP does not have
the: the educational preparation (registered nursing
license) to provide discharge instructions. It is not
A. unlicensed assistive personnel appropriate to assign this client to a nurse in
(UAP) because the client is stable orientation or one who needs assistance; the
and being discharged. priority need is continuity of care.
B. same nurse who has cared for her
the past 3 days, for continuity of
care.
C. nurse in orientation who needs
experience in discharge instructions.
D. nurse with the most bed baths,
because this client will not need a
bath.
Which outcome is expected of a D. cope with cancer.
nursing referral to a cancer support
group? The client can: Support groups are designed to educate clients
and their families experiencing cancer about the
A. choose the best treatment disease and methods of coping positively with it.
options. These are self-help and support groups monitored
B. find financial help. by professionals and cancer survivors who have
C. obtain home health care. undergone a training course that helps them to
D. cope with cancer. facilitate small groups.
, The family of an older adult with D. focuses on supportive care for the client and
terminal cancer asks about having family.
hospice services. What should the
nurse tell the family? Hospice care focuses on supportive care for the
Hospice care: client and family. Care for the family may continue
throughout the bereavement period. Hospice care
A. focuses only on the needs of the involves care of the client at home as well as in an
client. inpatient setting. Although professional care is
B. can only be provided in the provided in hospice, family members, volunteers,
inpatient setting. and unlicensed nursing personnel (UAP) also
C. is staffed exclusively by participate in the care of the client.
professional health care workers.
D. focuses on supportive care for the
client and family.
The nurse teaches the client with B. Take prescribed analgesics on an around-the-
chronic cancer pain about optimal clock schedule to prevent recurrent pain.
pain control. Which recommendation
is most effective for pain control? The regular administration of analgesics provides a
consistent serum level of medication, which can
A. Get used to some pain, and use a help prevent breakthrough pain. Therefore, taking
little less medication than needed to the prescribed analgesics on a regular schedule is
keep from being addicted. the best way to manage chronic cancer-related
B. Take prescribed analgesics on an pain. There is little risk for the client with cancer-
around-the-clock schedule to related pain to become addicted. Sleeping 12 to 16
prevent recurrent pain. hours a day would not allow the client to
C. Take analgesics only when pain participate in usual daily activities or preferred
returns. activities.
D. Take enough analgesics around
the clock so that you can sleep 12 to
16 hours a day to block the pain.