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RN ANCOLOGY A RELIAS A EXAM QUESTION AND CORRECT
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ANSWERS
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A patient with chronic pain has been prescribed long-term opioids. His
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urine drug screen is negative for opioids, and although his last 30-day
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prescription was filled 7 days ago, your pill count reveals that he only
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has a 3-day supply remaining. What primary concern should you discuss
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with the patient's physician? - ANSWER-Drug diversion
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A patient who is hospitalized has been crying and inconsolable. He tells
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you, "I see no reason to continue living". What is the FIRST action to
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take? - ANSWER-Ask the patient if he's considering harming himself
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What is the PRIMARY goal of tertiary care? - ANSWER-Teaching
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lifestyle modifications to reduce the risk of cancer
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YES...Slowing disease progression and preventing complications
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Identifying cancer through early detection when a cure is possible
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---Avoiding unnecessary interventions that are unlikely to improve
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patient outcomes
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Your patient is a 35 year old man with prostate cancer and widespread
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osseous metastases.He complains of worsening mid-thoracic back pain
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for 2 weeks. His physical exam reveals tenderness at
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T8, with no neurologic deficits. What can we anticipate as the
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oncologist's FIRST step? - ANSWER-Schedule him for a MRI to rule
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out spinal cord compression.
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A 24-year-old female with a family history of cervical cancer tells you
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she is hoping to be pregnant soon because the only treatment for cervical
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cancer is a hysterectomy. What is the BEST response? - ANSWERWith
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early detection, there are conservative treatment approaches that
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may preserve fertility.
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What is the danger of taking NSAIDs with warfarin? -
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ANSWER*****NSAIDs taken with warfarin can cause liver toxicity.
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NSAIDS decrease the effects of warfarin.
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NSAIDS increase renal clearance of warfarin.
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YES......NSAIDs increase the effects of warfarin.
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What non-pharmacologic treatment would be recommended for your
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patient experiencing end-of-life dyspnea? - ANSWER-Encourage the
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patient to stay hydrated
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YES....Use of a fan to increase air circulation Raise the temperature
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to warm the room ****Lower the head of the bed
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Why should patients with HIV who are taking antiretroviral therapy be
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advised to avoid taking a proton-pump inhibitor? - ANSWER-YES..... It
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inhibits absorption of antiretroviral therapy
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