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1. Question
The nurse is providing discharge teaching for the client with
leukemia. The client should be told to avoid:
o A. Using oil- or cream-based soaps
o B. Flossing between the teeth
o C. The intake of salt
o D. Using an electric razor
ANS >> B. Flossing between the teeth
The client who is immune-suppressed and has bone marrow
suppression should be taught not to floss his teeth because
platelets are decreased.
o Option A: Oil or cream-based soap is allowed for
leukemia patients because these will prevent dry skin,
which predisposes to skin injury.
o Option C: A healthy amount of salt in the patient’s
food is allowed.
o Option D: The use of an electric razor is
recommended because it reduces the risk of injury to
the skin that can cause bleeding.
• 2. Question
The nurse is changing the ties of the client with a tracheostomy.
The safest method of changing the tracheostomy ties is to:
o A. Apply the new tie before removing the old one.
o B. Have a helper present.
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,mailto:https://www.stuvia.com/user/techgrades
o C. Hold the tracheostomy with the nondominant hand
while removing the old tie.
o D. Ask the doctor to suture the tracheostomy in place.
o
o
o
o
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,mailto:https://www.stuvia.com/user/techgrades
• 4. Question
The infant is admitted to the unit with tetralogy of fallot. The
nurse would anticipate an order for which medication?
o A. Digoxin
o
o
o
The nurse is educating the lady’s club in a self-breast exam. The
nurse is aware that most malignant breast masses occur in the
Tail of Spence.
On the diagram below, select where the Tail of Spence is.
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, mailto:https://www.stuvia.com/user/techgrades
o A
o B
o C
o D
Correct Answer: A.
The Tail of Spence is located in the upper outer quadrant of the
breast.
o Option B: Option B is the areola, a dark area of skin
surrounding the nipple.
• 6. Question
The toddler is admitted with a cardiac anomaly. The nurse is
aware that the infant with a ventricular septal defect will:
o A. Tire easily
o B. Grow normally
o C. Need more calories
o D. Be more susceptible to viral infections
mailto:https://www.stuvia.com/en-us/user/techgrades
1. Question
The nurse is providing discharge teaching for the client with
leukemia. The client should be told to avoid:
o A. Using oil- or cream-based soaps
o B. Flossing between the teeth
o C. The intake of salt
o D. Using an electric razor
ANS >> B. Flossing between the teeth
The client who is immune-suppressed and has bone marrow
suppression should be taught not to floss his teeth because
platelets are decreased.
o Option A: Oil or cream-based soap is allowed for
leukemia patients because these will prevent dry skin,
which predisposes to skin injury.
o Option C: A healthy amount of salt in the patient’s
food is allowed.
o Option D: The use of an electric razor is
recommended because it reduces the risk of injury to
the skin that can cause bleeding.
• 2. Question
The nurse is changing the ties of the client with a tracheostomy.
The safest method of changing the tracheostomy ties is to:
o A. Apply the new tie before removing the old one.
o B. Have a helper present.
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/user/techgrades
o C. Hold the tracheostomy with the nondominant hand
while removing the old tie.
o D. Ask the doctor to suture the tracheostomy in place.
o
o
o
o
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/user/techgrades
• 4. Question
The infant is admitted to the unit with tetralogy of fallot. The
nurse would anticipate an order for which medication?
o A. Digoxin
o
o
o
The nurse is educating the lady’s club in a self-breast exam. The
nurse is aware that most malignant breast masses occur in the
Tail of Spence.
On the diagram below, select where the Tail of Spence is.
mailto:https://www.stuvia.com/en-us/user/techgrades
, mailto:https://www.stuvia.com/user/techgrades
o A
o B
o C
o D
Correct Answer: A.
The Tail of Spence is located in the upper outer quadrant of the
breast.
o Option B: Option B is the areola, a dark area of skin
surrounding the nipple.
• 6. Question
The toddler is admitted with a cardiac anomaly. The nurse is
aware that the infant with a ventricular septal defect will:
o A. Tire easily
o B. Grow normally
o C. Need more calories
o D. Be more susceptible to viral infections
mailto:https://www.stuvia.com/en-us/user/techgrades
