Mrs. Brown had just received the diagnosis of colon cancer from her
gastroenterologist. She is crying and visibly upset when the nurse enters her room.
What is the best response from the nurse?
a. I understand that you are upset. Would you like me to arrange for you to meet with
someone who has had the same diagnosis and treatment plan?
b. Would you like to share what is troubling you or would you rather I just sit with you
for a while? Extend your hand to her but wait for her response before responding or
sitting quietly by her waiting for her response.
c. I'm sorry you are feeling so overwhelmed by your diagnosis. I will explain
everything the doctor just told you and the options he gave you. Where would you
,like me to begin?
d. Hand Mrs. Brown the teaching materials for her particular type of cancer that
outlines the treatment plans and the preparation for her next appointment. Sit with her
and wait for her response.
Give this one a try later!
B.
Would you like to share what is troubling you or would you rather I just sit
with you for a while? Extend your hand to her but wait for her response
before responding or sitting quietly by her waiting for her response.
.
The nurse is caring for a patient who has a calcium level of 12.1 mg/dL. Which nursing
action should the nurse include on the care plan?
A. Maintain the patient on bed rest.
B. Auscultate lung sounds every 4 hours.
C. Monitor for Trousseaus and Chvosteks signs.
D. Encourage fluid intake up to 4000 mL every day.
Give this one a try later!
D
To decrease the risk for renal calculi, the patient should have a fluid intake
of 3000 to 4000 mL daily.
Ambulation helps decrease the loss of calcium from bone and is
encouraged in patients with hypercalcemia. Trousseaus and Chvosteks
signs are monitored when there is a possibility of hypocalcemia. There is no
indication that the patient needs frequent assessment of lung sounds,
although these would be assessed every shift.
,External-beam radiation is planned for a patient with cervical cancer. What
instructions should the nurse give to the patient to prevent complications from the
effects of the radiation?
a. Test all stools for the presence of blood.
B. Maintain a high-residue, high-fiber diet.
C. Clean the perianal area carefully after every bowel movement.
D. Inspect the mouth and throat daily for the appearance of thrush.
Give this one a try later!
C
Radiation to the abdomen will affect organs in the radiation path, such as
the bowel, and cause frequent diarrhea. Careful cleaning of this area will
help decrease the risk for skin breakdown and infection.
Stools are likely to have occult blood from the inflammation associated
with radiation, so routine testing of stools for blood is not indicated.
Radiation to the abdomen will not cause stomatitis. A low-residue diet is
recommended to avoid irritation of the bowel when patients receive
abdominal radiation.
A 59-year old woman is 1 day post-op removal of a malignant abdominal mass. The
pathology report is pending. She tearfully tells the nurse that she is afraid to die. What
is the most effective nursing intervention?
A. Motivate change for an unhealthy lifestyle
B. Teach the patient about the 7 warning signs of cancer
C. Instruct the patient about healthy stress relief and coping practices
D. Encourage the patient to share the meaning of this experience
Give this one a try later!
, D.
Encourage the patient to share the meaning of this experience
During the initial dose of rituximab (Rituxan), the patient starts to complain of feeling
cold with the subsequent development of shivering. The first course of action the
nurse should take is to
a. administer one ampule of sodium bicarbonate
b. cover the patient with a blanket and offer a warm beverage
c. stop the infusion of rituximab and administer normal saline
d. place emergency medication and equipment by the patient's infusion chair
Give this one a try later!
C
stop the infusion of rituximab and administer normal saline
When teaching seniors at a community recreation center, which information will the
nurse include about ways to prevent fractures?
a. Tack down scatter rugs in the home.
b. Most falls happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Range-of-motion exercises should be taught by a physical therapist.
Give this one a try later!
C
Comfortable shoes with good support will help decrease the risk for falls.
Scatter rugs should be eliminated, not just tacked down. Activities of daily
gastroenterologist. She is crying and visibly upset when the nurse enters her room.
What is the best response from the nurse?
a. I understand that you are upset. Would you like me to arrange for you to meet with
someone who has had the same diagnosis and treatment plan?
b. Would you like to share what is troubling you or would you rather I just sit with you
for a while? Extend your hand to her but wait for her response before responding or
sitting quietly by her waiting for her response.
c. I'm sorry you are feeling so overwhelmed by your diagnosis. I will explain
everything the doctor just told you and the options he gave you. Where would you
,like me to begin?
d. Hand Mrs. Brown the teaching materials for her particular type of cancer that
outlines the treatment plans and the preparation for her next appointment. Sit with her
and wait for her response.
Give this one a try later!
B.
Would you like to share what is troubling you or would you rather I just sit
with you for a while? Extend your hand to her but wait for her response
before responding or sitting quietly by her waiting for her response.
.
The nurse is caring for a patient who has a calcium level of 12.1 mg/dL. Which nursing
action should the nurse include on the care plan?
A. Maintain the patient on bed rest.
B. Auscultate lung sounds every 4 hours.
C. Monitor for Trousseaus and Chvosteks signs.
D. Encourage fluid intake up to 4000 mL every day.
Give this one a try later!
D
To decrease the risk for renal calculi, the patient should have a fluid intake
of 3000 to 4000 mL daily.
Ambulation helps decrease the loss of calcium from bone and is
encouraged in patients with hypercalcemia. Trousseaus and Chvosteks
signs are monitored when there is a possibility of hypocalcemia. There is no
indication that the patient needs frequent assessment of lung sounds,
although these would be assessed every shift.
,External-beam radiation is planned for a patient with cervical cancer. What
instructions should the nurse give to the patient to prevent complications from the
effects of the radiation?
a. Test all stools for the presence of blood.
B. Maintain a high-residue, high-fiber diet.
C. Clean the perianal area carefully after every bowel movement.
D. Inspect the mouth and throat daily for the appearance of thrush.
Give this one a try later!
C
Radiation to the abdomen will affect organs in the radiation path, such as
the bowel, and cause frequent diarrhea. Careful cleaning of this area will
help decrease the risk for skin breakdown and infection.
Stools are likely to have occult blood from the inflammation associated
with radiation, so routine testing of stools for blood is not indicated.
Radiation to the abdomen will not cause stomatitis. A low-residue diet is
recommended to avoid irritation of the bowel when patients receive
abdominal radiation.
A 59-year old woman is 1 day post-op removal of a malignant abdominal mass. The
pathology report is pending. She tearfully tells the nurse that she is afraid to die. What
is the most effective nursing intervention?
A. Motivate change for an unhealthy lifestyle
B. Teach the patient about the 7 warning signs of cancer
C. Instruct the patient about healthy stress relief and coping practices
D. Encourage the patient to share the meaning of this experience
Give this one a try later!
, D.
Encourage the patient to share the meaning of this experience
During the initial dose of rituximab (Rituxan), the patient starts to complain of feeling
cold with the subsequent development of shivering. The first course of action the
nurse should take is to
a. administer one ampule of sodium bicarbonate
b. cover the patient with a blanket and offer a warm beverage
c. stop the infusion of rituximab and administer normal saline
d. place emergency medication and equipment by the patient's infusion chair
Give this one a try later!
C
stop the infusion of rituximab and administer normal saline
When teaching seniors at a community recreation center, which information will the
nurse include about ways to prevent fractures?
a. Tack down scatter rugs in the home.
b. Most falls happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Range-of-motion exercises should be taught by a physical therapist.
Give this one a try later!
C
Comfortable shoes with good support will help decrease the risk for falls.
Scatter rugs should be eliminated, not just tacked down. Activities of daily
