211 Flashcards
The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma . Which would the nurse expect to note specifically in this disorder?
A.increased calcium levels
B. Increased white blood cells
C. Decreased blood urea nitrogen level
D. Decreased number of plasma cells in the bone
A. Increased calcium levels
The nurse is creating a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?
A.encourage fluids
B. Providing fluids
C. Coughing and deep breathing
D. Monitoring the red blood cell count
A. Encourage fluids
The nurse should plan to implement which intervention in the care of a client experiencing neutropenia as a result of chemotherapy ?
A.restrict all visitors
B. Restrict fluid intake
C. Teach the client and family about the need for hand hygiene
D. Insert an indwelling catheter to prevent skin breakdown
C. Teach the client and family about the need for hand hygiene
The home health nurse is caring for a client with cancer who is complaining of acute pain. The most appropriate determination of the clients pain should include which assessment ?
A. The clients pain rating
B. Nonverbal cues from the client
C. The nurses impression of the clients pain
D. Pain relief after appropriate nursing intervention
A. The clients pain rating
The nurse is conducting a history and monitoring laboratory values on a Client with multiple myeloma. What assessment findings should the nurse expect to note ?? SATA
A. Pathological fracture
B. Urinalysis positive for Bence Jones protein
C. HGB level of 15.5
D. Calcium level of 8.6
E. Serum creatinine level of 2.0
A. Pathological fracture
B. Urinalysis positive for Bence Jones protein
E. Serum creatinine level of 2.0
As part of chemotherapy education the nurse teaches the female client about the risk for bleeding and self care during the period of greatest bone marrow suppression. The nurse understands that further teaching is needed if the client makes which statement?
A. “I should avoid blowing my nose”
B. “I may need a platelet transfusion if my platelet count is to low”
C. “ Im going to take aspirin for my headache as soon as i get home”
D. “ i will count the number of pads and tampons i use when menstruating “
C. “ Im going to take aspirin for my headache as soon as i get home”
The nurse is instructing a client with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the client ?
A. Administer the iron at mealtimes
B. Administer the iron through a straw
C. Mix the iron with cereal to administer
D. Add the iron to apple juice for easy administration
B. Administer the iron through a straw
Laboratory studies are performed for a client suspected to have iron deficiency anemia. The nurse reviews the lab results , knowing that which result indicates this type of anemia?
A. Elevated HGB levels
B. Decreased reticulocyte count
C. Elevated Red blood cells count
D. Red blood cells that are microcytic and hypochromic
D. Red blood cells that are microcytic and hypochromic
The nurse is providing dietary teaching for a client who underwent a partial gastrectomy to treat gastric cancer about food high in vitamin B12. The nurse would instruct the client to include which foods items in the diet that are high in this vitamin? SATA
A. Milk
B. Fish
C. Beef
D. Apples
E. Turkey
F. Bananas
A. Milk
B. Fish
C. Beef
E. Turkey
The nurse provides home care instructions to a client with systemic lupus erythematosus and tells the client about methods to manage fatigue which statement by the client indicates a need for further instruction?
A. “I should take hot baths because they are relaxing”
B. “I should sit whenever possible to conserve my energy “
C. “ i should avoid long periods of rest because it can cause joint stiffness”
D. “ I should do some exercise , such as walking when im not fatigues”
A. “I should take hot baths because they are relaxing”
A client develops an anaphylactic reaction after receiving morphine. The nurse should plan to institute which actions ? SATA
A. Administer oxygen
B. Quickly assess the clients respiratory status
C. Document the event , interventions, and clients response
D. Leave the client and contact PCP
E. Keep the client supine regardless of blood pressure readings
F. Start IV infusion of D5W and administer 500 ml bolus
A. Administer oxygen
B. Quickly assess the clients respiratory status
C. Document the event , interventions, and clients response
The client with AIDS is diagnosed with cutaneous Kaposi syndrome. Based on this diagnosis the nurse understands that this has been confirmed by which finding?
A. Swelling in genital area
B. Swelling in lower extremities
C. Positive punch biopsy of the cutaneous lesions
D. Appearance of reddish-blue lesions noted on the skin
C. Positive punch biopsy of the cutaneous lesions
Which patient is at greatest risk for developing IDA?
A. A 6 year old African America boy with no health problems
B. A 15 Year old African American pregnant female
C. A 52 year old Mexican American female with HTN
D. A 72 year old Caucasian male with cardiac disease
B. A 15 Year old African American pregnant female
When a patient with vitamin B12 deficiency is counseled about diet , what statement by the patient indicates an understanding of the cause of the anemia ?
A. “I know i need to eat more fruits and vegetables”
B. “ I have to cute out all fried food in my diet”
C. “ I have been eating more organic foods
D. “ I have been having beef or fish at least once a day”
D. “ I have been having beef or fish at least once a day”
The nurse understands that it is essential for the patient to have which blood test before initiating folic acid supplementations?
A. Vitamin B12 level
B. Pregnancy test
C. CBC
D. Liver enzymes
A. Vitamin B12 level
Which activity should be avoided in a patient with sickle cell anemia?
A. Driving to the beach 3 hours away
B. Going to concert
C. Running in a 5 k race
D. Carpentry work
C. Running in a 5K race
When comparing osteoarthritis to RA the nurse recognizes which of the following statements to be true ? SATA
A. Osteoarthritis pain tends to get worse with activity, but RA gets better with activity
B. Both RA and osteoarthritis are autoimmune diseases
C. Patients with RA are at risk for developing extra-articular manifestations such as eye inflammation, lung disease, whereas osteoarthritis affects only joints and surrounding structures.
D. Patients with osteoarthritis typically have morning stiffness lasting less than 30 mins hour, where as RA patients typically complain of morning stiffness lasting longer than 30 mins
E. Both RA and osteoarthritis affect joints in a symmetrical pattern.
A. Osteoarthritis pain tends to get worse with activity, but RA gets better with activity
C. Patients with RA are at risk for developing extra-articular manifestations such as eye inflammation, lung disease, whereas osteoarthritis affects only joints and surrounding structures.
D. Patients with osteoarthritis typically have morning stiffness lasting less than 30 mins hour, where as RA patients typically complain of morning stiffness lasting longer than 30 mins
The nurse knows which of the following statements regarding laboratory values and RA are true ? SATA
A. Patient with a positive rheumatoid factor definitely have RA
B. An elevated CRP is indicative of inflammation but is not specific only for RA
C. Certain DMARD therapies may cause lab abnormalities such as elevated liver enzyme, thrombocytopenia, leukocytopenia
D. Approximately 25-30% of patients who have RA do not have a positive rheumatoid factor
E. Patients with RA have elevated cardiac enzymes due to pharmacological therapy
B. An elevated CRP is indicative of inflammation but is not specific only for RA
C. Certain DMARD therapies may cause lab abnormalities such as elevated liver enzyme, thrombocytopenia, leukocytopenia
D. Approximately 25-30% of patients who have RA do not have a positive rheumatoid factor
The nurse should recognize which patient to be at highest risk for developing SLE?
A. A 10 Year old Hispanic female
B. An 18 y,o African American male
C. A 30 y.o African American female
D. A 50 year old Caucasian male
C. A 30 y.o African American female
A nurse is screening patients for their risk of developing HIV. The nurse should consider which patient at greatest risk ?
A. African American man
B. Asian women
C. Caucasian man
D. Latino Women
A. African American man
