Oncology
Clients who are at average risk, should start screening for this cancer at 50 years of age, every 2 years.
PSA
A nurse is discussing intubation with a newly licensed nurse. Which complication associated with intubation should the nurse emphasize?
Changes in the client's voice
The nurse is reinforcing teaching about diagnostic testing with a client who has manifestations of IBS. The nurse should advise the client that the ________
_______ test can be used to detect the presence of bacterial overgrowth?
Hydrogen breath test
What is a nursing priority for the patient who is being administered furosemide?
Monitor I&O and B/P
A nurse is reinforcing dietary teaching about calcium rich foods with a client who has osteoporosis. The client's grocery list includes white bread, broccoli, apples and brown rice. Which foods does the nurse suggest?
Broccoli
Clients who are at average risk, every 10 years, beginning at age 45 should be screened for __________.
Colon cancer (colonoscopy)
A nurse in an outpatient facility is caring for a client who has HIV and is desiring to have a reading of their Mantoux test 48 hours following administration. What amount of Mantoux test induration (in mm) is considered a positive test?
5mm or > is considered a positive reading
A nurse is caring for a client who has an umbilical hernia. What is a risk factor used in identifying this type of hernia?
Congenital (hereditary)
A client with stage 4 chronic kidney disease would be expected to have an elevated GFR. True/False
False, it would be DECREASED as the kidneys are not filtering properly.
True/False: The nurse is assisting with the care of a client following a vertebroplasty of the thoracic spine. The nurse has the client maintain a semi-fowlers position for safety.
FALSE: The nurse should ensure that the client maintains a supine position immediately following surgery
Aspiration of a tumor for fluid or tissue sampling is known as a ___________ biopsy.
Needle
A nurse is reinforcing discharge teaching to a client who has COPD and a new prescription for albuterol. What is a common side effect of this medication the client should be aware of?
Increase in heart rate
True or False: A nurse is reviewing the laboratory data for a client who has an acute exacerbation of Crohn's disease. It is expected that the hematocrit level will be increased.
False: (ESR) Erythrocyte sedimentation rate due to inflammation
Peritoneal dialysis is accessed through an arteriovenous fistula. True/False
FALSE: An intra-abdominal catheter
TRUE/FALSE: Compartment syndrome usually affects extremities and occurs when pressure within one or more of the muscle compartments compromises circulation, resulting in an ischemia-edema cycle.
TRUE
A client is receiving chemotherapy is is experiencing nausea. What medication is typically administered?
Ondansetron (Zofran)
True or False: A nurse is reinforcing teaching with a group of clients about influenza. The client states "I need a flu shot every 2 years because of the different flu strains." This indicates the client's understanding of the teaching.
False: "I should wash my hands after blowing my nose to prevent spreading the virus"
True or False: A nurse is preparing to administer pancrelipase to a client who has pancreatitis. The nurse instructs the patient to chew the medication before swallowing.
FALSE: The nurse will offer a glass of water following medication administration.
A nurse is monitoring a client who had a kidney biopsy for postoperative complications. What complication should the nurse identify as causing the greatest risk to the client?
Hemorrhage
A fracture that occurs on one side of the bone but does not extend completely through the bone is called a greenstick fracture. True/False
TRUE
A nurse is assisting with teaching a client about testicular self-examination. The client states "It is not necessary to report small lumps, unless they are painful." Is this statement an adequate indicator of the client's understanding?
However small, any lumps or bumps should be reported to physician.
A nurse is assisting with the care of a client who has a chest tube and drainage system in place. The nurse observes that the chest tube was accidentally removed. What is the first action the nurse should take?
Apply sterile gauze or occlusive dressing to the insertion site.
A nurse is assisting with the plan of care for a client who has bleeding esophageal varices. The nurse should expect an order for administration of vasopressin. TRUE/FALSE
TRUE: Vasopressin restricts blood vessels to decrease blood flow and bleeding.
A nurse is reinforcing discharge instructions with a client who has spontaneously passed a calcium oxalate calculus. To decrease the change of recurrence, choose the foods that the client should AVOID; red meat, peanuts, cheese, whole grains, spinach
Peanuts and spinach; other foods composed of calcium oxalate include swiss chard, parsley, strawberries and chocolate
What specific labs should be monitored in a client using NSAIDS for osteoarthritis?
BUN, creatinine (kidney function)