Nursing Care Procedures Quiz

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Questions and Answers

Which action should the nurse avoid while caring for the client?

Checking placement of pneumatic compression boots

Assisting with range-of-motion leg exercises

Elevating the knee gatch on the bed (correct)

Removal of antiembolism stockings twice daily

What preprocedure instruction should the nurse give Mina before her pelvic ultrasound?

Eat a light breakfast only

Maintain an NPO status before the procedure

Drink six to eight glasses of water without voiding before the test (correct)

Wear comfortable clothing and shoes for the procedure

Which diagnostic test will definitively confirm the diagnosis of malignancy in a client with a bowel tumor?

Magnetic resonance imaging

Biopsy of the tumor (correct)

Abdominal ultrasound

Computerized tomography scan

What describes the disorder of multiple myeloma that the nurse should communicate to the client?

Malignant proliferation of plasma cells within the bone Signup and view all the answers

Which laboratory finding is specifically expected in a client diagnosed with multiple myeloma?

Increased calcium Signup and view all the answers

What statement indicates a community member needs further information on signs of testicular cancer?

Alopecia Signup and view all the answers

What is the most likely side effect for a client receiving external radiation to the neck for laryngeal cancer?

Sore throat Signup and view all the answers

Which principle should the nurse observe when caring for a client with an internal radiation implant?

Limit the time with the client to 1 hour per shift Signup and view all the answers

Which side effect is NOT typically expected from chemotherapeutic drug use?

Constipation Signup and view all the answers

What order should Nurse Janet question for a client undergoing radiation therapy?

Aspirin every 4 hours Signup and view all the answers

Which action should NOT be taken to promote skin integrity during radiation therapy?

Avoiding the use of ointments, powders, and lotion to the area Signup and view all the answers

Which drug is effective in preventing nausea and vomiting in chemotherapy patients?

Metochlopramide (Metozol) Signup and view all the answers

What is the recommended distance a nurse should maintain from a client during radiation therapy when not performing procedures?

3 feet Signup and view all the answers

Which guideline regarding radiation therapy teaching is untrue?

Safety precautions are necessary only during actual irradiation Signup and view all the answers

For how many minutes should contact with a client on radiation therapy be limited?

3 minutes Signup and view all the answers

What is a serious side effect of Cyclophosphamide (Cytoxan) that nurses should monitor?

Hemorrhagic cystitis Signup and view all the answers

What should the nurse do first if the cervical radiation implant is found in the bed?

Pick up the implant with long-handled forceps and place it in a lead container Signup and view all the answers

Which activity is most appropriate for a client with a cervical radiation implant?

Out of bed in a chair only Signup and view all the answers

What should be included in the care plan for a neutropenic client undergoing chemotherapy?

Teach the client and family about the need for hand hygiene Signup and view all the answers

What is the priority assessment before a nurse administers clear liquids to a postoperative client after pelvic exenteration?

Bowel sounds Signup and view all the answers

Which symptom would the nurse expect to find in a client with suspected Hodgkin’s disease?

Enlarged lymph nodes Signup and view all the answers

What is an appropriate nursing assessment for a male client with cancer complaining of acute pain?

The client’s pain rating Signup and view all the answers

What restriction should be applied to individuals visiting a pregnant woman in a client's room?

Children younger than 16 may enter if they stay 6 feet away Signup and view all the answers

Which symptom is typical of advanced ovarian cancer during an admission assessment?

Bloating or pelvic discomfort Signup and view all the answers

Which of the following is NOT a clinical manifestation of ovarian cancer?

Abnormal bleeding Signup and view all the answers

What is a potential complication of the conization procedure?

Cervical stenosis Signup and view all the answers

What type of tumors originate from connective tissues such as bone and muscle?

Sarcomas Signup and view all the answers

Which stage of grief is characterized by bargaining behavior?

Bargaining Signup and view all the answers

Which complication may occur following a mastectomy?

Arm edema Signup and view all the answers

What is the most common risk factor associated with laryngeal cancer?

Cigarette smoking Signup and view all the answers

What characterizes a vesicovaginal fistula?

An abnormal opening between the bladder and vagina Signup and view all the answers

What is the primary action of allopurinol in the body?

Decreases uric acid production Signup and view all the answers

What is the maximum degree the head of the bed should be elevated for client comfort?

10 to 15 degrees Signup and view all the answers

What should be used to pick up a dislodged implant during internal radiation therapy?

Long-handled forceps Signup and view all the answers

What is a critical component in assessing a client’s pain?

Client’s self-report of pain Signup and view all the answers

What should be avoided to prevent infections in a neutropenic client?

Invasive procedures like catheterization Signup and view all the answers

When should a client be kept NPO after surgery?

Until bowel sounds return Signup and view all the answers

Which sign is characteristic of Hodgkin’s disease?

Painless enlargement of lymph nodes Signup and view all the answers

What is the most appropriate action when assessing bowel function before feeding the client?

Assess bowel sounds Signup and view all the answers

Which of the following is true about visitor restrictions for a neutropenic client?

Only healthy visitors are allowed Signup and view all the answers

Study Notes

Nursing Care Considerations

During client care, avoid elevating the knee gatch on the bed to prevent complications.
Range-of-motion leg exercises should be assisted to maintain circulation and mobility.
Antiembolism stockings should be removed twice daily for proper skin care and assessment.
Always check the placement of pneumatic compression boots to ensure effective prevention of DVT.

Diagnostic Procedures

For a pelvic ultrasound, clients should maintain NPO status beforehand.
To confirm a bowel tumor diagnosis, a biopsy is required to determine malignancy.

Multiple Myeloma Insights

Multiple myeloma is characterized by the malignant proliferation of plasma cells within the bone.
Laboratory results in multiple myeloma often reveal increased calcium levels due to bone resorption.

Testicular Cancer Awareness

Common signs of testicular cancer include painless testicular swelling and heavy sensation in the scrotum.
Symptoms like alopecia and back pain are not specifically indicative of testicular cancer.

Effects of Radiation Therapy

Common side effects of external radiation to the neck for laryngeal cancer include a sore throat.
Internal radiation requires precautions, such as limiting time spent with the client to mitigate exposure.

Nursing Actions for Radiation Implants

If a cervical radiation implant is displaced, pick it up with long-handled forceps and place it in a lead container to ensure safety.
Bed rest is the most appropriate activity for clients with a cervical radiation implant.

Neutropenia Management

Clients with neutropenia should be educated on the importance of hand hygiene to prevent infections.
Visitors are not completely restricted, allowing for support while protecting the client from known infections.

Pain Assessment

Accurate pain assessment should include the client’s self-report and pain rating, emphasizing the importance of their description.

Postoperative Care

For clients post-pelvic exenteration, assess bowel sounds as a priority before resuming a clear liquid diet.

Hodgkin’s Disease Identification

Key assessment findings in Hodgkin’s disease include fatigue, weight loss, weakness, and notably enlarged lymph nodes.

Symptoms of Ovarian Cancer

Typical symptoms include abdominal distention, urinary frequency, and pain from pressure caused by tumor growth.

Chemotherapy Side Effects

Nausea and vomiting following chemotherapy can be mitigated with the administration of antiemetic drugs, like metoclopramide.
Cyclophosphamide carries the risk of hemorrhagic cystitis as a potentially fatal side effect.

Patient Safety During Radiation Therapy

Maintain a minimum distance of 6 feet from clients undergoing radiation therapy when not providing care.
Limit contact with clients in radiation therapy to not exceed 30 minutes to protect staff.

Understanding Cancer Treatment

Sarcomas arise from connective tissues such as bone and muscle, differentiating them from carcinomas.
Stages of grief experienced by individuals facing life-threatening illnesses include denial, bargaining, anger, depression, and acceptance.

Additional Considerations

Lymphedema can occur following a mastectomy as a potential complication, requiring ongoing monitoring and management.
Cigarette smoking is the most significant risk factor for laryngeal cancer, often exacerbated by heavy alcohol use and environmental pollutants.

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Description

Test your knowledge on proper nursing care procedures, including interventions related to client care and preprocedure instructions. This quiz will challenge you to identify appropriate actions for various nursing scenarios, ensuring you are well-prepared in your nursing practice.