cellular regulation MS1 ex 2
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Questions and Answers

What is the most appropriate determination of the client's pain needs during a pain assessment?

  • Pain relief after appropriate nursing intervention
  • Nonverbal cues from the client
  • The nurse's impression of the client's pain
  • The client's pain rating (correct)

Before administering clear liquids to a postoperative client, what should the nurse prioritize checking?

  • Ability to ambulate
  • Bowel sounds (correct)
  • Incision appearance
  • Urine specific gravity

What assessment finding would be most specific to a client suspected of having Hodgkin's disease?

  • Weakness
  • Enlarged lymph nodes (correct)
  • Weight gain
  • Fatigue

Which manifestation is typical of advanced ovarian cancer in a client during admission assessment?

<p>Abdominal distention (C)</p> Signup and view all the answers

In a client with lung cancer and bone metastasis, what signs and symptoms indicate a possible oncological emergency?

<p>Chest pain and coughing up blood (A)</p> Signup and view all the answers

What nursing action should be prioritized when caring for a client with cancer experiencing acute pain?

<p>Engaging the client in deep breathing exercises (C)</p> Signup and view all the answers

What is the most important assessment to perform before feeding a client who has been NPO?

<p>Assess for signs of bowel function (D)</p> Signup and view all the answers

In the context described, when are clear fluids typically given to a client?

<p>When signs of bowel function return (C)</p> Signup and view all the answers

How long is peristalsis usually expected to return in a client who has been NPO?

<p>4 to 6 days (C)</p> Signup and view all the answers

What is the initial diet advancement strategy if no distention occurs when clear fluids are given to the client?

<p>Advance the diet as tolerated (D)</p> Signup and view all the answers

Which health concept is most closely associated with assessing bowel sounds before feeding a client?

<p>Gastrointestinal function (B)</p> Signup and view all the answers

What action should be taken if there are no signs of bowel function returning in a client?

<p>Continue monitoring and consult healthcare provider (C)</p> Signup and view all the answers

What might be the potential cause of the client's numbness and tingling of the lower extremities?

<p>Hypokalemia (D)</p> Signup and view all the answers

Why is it concerning that the client experiences facial edema in the morning?

<p>Indicative of heart failure (D)</p> Signup and view all the answers

Which electrolyte imbalance is likely contributing to the client's altered serum calcium level?

<p>Hypernatremia (D)</p> Signup and view all the answers

What might be a consequence of the development of a vesicovaginal fistula in a client undergoing radiation therapy for bladder cancer?

<p>Increased risk of infection (D)</p> Signup and view all the answers

Why is it crucial for the client to perform testicular self-examinations (TSEs)?

<p>To detect early signs of testicular cancer (A)</p> Signup and view all the answers

What is a significant assessment finding that is characteristic of multiple myeloma?

<p>Elevated calcium levels (A)</p> Signup and view all the answers

What are common clinical manifestations of ovarian cancer?

<p>Abdominal distention and urinary urgency (A)</p> Signup and view all the answers

Which condition is characterized by abnormal bleeding often associated with uterine cancer?

<p>Hypermenorrhea (B)</p> Signup and view all the answers

What is a common sign of ascites in ovarian cancer patients?

<p>Dyspnea (B)</p> Signup and view all the answers

Which of the following can be considered an oncological emergency?

<p>Tumor lysis syndrome (D)</p> Signup and view all the answers

What is a common complication associated with ovarian cancer affecting the respiratory system?

<p>Pleural effusion (C)</p> Signup and view all the answers

Which of the following is a risk factor for superior vena cava syndrome?

<p>History of smoking (A)</p> Signup and view all the answers

What results can be expected in clients with iron-deficiency anemia?

<p>Decreased hemoglobin levels and microcytic red blood cells (A)</p> Signup and view all the answers

What is the relationship between iron-deficiency anemia and red blood cells?

<p>Normal reticulocyte count (B)</p> Signup and view all the answers

In iron-deficiency anemia, what happens to iron stores?

<p>They are depleted, reducing hemoglobin manufacture (C)</p> Signup and view all the answers

What laboratory findings are characteristic of iron-deficiency anemia?

<p>Decreased hemoglobin levels and hypochromic red blood cells (C)</p> Signup and view all the answers

What is the expected reticulocyte count in clients with iron-deficiency anemia?

<p>Normal or slightly elevated count (B)</p> Signup and view all the answers

Why would one eliminate options 1 and 3 from laboratory findings of iron-deficiency anemia?

<p>Based on decreased hemoglobin levels (C)</p> Signup and view all the answers

What is the greatest implication for the development of cancer in a 75-year-old female patient?

<p>Advancing age (B)</p> Signup and view all the answers

Which gender typically has a higher lifetime risk of cancer?

<p>Males (C)</p> Signup and view all the answers

What is not directly correlated with the development of cancer?

<p>Family history of hypertension (A)</p> Signup and view all the answers

Which symptom is expected in a patient admitted with lung cancer?

<p>Weight loss compared to last admission (C)</p> Signup and view all the answers

What is a common sign/symptom of lung cancer?

<p>Chest pain (D)</p> Signup and view all the answers

Which assessment finding would be atypical for a patient with lung cancer?

<p>Clear sputum (B)</p> Signup and view all the answers

What can be expected in terms of breathing patterns in a patient with lung cancer?

<p>Use of accessory muscles during respirations (C)</p> Signup and view all the answers

What might be the cause of the client's facial edema in the morning?

<p>Hypoproteinemia due to kidney dysfunction (B)</p> Signup and view all the answers

Which finding is most concerning in a client receiving radiation therapy for bladder cancer?

<p>Feeling like urinating through the vagina (B)</p> Signup and view all the answers

What instruction would the nurse provide regarding testicular self-examination (TSE)?

<p>Perform the examination before showering (C)</p> Signup and view all the answers

Why is a hemoglobin level of 15.5 g/dL a notable finding in a client with multiple myeloma?

<p>It could be due to polycythemia vera (D)</p> Signup and view all the answers

What might be a common manifestation of severe hypercalcemia in a client with multiple myeloma?

<p>Tetany and muscle spasms (C)</p> Signup and view all the answers

Why should a client be educated about performing regular TSEs?

<p>To monitor for testicular cancer development (B)</p> Signup and view all the answers

What might be the implication of a serum potassium level of 3.4 mg/dL in the context provided?

<p>Increased risk of cardiac arrhythmias (D)</p> Signup and view all the answers

What nursing action is most appropriate for a client experiencing altered perineal sensation as a side effect of radiation therapy?

<p>Encouraging frequent perineal hygiene to alleviate discomfort (C)</p> Signup and view all the answers

Which is a risk factor for colorectal cancer in adults?

<p>Age younger than 50 years (C)</p> Signup and view all the answers

In the context of colorectal cancer, what is a priority concept to consider for patient education?

<p>Cellular regulation (D)</p> Signup and view all the answers

What is a key characteristic of colorectal cancer risk factors?

<p>Presence of colorectal polyps (A)</p> Signup and view all the answers

What is a common manifestation of advanced colorectal cancer during assessment?

<p>Weight loss (D)</p> Signup and view all the answers

Which priority concept is associated with health promotion in patients with colorectal cancer?

<p>Nutritional status (B)</p> Signup and view all the answers

What is an important patient education consideration for those at risk for colorectal cancer?

<p>Screening for polyps regularly (D)</p> Signup and view all the answers

Which action is crucial for the prevention of colorectal cancer in high-risk individuals?

<p>Regular colonoscopy screenings (C)</p> Signup and view all the answers

What is a common error to avoid when educating about colorectal cancer prevention?

<p>&quot;Wait and see&quot; approach to symptoms (B)</p> Signup and view all the answers

What is the most appropriate nursing action when a nurse notes bloody drainage from the nasogastric tube in a client who had a gastrectomy?

<p>Continue to monitor the drainage (D)</p> Signup and view all the answers

Which assessment finding indicates that a colostomy is beginning to function in a client who underwent an abdominal perineal resection for a bowel tumor?

<p>The passage of flatus (C)</p> Signup and view all the answers

What is the most appropriate nursing action when assessing serosanguineous drainage from a perineal wound post abdominal perineal resection?

<p>Change the dressing as prescribed (B)</p> Signup and view all the answers

What indicates that further teaching is necessary regarding risk factors for colorectal cancer in a client?

<p>Age younger than 50 years (A)</p> Signup and view all the answers

The nurse is reviewing the history of a client with bladder cancer, what is an important aspect to assess in this situation?

<p>Family medical history (A)</p> Signup and view all the answers

Which action is essential when assessing a client's perineal wound following an abdominal perineal resection?

<p>Checking for crepitus around the wound (C)</p> Signup and view all the answers

Which finding during assessment of a client postoperatively from an abdominal perineal resection requires immediate nursing action?

<p>&quot;Crackling&quot; sensation under the skin around the wound (A)</p> Signup and view all the answers

"A nurse is caring for a client who has had an abdominal perineal resection for rectal cancer. Which postoperative finding requires immediate intervention?"

<p>&quot;Stoma is dusky in color&quot; (A)</p> Signup and view all the answers

What is the priority nursing action to prevent lymphedema in a client following mastectomy?

<p>Encourage simple arm exercises. (B)</p> Signup and view all the answers

What intervention should the nurse avoid when caring for a client at risk for lymphedema post-mastectomy?

<p>Applying warm compresses to the affected arm. (C)</p> Signup and view all the answers

What should the nurse prioritize when assessing a client for potential lymphedema post-mastectomy?

<p>Inspecting for arm swelling or tightness. (D)</p> Signup and view all the answers

Which activity should the nurse encourage in a client post-mastectomy to promote circulation and prevent lymphedema?

<p>Performing gentle arm exercises. (A)</p> Signup and view all the answers

What is a crucial principle to follow when caring for a client with potential lymphedema post-mastectomy?

<p>Encouraging active range of motion exercises for the arm. (B)</p> Signup and view all the answers

What would be an inappropriate nursing action for a client recovering from a mastectomy to prevent lymphedema?

<p>Encouraging wearing tight jewelry on the affected arm. (B)</p> Signup and view all the answers

What is a recommended intervention to reduce the risk of lymphedema in a client post-mastectomy?

<p>Engaging in light resistance training with the affected arm. (B)</p> Signup and view all the answers

Which nursing action could potentially increase the risk of developing lymphedema in a client after mastectomy?

<p>Applying firm pressure while measuring blood pressure. (B)</p> Signup and view all the answers

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