Chapter 23

A nurse is obtaining a health history from a client newly diagnosed with cervical cancer. What would be most important for the nurse to determine? ? A. Sexual history ? B. Support system ? C. Obstetrical history ? D. Elimination patterns

A client with advanced cancer of the bladder is scheduled for a cystectomy and ileal conduit. Preparation would include which nursing intervention? ? A. Instillation of urinary antiseptics ? B. Insertion of an indwelling catheter ? C. Initiation of enteral feedings ? D. Administration of neomycin

A client has a peripherally inserted central catheter (PICC) line in place for chemotherapy administration. Which nursing action will be performed first when administering the drug? ? A. Ensure patency by aspirating for a blood return ? B. Flush the line with normal saline ? C. Administer a low-dose heparin flush per protocol ? D. Infuse the chemotherapeutic agent

A client with lung cancer has an order for cisplatin (Platinol). Which laboratory result would cause the nurse to be concerned about administering this drug? ? A. White blood cells 7000/mm ? B. Platelet count 700,000 ? C. Serum creatinine level 3.0mg/dL ? D. Total LDH 250IU/L

A client with esophageal cancer returns to the endoscopy recovery area after an esophogastroduodenoscopy (EGD) was performed via conscious sedation with midazolam (Versed). Assessment reveals an O2 saturation of 85%, respirations 8, and nonresponsiveness. The nurse prepares to administer which of the following drugs? ? A. Flumazenil (Romazicon) ? B. Chlorpromazine (Thorazine) ? C. Methylphenidate (Ritalin) ? D. Epinephrine (Epifrin)

A client with an infectious process is receiving IV vancomycin (Vancocin). When will the nurse instruct the laboratory to draw blood for a 30-minute trough level if the Vancomycin IVPB is scheduled to be hung at 2000? ? A. 1900 ? B. 1930 ? C. 2000 ? D. 2030

The oncology staff has been preparing the spouse of a terminally ill client for her death. Which of the following best indicates the nursing interventions have been effective? ? A. Observing that the spouse controls his emotions when with the client ? B. The spouse asks a friend to come during visiting hours ? C. The spouse discusses plans for living as a widower ? D. The spouse is researching for information on the client’s disease

A person who has undergone a radical prostatectomy for advanced cancer is receiving diethylstilbestrol (DES). The nurse would expect to see which effect of this drug? ? A. Increased facial hair ? B. Testicular atrophy ? C. Deepening voice ? D. Weight loss

Which of the following nursing interventions should be avoided in a client with acute lymphoblastic leukemia? ? A. Frequent oral care ? B. Rectal temperatures ? C. Assessing skin for petechiae ? D. Limiting visitors with illness

When turning the right-modified mastectomy client to her left side, the nurse notes a moderate amount of serosanguinous drainage on the bed sheets. Which nursing action is appropriate? ? A. Remove the dressing to ascertain the origin of the bleeding ? B. Milk the hemovac tubing using a continuous downward motion ? C. Note vital signs, reinforce the dressing, and notify the surgeon ? D. Recognize this is a frequent occurrence with this type of surgery