Tiêu đề FC MS3 (Mr. Dulay) - SC ✅

2 | Page SITUATION: A 52 year old nulliparous female client has found a painless lump in her right breast during her monthly self- examination. 14. Which assessment finding would strongly suggest that this client's lump is cancerous? A. Eversion of the right nipple and mobile mass B. Nonmobile mass with irregular edges C. Mobile mass that is soft and easily delineated D. Nonpalpable right axillary lymph nodes 15. How can breast cancer prevention programs best serve women at risk from lower socioeconomic backgrounds A. Provide access to health insurance. B. Increase support services. C. Increase access to health care. D. Develop screening and educational programs. SITUATION: Steve, a 60-year-old businessman, is scheduled for a transurethral resection. 16. Preoperative care for the client undergoing transurethral resection of the prostate (TURP) includes: A. Fluid restriction B. Counselling regarding the complete loss of sexual function that will occur as a result of the surgery C. Administering IV fluids and antibiotics as ordered D. Catheterizing the client with a 16 Fr, or larger, urinary catheter to empty the bladder and to relieve the discomfort of urinary retention. 17. The purpose of continuous bladder irrigation is to: A. Allow for continuous monitoring of the fluid output status B. Allow for proper exchange of electrolytes and fluids C. Ensure accurate monitoring of intake and output D. Provide for continuous flushing of clots and debris from the bladder 18. Steve tells the nurse that he feels some discomfort on the hypogastric area and he has to void. The nurse should: A. Remove the catheter and allow him to void B. Irrigate the catheter C. Tell him to go ahead and void D. Assess color and rate of outflow. If there is a change, refer to the physician for possible irrigation 19. Upon checking Steve’s IV fluid infusion, the nurse notes a change in flow rate and pallor and coldness around the IV insertion site. The assessment finding of the nurse is: A. Air embolism B. Infiltration to subcutaneous tissue C. Pyrogenic reaction D. Phlebitis 20. Which of the following is the least relevant to document in the case of Steven during his first postoperative day? A. Intravenous infusion rate B. Pain and vital signs C. Activities of daily living started D. Amount, color and consistency of bladder irrigation drainage SITUATION: Mayumi has been diagnosed with cervical cancer. 21. The following are risk factors for developing cervical cancer except: A. Immunosuppressive therapy B. Smoking C. Sex at an early age, multiple partners D. Viral agents like human papilloma virus 22. The late signs and symptoms of cervical cancer include the following except: A. Lymphedema of lower extremities B. Uterine bleeding C. Urinary/bowel changes D. Pain in the pelvis, leg or flank 23. In providing discharge teaching for the client after a modified radical mastectomy, the nurse should instruct the client that she might need to modify or avoid which of the following activities? A. Shampooing her dog B. Caring for her tropical fish. C. Working in her rose garden D. Taking a late-evening swim. 24. A client is to have radiation therapy after a modified radical mastectomy. The client should be taught to care for the skin at the site of therapy by: A. Using talcum powder on the area B. Washing the area with water C. Exposing the area to dry heats D. Applying an ointment to the area 25. A client is having chemotherapy. Which of the following data is an early indication of extavasation? A. Burning sensation above the IV site B. Redness at the site C. Absence of backflow D. Slowing of the infusion rate 26. The nurse should instruct the client under chemotherapy with a platelet count of less than 150,000/mm3 to avoid which of the following activities? A. Ambulation B. Valsalva maneuver C. Visiting with children D. Semi-Fowler’s position 27. The nurse is assessing a client with a radiation implant and observes that the implant has been dislodged. The nurse cannot immediately locate the implant. The first nursing action is to A. Notify the radiation safety team. B. Call the physician and bar all visitors from the room. C. Pick up the source with a foot-long applicator. D. Search for the implant in the bed covers and place it in a lead container. 28. A client who reports increasingly difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to: A. helping the client cope with body image changes. B. ensuring adequate nutrition C. maintaining a patent airway D. preventing injury 29. The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms: A. yearly after age 40. B. after the birth of the first child and every 2 years thereafter. C. after the first menstrual period and annually thereafter D. devery 3 weeks between ages 20 and 40 and annually thereafter 30. A client is in isolation after receiving an internal radioactive implant to treat cancer. Two hours later, the nurse discovers the implant in the bed linens. What should the nurse do first? A. Stand as far away from the implant as possible and call for help. B. Pick up the implant with long-handled forceps and place it in a lead-lined container. C. Leave the room and notify the radiation therapy department immediately D. Put the implant back in place, using forceps and a shiled for self-potection, and call for help. 31. A client with a nagging cough makes an appointment to see the physician after reading that this symptom is one of the seven warning signs of cancer. What is another warning sign of cancer? A. Persistent nausea B. Rash C. Indigestion D. Chronic ache or pain 32. The nurse is instructing a premenopausal woman about breast self-examination. The nurse should tell the client to do her self-examination: A. at the end of her menstrual cycle B. on the same day each month C. on the 1 st day of the menstrual cycle D. immediately after her menstrual period 33. The nurse understands that that Hodgkin’s disease is suspected when a client presents with a painless, swollen lymph node. Hodgkin's disease typically affects people in which age group? A. Children (ages 6 to 12 years).