Tiêu đề Care of Clients with Cellular Aberrations.pdf ✅

NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 12. While performing a nursing assessment, a female client informs the nurse of vague abdominal discomfort, bloating, and unexplained indigestion and flatulence for the last few months. What should the nurse ask in order to elicit the most important information for completing the assessment? A. “Do you often eat spicy food?” B. “Tell me about your family’s medical history.” C. “Have you had weight loss recently?” D. “Are you experiencing unusual menstrual bleeding?” 13. A nurse is teaching a class on breast self- examination. Which of the following should the nurse INCLUDE in the class? A. Use only deep pressure when palpating the breast B. Include both inspection and palpation of the breast in the exam C. Use the fingertips while palpating the breast D. Perform the breast palpation exam in front of a mirror 14. A client states, “I’m worried about being burned by radiation therapy.” The MOST appropriate response is based on the nurse’s understanding that? A. Applying hand lotion to the area being radiated will reduce the chance of burns. B. Darker-skinned persons burn more easily during radiation therapy. C. Burns are very rare with today’s technology. D. Washing the radiated area with strong soap will reduce the chance of burns. 15. When planning care for a client being treated for cervical cancer, it would be a priority for the nurse to INCLUDE which of the following in the plan of care? A. Instruction on birth control methods B. Vigorous fluid hydration C. Assessment of sexual function D. Daily weights 16. The nurse is teaching a class on breast cancer. Which of the following should the nurse INCLUDE as risk factors? A. Menopause at an early age and excessive caffeine use B. Slender build and first birth before the age of 20 years C. Menarche at an early age and nulliparous D. Asian descent and lower-socioeconomic status 17. Which of the following findings on a female breast exam should the nurse report as suspicious of breast cancer? A. Multiple, bilateral, round, lumpy tissue that is tender B. A soft, mobile, single lobular nodule that is nontender C. A poorly defined, firm lump that is nontender and fixed to the skin D. A single soft lump that is well defined and tender 18. The nurse is admitting a client with vaginal cancer. Which of the following questions should the nurse ask to elicit the MOST likely causative factor? A. “Did you experience your first menses before the age of 11 years?” B. “Did your mother take diethylstilbestrol (DES) during pregnancy?” C. “Have you ever taken tamoxifen?” D. “Do you have a history of a sexually transmitted disease?” 19. The nurse should instruct a female client that the best time to perform a breast self-examination is which of the following? A. At the onset of menstruation B. The last day of the menstrual period C. Every month during ovulation D. Weekly at the same time of day 20. Which of the following instructions should the nurse give a male client on how to perform a testicular self- examination (TSE)? A. Examine the testicle while lying down B. Gently feel the testicle with one finger to feel for a growth C. The best time to examine the testicle is after a shower D. A testicular exam should be done once every 6 months 21. The client states, “I heard that all men get prostate cancer sometime in their lives.” In teaching the client about cancer incidence, the BEST response is based on which of the following? A. Lung cancer is the most frequently diagnosed cancer in men B. Prostate cancer is the most frequently diagnosed cancer in men C. Prostate cancer is the most prevalent in Caucasian men D. There is no way to screen for prostate cancer, so it is the most common cause of cancer death in men 22. When planning the discharge of a client with cancer, which of the following should the nurse INCLUDE as a priority? A. Encouragement to drink no alcoholic beverages B. Information on all local hospices C. Plans for a visiting nurse D. Information on stress reduction techniques 23. While assessing a client’s skin, the nurse should report which of the following findings as a possible skin cancer? A. Red, swollen plaques B. A bull’s-eye rash C. A blue-black appearing mole D. Spider angiomas 24. The nurse is collecting a health history on a client admitted for colon cancer. Which of the following questions would be a priority to ask this client? A. “Have you noticed any blood in the stool?” B. “Have you been experiencing nausea?” C. “Do you have any back pain?” D. “Have you noticed your abdomen has swollen?” 25. A nurse is educating a group of clients on cancer screening practices. Which of the following instructions should the nurse INCLUDE as a recommended screening pattern? A. Annual Pap and pelvic examination should begin at age 40 B. Annual cancer check-ups for all persons over age 40 C. Annual mammography should begin at age 30 D. Annual fecal occult blood test and colonoscopy at age 40
NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 26. “My pain is a 11!” on a 0-to-10 scale (10 being worst possible pain). Which of the following is the APPROPRIATE nursing intervention? A. Instruct the client that no more narcotic analgesia can be given at this time in order to prevent addiction B. Ask the client if the pain is really that bad, as narcotic analgesia will be given as a last resort for severe pain C. Assure that a strong opioid, nonopioid, and adjuvant are ordered and administer per order D. Administer another dose of meperidine (Demerol) as prescribed 27. In planning the care of a client experiencing fatigue related to chemotherapy, which of the following is the MOST appropriate nursing intervention? A. Prioritize and administer nursing care throughout the day B. Accomplish all the nursing cares early in the day so the client can rest the remainder of the day C. Perform all nursing cares during the evening shift when the client is the most rested D. Limit the number of visitors, promoting a maximum opportunity for sleep 28. The nurse is caring for a client who underwent a bone marrow transplant 10 days ago. The nurse should monitor the client for which of the following clinical manifestations that indicates a potentially life- threatening situation? A. Mucositis B. Confusion C. Depression D. Mild temperature elevation 29. The nurse receives report on assigned clients. One client is reported to be at the nadir for his cancer chemotherapy. How will this affect the nursing care plan? A. Implement bleeding precautions. B. Reinforce measures and teaching regarding preventing infections. C. Anticipate nutritional problems caused by nausea and vomiting. D. Assess for problems with fluid balance. 30. The nurse is assessing a client after beginning external radiation. What is a nursing observation that confirms the presence of early side effects of the radiation? A. A gradual weight loss and GI disturbances B. Skin erythema followed by dry desquamation C. Vertigo when sitting up quickly D. Excoriation and blisters on the affected skin “We must embrace pain and burn it as fuel for our journey.” -Kenji Miyazawa-