Quiz 10: Cellular Regulation

Concepts For Nursing Practice

Nursing
7
Questions
0
True/False
7
Choices
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Essay
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Questions

Q1
Free

The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cancer?

Multiple Choice
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A) Yearly mammography for women aged 40 years and older
B) Using skin protection during sun exposure while at the beach
C) Colonoscopy at age 50 and every 10 years as follow-up
D) Yearly prostate specific antigen (PSA) and digital rectal exam for men aged 50 and over
Answer:
B) Using skin protection during sun exposure while at the beach

Explanation:
Primary prevention of cancer involves avoidance to known causes of cancer, such as sun exposure. Secondary screening involves physical and diagnostic examination.
Q2
Free

While collecting a health history on a patient admitted for colon cancer, which of the following questions would be a priority to ask this patient?

Multiple Choice
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A) Have you noticed any blood in your stool?
B) Have you been experiencing nausea?
C) Do you have back pain?
D) Have you noticed any swelling in your abdomen?
Answer:
A) Have you noticed any blood in your stool?

Explanation:
Early colon cancer is often asymptomatic, with occult or frank blood in the stool being an assessment finding in a patient diagnosed with colon cancer. If pain is present, it is usually lower abdominal cramping. Constipation and diarrhea are more frequent findings than nausea or ascites.
Q3
Free

While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention?

Multiple Choice
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A) Prioritization and administration of nursing care throughout the day
B) Completing all nursing care in the morning so the patient can rest the remainder of the day
C) Completing all nursing care in the evening when the patient is more rested
D) Limiting visitors, thus promoting the maximal amount of hours for sleep
Answer:
A) Prioritization and administration of nursing care throughout the day

Explanation:
Pacing activities throughout the day conserves energy, and nursing care should be paced as well. Fatigue is a common side effect of cancer and treatment; and while adequate sleep is important, an increase in the number of hours slept will not resolve the fatigue. Restriction of visitors does not promote healthy coping and can result in feelings of isolation.
Q4

The nurse is caring for a patient who received a bone marrow transplant 10 days ago. The nurse would monitor for which of the following clinical manifestations that could indicate a potentially life-threatening situation?

Multiple Choice
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A) Mucositis
B) Confusion
C) Depression
D) Mild temperature elevation
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Q5

While the nurse is obtaining the health history of a 75-year-old female patient, which of the following has the greatest implication for the development of cancer?

Multiple Choice
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A) Being a 75-year-old woman
B) Family history of hypertension
C) Cigarette smoking as a teenager
D) Advancing age
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Q6

In caring for a patient following lobectomy for lung cancer, which of the following should the nurse include in the plan of care?

Multiple Choice
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A) Position the patient on the operative side only.
B) Avoid administering narcotic pain medications.
C) Keep the patient on strict bed rest.
D) Instruct the patient to cough and deep breathe.
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Q7

A female patient complains of a scab that just wont heal under her left breast. During your conversation, she also mentions chronic fatigue, loss of appetite, and slight cough, attributed to allergies. What are the nurses next steps?

Multiple Choice
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A) Continue to conduct a symptom analysis to better understand the patients symptoms and concerns.
B) End the appointment and tell the patient to use skin protection during sun exposure.
C) Suggest further testing with a cancer specialist and provide the appropriate literature.
D) Tell her to put a bandage on the scab and set a follow-up appointment in one week.
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