Unit 4 Exam Review

A patient comes into the ER complaining of shortness of breath while walking and generalized fatigue. The nurse notes the patient is pale and tachycardic. What other symptoms would the nurse find that would lead to the diagnosis of iron deficiency anemia? Select all that apply.

• Tachypnea

• Glossitis

• Bradycardia

• Shiny, smooth tongue

• Koilonychia

A patient comes in for fatigue and generalized weakness. On admission the patient tells the nurse that she is a vegan. The nurse recognizes that this patient is most at risk for which of the following?

• Lead Poisoning

• Aplastic anemia

• Vitamin B12 deficiency anemia

• Folic Acid deficiency anemia.

A nurse is caring for a patient receiving radiation therapy. The charge nurse places the patient in a private room, and instructs the nurse assigned to them to inform the doctor of any fevers, hold pressure on injections sites, and administer blood products ordered right away. The charge nurse does this due to which of the following?

• The patient is at risk for pancytopenia.

• The patient is at risk for spreading disease

• The patient is at risk for malnutrition

• The patient is at risk for falling

A nurse is explaining to a patient undergoing chemotherapy why they will start receiving Filgastrim. The nurse knows the patient understands the education when they state which of the following?

• "This medication will increase the production of red blood cells in my body."

• "This medication will increase the production of neutrophils in my body."

• "This medication will increase the production of blast cells in my body."

• "This medication will increase the production of plasma in my body."

The nurse is caring for a patient diagnosed with thrombocytopenia. Which of the following are NOT actions the nurse should take when caring for this patient? Select all that apply.

• Using a standard razor to shave the patient.

• Clustering lab draws into one stick.

• Decluttering the patient's room

• Administering the prescribed Shingles vaccine.

• Taking a rectal temperature to ensure the patient isn't running a fever.

The nurse is caring for a patient on neutropenic precautions. Which of the following actions should the nurse take to ensure the patient's safety?

• Administer the Patient's ordered MMR vaccine.

• Delivering the bouquet of flowers in the patient's room

• Don a mask, gloves, and gown when entering the patient room.

• Giving the patient an acetaminophen suppository for a fever.

The nurse is caring for a patient diagnosed with Leukemia. The patient is currently undergoing chemotherapy and ask the nurse what the medication is supposed to do to help get rid of cancer. Which of the following is an appropriate response by the nurse.

• "Chemotherapy will help get rid of the bad cells growing, causing remission."

• "Chemotherapy will stop the bad cells growing, curing the disease."

• "Chemotherapy will ensure the bad cells never come back."

• "Chemotherapy helps get rid of the bad cells and prevents the spread of them to other areas of the body."

A patient is being discharged after the completion of a bone marrow biopsy. Which of the following are inappropriate things to include in the patient's discharge instructions? Select all that apply.

• "You can shower when you get home and remove the dressing."

• "Pain should be mild after the procedure."

• "It is okay for you to go to your CrossFit class in the morning."

• "Bleeding at the site is common, bleeding that saturates the dressing is NOT normal."

• "Bleeding for more than 24 hours should be reported right away."

The nurse is caring for a patient diagnosed with Non-Hodgkins Lymphoma. The patient complains of night sweats, fatigue, and swollen lymph nodes. The nurse understands that these symptoms are associated which of the following? Select all that apply.

• A poor prognosis

• Early stage symptoms

• Advanced Stage symptoms

• "B" Symptoms

• A good prognosis

The nurse is caring for an adolescent patient recently diagnosed with Hodgkin's Lymphoma. His current treatment plan includes radiation and chemotherapy. The patient asks about effects of the treatment on his future plans. Which of the following is NOT an appropriate response by the nurse?

• "We won't know the true effects until treatment occurs."

• "It's possible for you to become sterile, so we can discuss options for sperm banking."

• "You may need a stem cell transplant in the future which can impact travel plans."

• "Contact sports may no longer be an option for you during and after treatment."