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WorksheetsNUR1460C Cellular Regulation
Total questions: 20
Worksheet time: 15mins
The nurse is caring for a patient receiving an initial dose of chemotherapy to treat a rapidly growing metastatic colon cancer. The nurse is aware that this patient is at risk for tumor lysis syndrome (TLS) and will monitor the patient closely for which abnormality associated with this oncologic emergency?
Hypokalemia
Hypouricemia
Hypocalcemia
Hypophosphatemia
Which nursing diagnosis is most appropriate for a patient experiencing myelosuppression secondary to chemotherapy for cancer treatment?
Acute pain
Hypothermia
Powerlessness
Risk for infection
The patient is receiving an IV vesicant chemotherapy drug. The nurse notices swelling and redness at the site. What should the nurse do first?
Ask the patient if the site hurts.
Turn off the chemotherapy infusion.
Call the ordering health care provider.
Administer sterile saline to the reddened area.
The patient is being treated with brachytherapy for cervical cancer. What factors must the nurse be aware of to protect herself when caring for this patient?
The medications the patient is taking
The nutritional supplements that will help the patient
How much time is needed to provide the patient's care
The patients lab work for that day
The nurse is teaching a wellness class to a group of women at their workplace. The nurse knows that which woman is at highest risk for developing cancer?
A woman who obtains regular cancer screenings and consumes a high-fiber diet
A woman who has a body mass index of 35 kg/m2 and smoked cigarettes for 20 years
A woman who exercises five times every week and does not consume alcoholic beverages
A woman who limits fat consumption and has regular mammography and Pap screenings
A patient says to the nurse, “I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn’t rested well.” Which comment would be appropriate if the nurse seeks clarification?
“It sounds as though you were uncomfortable with the content of your dream.”
“I understand what you’re saying. Bad dreams leave me feeling tired, too.”
“So, all in all, you feel as though you had a rather poor night’s sleep?”
“Can you give me an example of what you mean by ‘stoned’?”
A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the RN caring for the patient indicates that the nurse should take action?
The patient's visitors bring in some fresh peaches from home.
The patient ambulates several times a day in the room.
The patient uses soap and shampoo to shower every other day.
The patient cleans with a warm washcloth after having a stool
A male client is diagnosed as having a bowel tumor and several diagnostic tests are prescribed. The nurse understands that which test will confirm the diagnosis of malignancy?
Abdominal ultrasound
Magnetic resonance imaging
Biopsy of the tumor
Computerized tomography scan
A female client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in nursing plan of care?
Monitoring temperature
Ambulation three times daily
Monitoring the platelet count
Monitoring for pathological fractures
Following a shift report on an oncology unit, a nurse determines that which client should be assessed first?
A client with breast cancer who has an order for ondansetron (Zofran) 8 mg intravenously (IV) 30 minutes prior to chemotherapy
A client just admitted with a temperature of 101 degrees F (38.3 degrees C), diaphoresis, and an absolute neutrophil count of 98/mm3
A client with breast cancer who is scheduled for external beam radiation in 15 minutes
A client with stomatitis associated with tonsillar cancer who receives gastrostomy tube feedings
What is the expected outcome related to hair loss for a patient who is undergoing chemotherapy?
Hair loss may be permanent.
Viable treatments exist for the prevention of alopecia.
Hair regrowth usually begins about 1 month after completion of chemotherapy.
New hair growth will likely be identical to previous hair growth in color and texture.
A patient who is receiving radiation therapy for breast cancer is most likely to experience which side effect?
Fatigue
Mucositis
Hair loss
Nausea and vomiting
When is the patient with acute leukemia at greatest risk of developing tumor lysis syndrome?
After the first cycle of chemotherapy
After the second cycle of chemotherapy
After the last cycle of chemotherapy
Anytime during the patient’s treatment course
The nurse is taking a history for an 80-year-old female patient who reports progressive fatigue, shortness of breath, and headaches. What is the priority assessment question the nurse should ask?
“Can you tell me about your diet?”
“Have you been feeling depressed lately?”
“What medications do you routinely take?”
“Do you have a history of cardiovascular disease?”
A patient reports increased fatigue, malaise, bleeding gums, and frequent “chills” to the nurse. What is the priority nursing intervention?
Document assessment findings.
Notify the health care provider of the patient’s symptoms.
Obtain vital signs and administer antipyretic medications.
Review laboratory analysis for signs and symptoms of bone marrow suppression.
A patient is transitioning from IV heparin therapy to oral warfarin. The nurse recognizes which laboratory finding that indicates warfarin treatment efficacy?
Bleeding time of 5 minutes
Prothrombin time (PT) of 18 seconds
nternational normalized ratio (INR) of 2.5
Partial thromboplastin time (PTT) of 24.3 seconds
A 23-year-old African-American male with a history of sickle cell disease had an emergent open reduction and internal fixation of his right femur after a car crash. What is the initial postoperative nursing priority?
Treating the patient’s pain
Ensuring adequate IV hydration
Titrating oxygen to an Spo2 >95%
Examining the surgical incision for signs and symptoms of infection
What is the priority nursing intervention in the care of an older patient with a history of diverticular disease and pernicious anemia?
Preventing falls
Monitoring intake and output
Turning the patient every 2 hours
Encouraging a diet high in vitamin B12
A patient with polycythemia vera is admitted with reports of shortness of breath, hypertension, and loss of pulses in her right foot. Which is the priority nursing intervention?
Assess current hydration status
Administer oxygen by nasal cannula
Elevate her lower extremities on pillows
Evaluate the patient for hypertensive crisis
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