WorksheetsIntegumentary and Oncological Problems
Total questions: 20
Worksheet time: 55mins
The nurse caring for a client with iron deficiency anemia is preparing the client's plan of care. Which nursing diagnosis is the most appropriate for this client's care plan?
A. Impaired gas exchange
B. Ineffective airway clearance
C. Deficient fluid volume
D. Ineffective breathing pattern
The nurse is instructing a female client who is neutropenic. It would be appropriate for the nurse to recommend that she
A. brush her teeth once a day or every other day.
B. use pads instead of tampons during the menstrual cycle.
C. create a ten feet distance between you and a visitor.
D. wash your hands after cleaning up after pets.
Which of the following statements regarding pressure ulcers are true?
Select all that apply.
A. In a stage II pressure ulcer, part of the dermis and epidermis are lost.
B. In a stage I pressure ulcer, there is a loss of integrity of the epidermis only.
C. In a stage III pressure ulcer, there is a deep tissue injury that can expose fat.
D. In a stage IV pressure ulcer, the base of the wound is covered by eschar.
The nurse is caring for a client with epistaxis. The nurse should perform which appropriate action?
A. Position the client upright and leaning forward while gently pinching their nose intermittently
B. Position the client upright and leaning forward while gently pinching their nose continuously
C. Ask the client to blow their nose and then put lateral pressure on the nose
D. Instruct the client to hold their nose while bending forward at the waist
Select the skin disorder that is appropriately paired with an independent nursing intervention that can correct it or prevent it from getting worse.
A. Erythema: The application of an antiseptic spray
B. Excessive dryness: Using limited mild soap for bathing
C. Abrasions: The application of an antimicrobial cream
D. Hirsutism: Washing the area carefully and gently
The nurse is caring for a client with a breast tumor. The client reports trouble breathing, a puffy face/neck, nasal congestion, and a raspy voice. The nurse would suspect which of the following?
A. Spinal cord compression
B. Non-Hodgkin’s Lymphoma (NHL)
C. Superior vena cava syndrome
D. Shock
The nurse is caring for a client that is hypothermic and receiving warmed IV fluids. The nurse understands that rewarming must be done slowly due to which primary reason?
A. To prevent burns in the patient.
B. To prevent ventricular fibrillation and cardiovascular collapse.
C. To prevent frostbite.
D. To avoid muscle spasms.
The nurse is conducting a staff in-service on managing an acute burn. The nurse should reinforce the utilization of which formula to guide fluid resuscitation?
A. 4 mL x kg x TBSA
B. 30 mL/kg
C. 0.5 mL/kg/hr
D. 0.10 mL/kg/hr
The nurse is conducting a health screening at a local health fair. Which of the following should the nurse recognize as a risk factor for developing ovarian cancer? Select all that apply.
Correct
A. Nulliparity
B. Advancing age
C. Family history
D. Herpes simplex virus (HSV)
E. Early menarche
A client has acute bone pain related to metastases of cancer. The best way for a hospice nurse to assess the client's level of pain is:
A. Check vital signs after giving pain medication.
B. Note observations about the client's behavior.
C. Evaluate verbal and non-verbal actions.
D. Ask the client to rate their pain on a scale from 0-10.
A nurse is assigned to care for a client with an internal radiation implant. The client's care plan should include each of the following except?
A. Wear gloves when handling the client's bedpan
B. Leave soiled linens in the used linen bin within the client's room
C. Wear a lead apron when providing direct care to the client
D. Place the client in a semi-private room at the end of the hallway
The image below depicts which post-operative surgical complication?
A. Wound Evisceration
B. Wound Dehiscence
C. Diabetic Ulcer
D. Tertiary Healing
The nurse is caring for a client who sustained an electrical burn. The nurse should take which priority action?
A. Perform an electrocardiogram (ECG)
B. Obtain an order for an arterial blood gas (ABG)
C. Gather supplies for wound care
D. Initiate supplemental oxygen
Which of these would be most relevant to include in discharge teaching for a patient with a platelet count of 40,000 per mcL (40 x 10^9/L)?
A. Be sure to take your aspirin with meals daily
B. You may continue to shave with a straight edge razor
C. Use a soft toothbrush and floss gently
D. You should take a multivitamin daily
The nurse is speaking with a client who is being evaluated for possible acute leukemia. Which of the following questions from the nurse is most relevant?
A. "How would you describe your sleeping patterns recently?"
B. "Have you experienced respiratory or other infections recently?"
C. "Over the past few months, have you experienced weight fluctuations?"
D. "Have you noted any recent bowel changes?"
A nurse is taking care of a client with severe burns. Which of the following is the best intervention to prevent shock in this client?
A. Administer dopamine as ordered
B. Apply medical anti-shock trousers
C. Infuse IV fluids as indicated
D. Infuse fresh frozen plasma
The nurse is providing teaching to a patient in the clinic with atopic dermatitis. The patient is using over the counter glucocorticoids to treat the condition with some relief. The nurse should advise this patient to avoid applying the cream to which part of the patient’s body?
A. Hips
B. Face
C. Shins
D. Abdomen
The nurse is caring for a client who sustained an electrical burn. Which priority action should the nurse take?
A. Obtain an electrocardiogram (ECG)
B. Obtain an order for an arterial blood gas (ABG)
C. Perform wound care
D. Initiate supplemental oxygen
You have been asked to lead a health promotion course for the community about cancer. Which of the following symptoms should you include in your education about early signs and symptoms of cancer?
Select all that apply.
A. Incontinence
B. Weight gain
C. Trouble swallowing
D. Insomnia
The nurse arriving for their shift is told in a report that the patient has been battling asymptomatic chemotherapy-induced anemia. The nurse recognizes that the patient will likely require a blood transfusion when their hemoglobin drops below:
A. 8
B. 13
C. 10
D. 19
