Care II Exam 5 - Spring 23

Question 1

(SATA) Nursing considerations for internal beam radiation

Accepted Answer

Use shielding, Wear film badge to monitor exposure

Question 2

(SATA) Which of the following are appropriate nursing interventions regarding sicle cell crisis?

Accepted Answer

Give O2, Pain management therapy, DVT prophylaxis, Give fluids!!!!

Question 3

Which of the following is accurate regarding pernicious anemia and its cause?

Accepted Answer

Type of B12 deficiency in which there&#x27;s a problem w/ intrinsic factor (IF)

Question 4

What is the greatest barrier to effective cancer pain management?

Accepted Answer

Inadequate pain assessment

Question 5

What to do if the pt. has a large amount of bleeding from their stoma?

Accepted Answer

Provide rescue breathing

Question 6

What is hemochromatosis?

Accepted Answer

Too much iron in the blood

Question 7

For most healthy people, how often should they get a colonoscopy?

Accepted Answer

Every 10 years

Question 8

What is the time frame for immunizations after a patient has a splectomy? (SATA)

Accepted Answer

14 days post-op for unexpected splenectomy, 14 days before surgery

Question 9

(SATA) Screening guidelines for CBE

Accepted Answer

Asymptomatic women > 40; q year, Women 20-30 years old; q 3 years

Question 10

Which of the following is the treatment of choice for polycythemia vera?

Accepted Answer

Phlebotomy

Question 11

(SATA) Which of the following are ways to administer vitamin B12?

Accepted Answer

Intramuscular, Orally by food supplementation, Intranasal, Parenterally, Sublingually, Orally by vitamins

Question 12

What drug can be used for prevention of xerostomia?

Accepted Answer

Amifostine

Question 13

Which of the following are foods that are rich in folic acid?

Accepted Answer

Peanuts, oranges, papaya, & leafy greens

Question 14

(SATA) Nursing considerations for carotid artery rupture

Accepted Answer

Administer IV fluids and blood, Apply pressure

Question 15

(SATA) Which of the following are s/s of aplastic anemia?

Accepted Answer

Pancytopenia, Neutropenia, Fatigue

Question 16

What should be monitored in SIADH?

Accepted Answer

Sodium

Question 17

After a hemilaryngectomy, the patient will no longer be able to speak.

Accepted Answer

False

Question 18

Men who have at least a 10 year life expectancy are required to undergo prostate cancer screening

Accepted Answer

False

Question 19

(SATA) Laryngectomy post-op nursing considerations

Accepted Answer

Monitor albumin level, Suction + humidified oxygen, Auscultate lung sounds

Question 20

(SATA) Which of the following lab findings would be consistent with a dx of iron deficiency anemia?

Accepted Answer

Decreased serum ferritin, Increased transferrin, Decreased serum iron

Question 21

Which type of thrombocytopenia is associated with the use of heparin and is life-threatening?

Accepted Answer

Heparin-Induced Thrombocytopenia

Question 22

Which of the following is the most common cause of chronic blood loss in an adult patient?

Accepted Answer

Chronic GI Bleeding

Question 23

(SATA) What are some examples of general cancer symptoms?

Accepted Answer

Changes in bowel or bladder, Thickening or lump (breast, elsewhere), Indigestion or difficulty swallowing, Unusual discharge or bleeding, Nagging cough or hoarseness, A sore throat that doesn&#x27;t heal

Question 24

(SATA) Which of the following are s/s of polycythemia vera?

Accepted Answer

Hematuria, ruddy/duskiness of mucosa, Evidence/Hx of thrombus, Headaches, Hepatomegaly, Melena

Question 25

(SATA) What qualifications are needed for a woman to stop getting pap smears?

Accepted Answer

After 3 normal paps, no abnormal paps, Hysterectomy, > 70 years old

Question 26

What can be used to clean the pt&#x27;s mouth if they have mucositis

Accepted Answer

Salt and saline solution

Question 27

Pts over _____ years of age should no longer get colorectal cancer screening.

Accepted Answer

85

Question 28

(T/F) You will see a normal or decreased MCV when reviewing a CBC for a patient that has anemia of chronic disease

Accepted Answer

True

Question 29

Match the clinical manifestations of thrombocytopenia with their correct description (SATA)

Accepted Answer

Ecchymoses: larger lesions from hemorrhage, Petechiae: microhemorrhages, Purpura: bruise from numerous petechiae

Question 30

What is the longest that packed RBCs can hang for?

Accepted Answer

4 hours

Question 31

(SATA) Thrombocytopenia nursing considerations + education

Accepted Answer

Administer stool softeners, Use soft-bristle toothbrush, Do not bend down w/ head lower than waist

Question 32

What size gauge should the prudent nurse use during a blood transfusion for an adult?

Accepted Answer

20 gauge

Question 33

A pt is found to have a hgb level of 10.7 but denies any dizziness or pruritis. Which type of anemia would this pt?

Accepted Answer

Mild anemia

Question 34

The nurse is caring for a pt. before radiation therapy. The nurse sees black marks on the pt&#x27;s skin, what to do?

Accepted Answer

Leave it alone

Question 35

(SATA) Which of the following are considered to be a broad classification of anemia?

Accepted Answer

Decreased RBC production, Blood loss, Increased RBC destruction

Question 36

U assess a pt & hear frequent high-pitched bowel sounds that becomes absent as peristalsis decreases, u r worried about?

Accepted Answer

Mechanical obstruction

Question 37

Which of the following would indicate a need for further teaching regarding guaiac stool testing?

Accepted Answer

I will continue to take my vitamin C supplements

Question 38

(SATA) Which of following are correct regarding oral iron administration?

Accepted Answer

Take with vitamin C to enhance absorption, Utilize a straw when giving liquid iron, Pt may have dark colored stool

Question 39

(SATA) Match the following lab values to their definitions

Accepted Answer

MCH: average amount of Hgb in each RBC, MCV: average size of RBCs

Question 40

Which of the following is a finding unique to vitamin B12 anemia?

Accepted Answer

Paresthesias of extremities

Question 41

(SATA) Which of the following are considered to be nutritional anemias?

Accepted Answer

Cobalamin (B12), Folic acid, Iron deficiency anemia

Question 42

A pt w/ colorectal cancer arrives at the clinic. What is a common symptom that they could complain of?

Accepted Answer

Rectal bleeding

Question 43

How long must the nurse stay by the patient&#x27;s side after starting a blood transfusion?

Accepted Answer

Stay with the patient for the first 15 minutes of the transfusion

Question 44

(SATA) Screening guidelines for lung cancer

Accepted Answer

Former smokers who have quit in the past 15 years, Current or former smokers with a 30+ year pack history

Question 45

External beam radiation causes the patient to emit radioactivity.

Accepted Answer

False

Question 46

(SATA) Which of the following are s/s of iron deficiency anemia?

Accepted Answer

Glossitis, Tachycardia, Pallor, Pruritus

Question 47

(SATA) Patient education regarding phlebotomy patients include

Accepted Answer

Avoid alcohol & wine, Increase protein & folic acid supplements, Inform them that this is a life long therapy, Avoid iron rich foods

Question 48

(T/F) A patient that has vitamin B12 anemia will have a normal folic acid level

Accepted Answer

True

Question 49

(T/F) Verifying blood transfusions requires a 2 nurse check.

Accepted Answer

True

Question 50

A pt has hemorrhoids, what can be done to alleviate their pain?

Accepted Answer

Preparing a sitz bath

Question 51

A pt was told that they have ulcers in their mouth and the rest of their GI tract, what condition do you suspect?

Accepted Answer

Crohn&#x27;s disease

Question 52

(T/F) The neurological problems caused by vitamin B12 anemia are ALWAYS reversible

Accepted Answer

False

Question 53

(SATA) Which of the following you expect to find on a CBC & other lab values regarding a folic acid deficiency anemia dx

Accepted Answer

Decreased Hbg/Hct, Decreased folic acid, Increased MCV

Question 54

A patient receiving a blood transfusion begins having facial flushing, rash, and wheezing. What should nurse do FIRST?

Accepted Answer

Stop the transfusion

Question 55

Which of the following are foods that are rich in vitamin B12?

Accepted Answer

Red meats, eggs, milk, & fish

Question 56

Which of the following comorbidities would you potentially put a pt at risk for developing polycythemia vera?

Accepted Answer

COPD

Question 57

What is the normal range for platelets?

Accepted Answer

150,000 - 450,000

Question 58

(SATA) Which of the following are s/s of hemolytic anemia?

Accepted Answer

Enlarged spleen, Jaundice, Pruritis, Sharp flank pain

Question 59

Select the appropriate roles of the nurse during a blood transfusion (SATA)

Accepted Answer

Conduct physical assessment and get baseline vitals, Verify that an order for the transfusion exists, Assess for fever before transfusion

Question 60

Which of the following are appropriate ways to manage thrombocytopenia? (SATA)

Accepted Answer

Avoid aspirin, Avoid IM/SQ injections, use small needles, and apply pressure after, Avoid cutting nails and use an electric razor for shaving, Use a soft toothbrush and do not floss, Don&#x27;t walk barefoot, Sit high Fowler&#x27;s if epistaxis occurs, apply pressure, & avoid nose blowing

Question 61

(SATA) Electrolyte levels seen in tumor lysis syndrome

Accepted Answer

Hyperuricemia, Hyperphosphatemia

Question 62

Which of the following are foods that are rich in iron?

Accepted Answer

Broccoli, Spinach, Dried fruits, & liver

Question 63

How often should colonoscopies performed?

Accepted Answer

Every 10 years starting age 45

Question 64

(SATA) Neutropenia nursing considerations + education

Accepted Answer

Notify physician if fever > 100.4 F (38C), Avoid crowds + ppl with flu, colds, infections

Care II Exam 5 - Spring 23

Questions 69

Care II Exam 5 - Spring 23

Questions 69