Care 2 Exam 5

Question 1

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

Accepted Answer

True

Question 2

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

Accepted Answer

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

Question 3

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

Accepted Answer

False

Question 4

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

Accepted Answer

20 gauge

Question 5

(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 6

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

Accepted Answer

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

Question 7

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

Accepted Answer

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

Question 8

(SATA) Nursing considerations for carotid artery rupture

Accepted Answer

Administer IV fluids and blood, Apply pressure

Question 9

What is hemochromatosis?

Accepted Answer

Too much iron in the blood

Question 10

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

Accepted Answer

Salt and saline solution

Question 11

A pt. has trismus, what should the nurse encourage them to do?

Accepted Answer

Perform mouth/jaw opening exercises

Question 12

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

Accepted Answer

Chronic GI Bleeding

Question 13

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

Accepted Answer

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

Question 14

What would be a positive PPD reading for a person with HIV?

Accepted Answer

5 mm +

Question 15

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

Accepted Answer

Provide rescue breathing

Question 16

(SATA) Screening guidelines for CBE

Accepted Answer

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

Question 17

(SATA) Patient education regarding phlebotomy patients include

Accepted Answer

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

Question 18

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 19

What is the most common presenting manifestation of AIDS?

Accepted Answer

Pneumocystis Pneumonia

Question 20

(SATA) Symptoms of superior vena cava syndrome

Accepted Answer

Pemberton&#x27;s sign, Seizures, Periorbital edema, Head, neck, chest vein distention

Question 21

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

Accepted Answer

Red meats, eggs, milk, & fish

Question 22

(SATA) Which of the following labs can be used to evaluate red blood cells?

Accepted Answer

MCV, Hgb, RBC, Hct, MCH

Question 23

What drug can be used for prevention of xerostomia?

Accepted Answer

Amifostine

Question 24

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

Accepted Answer

False

Question 25

(SATA) Laryngectomy post-op nursing considerations

Accepted Answer

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

Question 26

(SATA) Electrolyte levels seen in tumor lysis syndrome

Accepted Answer

Hyperphosphatemia, Hyperuricemia

Question 27

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

Accepted Answer

Folic acid, Cobalamin (B12), Iron deficiency anemia

Question 28

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

Accepted Answer

False

Question 29

What is the longest that packed RBCs can hang for?

Accepted Answer

4 hours

Question 30

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 31

(SATA) Neutropenia nursing considerations + education

Accepted Answer

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

Question 32

(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 33

Which of the following infections causes white patches in the mouth and painful swallowing?

Accepted Answer

Candidiasis

Question 34

(SATA) Nursing considerations for internal beam radiation

Accepted Answer

Wear film badge to monitor exposure, Use shielding

Question 35

How often should colonoscopies performed?

Accepted Answer

Every 10 years starting age 45

Question 36

What is the greatest barrier to effective cancer pain management?

Accepted Answer

Inadequate pain assessment

Question 37

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

Accepted Answer

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

Question 38

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 39

What is the normal range for platelets?

Accepted Answer

150,000 - 450,000

Question 40

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

Accepted Answer

Stop the transfusion

Question 41

All of the following are true about ART before/during/after pregnancy EXCEPT

Accepted Answer

Continuous infusion of AZT during labor, Start ART ASAP in first trimester, Start infant on AZT as soon as possible after birth & for 6 weeks

Question 42

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

Accepted Answer

Enlarged spleen, Jaundice, Sharp flank pain, Pruritis

Question 43

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

Accepted Answer

Heparin-Induced Thrombocytopenia

Question 44

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 45

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

Accepted Answer

Increased RBC destruction, Blood loss, Decreased RBC production

Question 46

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

Accepted Answer

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

Question 47

What should be monitored in SIADH?

Accepted Answer

Sodium

Question 48

(SATA) Thrombocytopenia nursing considerations + education

Accepted Answer

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

Question 49

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

Accepted Answer

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

Question 50

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

Accepted Answer

True

Question 51

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

Accepted Answer

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

Question 52

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 53

S/S of cryptosporidiosis and what are patients at risk for? (SATA)

Accepted Answer

Watery diarrhea, Risk for fluid volume deficit

Question 54

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

Accepted Answer

Decreased serum ferritin, Decreased serum iron, Increased transferrin

Question 55

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

Accepted Answer

Phlebotomy

Question 56

How is HIV transmitted? (SATA)

Accepted Answer

Perinatal transmission, Sexual contact with semen or vaginal secretions, Contact with blood and blood products

Question 57

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

Accepted Answer

Pruritus, Glossitis, Pallor, Tachycardia

Question 58

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

Accepted Answer

Peanuts, oranges, papaya, & leafy greens

Question 59

External beam radiation causes the patient to emit radioactivity.

Accepted Answer

False

Question 60

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

Accepted Answer

Broccoli, Spinach, Dried fruits, & liver

Question 61

A pt who has AIDS notices small specks in vision and decreased peripheral vision. What next?

Accepted Answer

Call the opthalmologist

Question 62

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

Accepted Answer

Paresthesias of extremities

Question 63

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

Accepted Answer

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

Question 64

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

Accepted Answer

Pancytopenia, Fatigue, Neutropenia

Care 2 Exam 5

Questions 72

Care 2 Exam 5

Questions 72