Care 2 Exam 5 (rough draft)

Question 1

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

Accepted Answer

Broccoli, Spinach, Dried fruits, & liver

Question 2

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

Accepted Answer

Chronic GI Bleeding

Question 3

External beam radiation causes the patient to emit radioactivity.

Accepted Answer

False

Question 4

(SATA) Symptoms of superior vena cava syndrome

Accepted Answer

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

Question 5

(SATA) Laryngectomy post-op nursing considerations

Accepted Answer

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

Question 6

(SATA) Anorexia nursing considerations

Accepted Answer

Inc. proteins and calories, Increase activity level, Small, frequent meals

Question 7

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

Accepted Answer

False

Question 8

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

Accepted Answer

Paresthesias of extremities

Question 9

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

Accepted Answer

False

Question 10

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

Accepted Answer

Perform mouth/jaw opening exercises

Question 11

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 12

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

Accepted Answer

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

Question 13

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

Accepted Answer

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

Question 14

(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 15

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 16

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

Accepted Answer

Provide rescue breathing

Question 17

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

Accepted Answer

False

Question 18

What drug can be used for prevention of xerostomia?

Accepted Answer

Amifostine

Question 19

What should be monitored in SIADH?

Accepted Answer

Sodium

Question 20

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

Accepted Answer

Tachycardia, Pallor, Glossitis, Pruritus

Question 21

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

Accepted Answer

Jaundice, Pruritis, Sharp flank pain, Enlarged spleen

Question 22

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

Accepted Answer

COPD

Question 23

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 24

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

Accepted Answer

Decreased RBC production, Increased RBC destruction, Blood loss

Question 25

(SATA) Thrombocytopenia nursing considerations + education

Accepted Answer

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

Question 26

(SATA) Screening guidelines for CBE

Accepted Answer

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

Question 27

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

Accepted Answer

MCH, Hct, Hgb, MCV, RBC

Question 28

(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 folic acid, Decreased Hbg/Hct, Increased MCV

Question 29

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

Accepted Answer

True

Question 30

How often should colonoscopies performed?

Accepted Answer

Every 10 years starting age 45

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

What is the greatest barrier to effective cancer pain management?

Accepted Answer

Inadequate pain assessment

Question 33

(SATA) Patient education regarding phlebotomy patients include

Accepted Answer

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

Question 34

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 35

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

Accepted Answer

Folic acid, Cobalamin (B12), Iron deficiency anemia

Question 36

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

Accepted Answer

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

Question 37

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

Accepted Answer

Peanuts, oranges, papaya, & leafy greens

Question 38

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

Accepted Answer

Salt and saline solution

Question 39

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

Accepted Answer

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

Question 40

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

Accepted Answer

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

Question 41

What is hemochromatosis?

Accepted Answer

Too much iron in the blood

Question 42

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

Accepted Answer

Pancytopenia, Neutropenia, Fatigue

Question 43

(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 44

(SATA) Electrolyte levels seen in tumor lysis syndrome

Accepted Answer

Hyperuricemia, Hyperphosphatemia

Question 45

(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 46

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

Accepted Answer

Phlebotomy

Question 47

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

Accepted Answer

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

Question 48

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

Accepted Answer

Red meats, eggs, milk, & fish

Question 49

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

Accepted Answer

Decreased serum iron, Increased transferrin, Decreased serum ferritin

Question 50

(SATA) Nursing considerations for carotid artery rupture

Accepted Answer

Apply pressure, Administer IV fluids and blood

Question 51

(SATA) Nursing considerations for internal beam radiation

Accepted Answer

Wear film badge to monitor exposure, Use shielding

Care 2 Exam 5 (rough draft)

Questions 51

Care 2 Exam 5 (rough draft)

Questions 51