Care II Exam 5 - Spring 23

Question 1

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

Accepted Answer

Red meats, eggs, milk, & fish

Question 2

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

Accepted Answer

True

Question 3

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 4

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

Accepted Answer

Jaundice, Enlarged spleen, Pruritis, Sharp flank pain

Question 5

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

Accepted Answer

Stop the transfusion

Question 6

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 7

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 8

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

Accepted Answer

Chronic GI Bleeding

Question 9

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

Accepted Answer

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

Question 10

What is the longest that packed RBCs can hang for?

Accepted Answer

4 hours

Question 11

(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 12

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

Accepted Answer

Preparing a sitz bath

Question 13

(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 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 are foods that are rich in folic acid?

Accepted Answer

Peanuts, oranges, papaya, & leafy greens

Question 16

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 17

External beam radiation causes the patient to emit radioactivity.

Accepted Answer

False

Question 18

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

Accepted Answer

Neutropenia, Pancytopenia, Fatigue

Question 19

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 20

(SATA) Screening guidelines for CBE

Accepted Answer

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

Question 21

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 22

(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 23

(SATA) Symptoms of superior vena cava syndrome

Accepted Answer

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

Question 24

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

Accepted Answer

Provide rescue breathing

Question 25

(SATA) Neutropenia nursing considerations + education

Accepted Answer

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

Question 26

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 27

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

Accepted Answer

Iron deficiency anemia, Folic acid, Cobalamin (B12)

Question 28

What is hemochromatosis?

Accepted Answer

Too much iron in the blood

Question 29

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

Accepted Answer

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

Question 30

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

Accepted Answer

Broccoli, Spinach, Dried fruits, & liver

Question 31

What is the normal range for platelets?

Accepted Answer

150,000 - 450,000

Question 32

(SATA) Anorexia nursing considerations

Accepted Answer

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

Question 33

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

Accepted Answer

Rectal bleeding

Question 34

(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 35

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

Accepted Answer

85

Question 36

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

Accepted Answer

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

Question 37

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

Accepted Answer

Heparin-Induced Thrombocytopenia

Question 38

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

Accepted Answer

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

Question 39

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 40

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

Accepted Answer

False

Question 41

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

Accepted Answer

20 gauge

Question 42

(SATA) Nursing considerations for carotid artery rupture

Accepted Answer

Apply pressure, Administer IV fluids and blood

Question 43

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

Accepted Answer

Hgb, MCV, MCH, RBC, Hct

Question 44

(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, Increased MCV, Decreased Hbg/Hct

Question 45

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

Accepted Answer

False

Question 46

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 47

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

Accepted Answer

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

Question 48

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

Accepted Answer

COPD

Question 49

How often should colonoscopies performed?

Accepted Answer

Every 10 years starting age 45

Question 50

What drug can be used for prevention of xerostomia?

Accepted Answer

Amifostine

Question 51

(SATA) Nursing considerations for internal beam radiation

Accepted Answer

Wear film badge to monitor exposure, Use shielding

Question 52

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

Accepted Answer

Pruritus, Pallor, Tachycardia, Glossitis

Question 53

What should be monitored in SIADH?

Accepted Answer

Sodium

Question 54

(SATA) Thrombocytopenia nursing considerations + education

Accepted Answer

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

Question 55

What is the greatest barrier to effective cancer pain management?

Accepted Answer

Inadequate pain assessment

Question 56

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

Accepted Answer

Paresthesias of extremities

Question 57

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

Accepted Answer

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

Question 58

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

Accepted Answer

Every 10 years

Question 59

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

Accepted Answer

Salt and saline solution

Question 60

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

Accepted Answer

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

Question 61

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

Accepted Answer

True

Question 62

(SATA) Electrolyte levels seen in tumor lysis syndrome

Accepted Answer

Hyperuricemia, Hyperphosphatemia

Question 63

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

Accepted Answer

Increased transferrin, Decreased serum iron, Decreased serum ferritin

Question 64

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

Accepted Answer

Perform mouth/jaw opening exercises

Care II Exam 5 - Spring 23

Questions 69

Care II Exam 5 - Spring 23

Questions 69