Care 2 Exam 5 (rough draft)

Question 1

(SATA) Anorexia nursing considerations

Accepted Answer

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

Question 2

(SATA) Screening guidelines for lung cancer

Accepted Answer

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

Question 3

How often should colonoscopies performed?

Accepted Answer

Every 10 years starting age 45

Question 4

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

Accepted Answer

Red meats, eggs, milk, & fish

Question 5

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

Accepted Answer

Chronic GI Bleeding

Question 6

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

Accepted Answer

Hct, MCH, MCV, RBC, Hgb

Question 7

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

Accepted Answer

Provide rescue breathing

Question 8

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

Accepted Answer

Glossitis, Tachycardia, Pruritus, Pallor

Question 9

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

Accepted Answer

Peanuts, oranges, papaya, & leafy greens

Question 10

What is hemochromatosis?

Accepted Answer

Too much iron in the blood

Question 11

(SATA) Nursing considerations for carotid artery rupture

Accepted Answer

Administer IV fluids and blood, Apply pressure

Question 12

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

Accepted Answer

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

Question 13

(SATA) Neutropenia nursing considerations + education

Accepted Answer

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

Question 14

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

Accepted Answer

Jaundice, Sharp flank pain, Enlarged spleen, Pruritis

Question 15

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

Accepted Answer

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

Question 16

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

Accepted Answer

Neutropenia, Pancytopenia, Fatigue

Question 17

(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 18

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

Accepted Answer

Increased RBC destruction, Decreased RBC production, Blood loss

Question 19

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

Accepted Answer

Broccoli, Spinach, Dried fruits, & liver

Question 20

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 21

External beam radiation causes the patient to emit radioactivity.

Accepted Answer

False

Question 22

What is the greatest barrier to effective cancer pain management?

Accepted Answer

Inadequate pain assessment

Question 23

(SATA) Screening guidelines for CBE

Accepted Answer

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

Question 24

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

Accepted Answer

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

Question 25

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

Accepted Answer

True

Question 26

(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 27

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

Accepted Answer

False

Question 28

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 29

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

Accepted Answer

Iron deficiency anemia, Cobalamin (B12), Folic acid

Question 30

(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 31

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

Accepted Answer

Paresthesias of extremities

Question 32

(SATA) Nursing considerations for internal beam radiation

Accepted Answer

Wear film badge to monitor exposure, Use shielding

Question 33

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

Accepted Answer

Perform mouth/jaw opening exercises

Question 34

(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 35

(SATA) Electrolyte levels seen in tumor lysis syndrome

Accepted Answer

Hyperuricemia, Hyperphosphatemia

Question 36

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 37

(SATA) Thrombocytopenia nursing considerations + education

Accepted Answer

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

Question 38

(SATA) Patient education regarding phlebotomy patients include

Accepted Answer

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

Question 39

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

Accepted Answer

COPD

Question 40

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

Accepted Answer

False

Question 41

(SATA) Symptoms of superior vena cava syndrome

Accepted Answer

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

Question 42

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 43

What drug can be used for prevention of xerostomia?

Accepted Answer

Amifostine

Question 44

(SATA) Match the following lab values to their definitions

Accepted Answer

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

Question 45

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

Accepted Answer

False

Question 46

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

Accepted Answer

Salt and saline solution

Question 47

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

Accepted Answer

Phlebotomy

Question 48

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

Accepted Answer

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

Question 49

(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 50

What should be monitored in SIADH?

Accepted Answer

Sodium

Question 51

(SATA) Laryngectomy post-op nursing considerations

Accepted Answer

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

Care 2 Exam 5 (rough draft)

Questions 51

Care 2 Exam 5 (rough draft)

Questions 51