The sister of a patient diagnosed with BRCA generelated breast cancer asks the nurse, Do you think I should be tested for the gene? Which response by the nurse is most appropriate?
a. In most cases, breast cancer is not caused by the BRCA gene.
b. It depends on how you will feel if the test is positive for the BRCA gene.
c. There are many things to consider before deciding to have genetic testing.
d. You should decide first whether you are willing to have a bilateral mastectomy.
Question 2A patient who has an infected abdominal wound develops a temperature of 104 F (40 C). All the following interventions are included in the patient's plan of care. In which order should the nurse perform the following actions?
(Put a comma and a space between each answer choice A, B, C, D).
a. Administer IV antibiotics.
b. Sponge patient with cool water.
c. Perform wet-to-dry dressing change.
d. Administer acetaminophen (Tylenol).
Question 3A patient's temperature has been 101 F (38.3 C) for several days. The patient's normal caloric intake to meet nutritional needs is 2000 calories per day.
Knowing that the metabolic rate increases 7 for each Fahrenheit degree above 100 in body temperature, how many total calories should the patient receive each day?
What will be an ideal response?
Question 4The nurse could delegate care of which patient to a licensed practical/vocational nurse (LPN/LVN)?
a. The patient who has increased tenderness and swelling around a leg wound
b. The patient who was just admitted after suturing of a full-thickness arm wound
c. The patient who needs teaching about home care for a draining abdominal wound
d. The patient who requires a hydrocolloid dressing change for a stage III sacral ulcer
Question 5After the home health nurse teaches a patient's family member about how to care for a sacral pressure ulcer, which finding indicates that additional teaching is needed?
a. The family member uses a lift sheet to reposition the patient.
b. The family member uses clean tap water to clean the wound.
c. The family member places contaminated dressings in a plastic grocery bag.
d. The family member dries the wound using a hair dryer set on a low setting.
Question 6Which finding is most important for the nurse to communicate to the health care provider when caring for a patient who is receiving negative pressure wound therapy?
a. Low serum albumin level
b. Serosanguineous drainage
c. Deep red and moist wound bed
d. Cobblestone appearance of wound
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