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tcshepherd13 tcshepherd13
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6 years ago
A hospitalized client is being treated for Ewing's sarcoma. What action by the nurse is most important?
 
  a. Assessing and treating the client for pain as needed
  b. Educating the client on the disease and its treatment
  c. Handling and disposing of chemotherapeutic agents per policy
  d. Providing emotional support for the client and family

Question 2

A client has a metastatic bone tumor. What action by the nurse takes priority?
 
  a. Administer pain medication as prescribed.
  b. Elevate the extremity and apply moist heat.
  c. Handle the affected extremity with caution.
  d. Place the client on protective precautions.

Question 3

A nurse is caring for four clients. After the hand-off report, which client does the nurse see first?
 
  a. Client with osteoporosis and a white blood cell count of 27,000/mm3
  b. Client with osteoporosis and a bone fracture who requests pain medication
  c. Post-microvascular bone transfer client whose distal leg is cool and pale
  d. Client with suspected bone tumor who just returned from having a spinal CT

Question 4

A client is in the internal medicine clinic reporting bone pain. The client's alkaline phosphatase level is 180 units/L. What action by the nurse is most appropriate?
 
  a. Assess the client for leg bowing.
  b. Facilitate an oncology workup.
  c. Instruct the client on fluid restrictions.
  d. Teach the client about ibuprofen (Motrin).

Question 5

A client in a nursing home refuses to take medications. She is at high risk for osteomalacia. What action by the nurse is best?
 
  a. Ensure the client gets 15 minutes of sun exposure daily.
  b. Give the client daily vitamin D injections.
  c. Hide vitamin D supplements in favorite foods.
  d. Plan to serve foods naturally high in vitamin D.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: C
All actions are appropriate for this client. However, for safety, the nurse should place priority on proper handling and disposal of chemotherapeutic agents.

The answer to question 2

ANS: C
Bones invaded by tumors are very fragile and fracture easily. For client safety, the nurse handles the affected extremity with great care. Pain medication should be given to control pain. Elevation and heat may or may not be helpful. Protective precautions are not needed for this client.

The answer to question 3

ANS: C
This client is the priority because the assessment findings indicate a critical lack of perfusion. A high white blood cell count is an expected finding for the client with osteoporosis. The client requesting pain medication should be seen second. The client who just returned from a CT scan is stable and needs no specific postprocedure care.

The answer to question 4

ANS: A
This client has manifestations of Paget's disease. The nurse should assess for other manifestations such as bowing of the legs. Other care measures can be instituted once the client has a confirmed diagnosis.

The answer to question 5

ANS: A
Sunlight is a good source of vitamin D, and the nursing staff can ensure some sun exposure each day. Vitamin D is not given by injection. Hiding the supplement in food is unethical. Very few foods are naturally high in vitamin D, but some are supplemented.
tcshepherd13 Author
wrote...
6 years ago
Just confirmed the same answer from my friend, thanks
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