The nurse is caring for a patient in the outpatient clinic with suspicion of cancer due to recent weight loss for unidentifiable reasons. The patient has a 25-year history of smoking.
The nurse performs an assessment and asks the patient about symptoms related to laryngeal cancer. What is an early symptom associated with laryngeal cancer?
A) Hoarseness
B) Dyspnea
C) Dysphagia
D) Alopecia
Question 2The nursing staff on a subacute, geriatric medicine unit of a hospital have noted that Mr. R, an 80-year-old patient with a diagnosis of Alzheimer's disease, tends to become agitated in the evening and early in the night.
Which of the following nursing actions is most likely to effectively address Mr. R's sundowner syndrome? A) Ensure that Mr. R's room is kept as dark as possible during the times in question.
B) Limit Mr. R's fluid intake after 17:00 to prevent nocturia.
C) Minimize the amount of touch used in nursing care to avoid stimulating Mr. R.
D) Schedule physical therapy and exercise in the afternoon hours to help Mr. R expend energy.
Question 3The nurse realizes that the patient who has had an abdominal hysterectomy needs further home teaching when she states
a. I understand I can lift anything less than 20 pounds.
b. I'm leaving today to stay with my daughter, who lives 200 miles away. My husband plans to drive the family car.
c. The doctor said I can't have sexual intercourse for 4 to 6 weeks.
d. I'm going to miss wearing my girdle or knee-high hose.
Question 4A 70-year-old male resident of a long-term care facility is in the advanced stages of Alzheimer's disease. Consequently, the resident frequently wanders throughout and, on more than one occasion, outside the facility.
Due to his cognitive deficits, he is not responsive to patient teaching and redirection. What is the nurse manager's best response to the resident's behavior? A) Provide a controlled and safe place for the patient to wander.
B) Work with the resident's family to establish a supervision schedule.
C) Administer the minimum effective dose of a sedative when the resident is most restless.
D) Begin placing the resident in a wheelchair with a tray when he shows signs of restlessness.
Question 5Postmenopausal women should be instructed to perform breast self-examination (BSE)
a. on the same date of their choice each month.
b. every 3 months.
c. every day, because they are at high risk for breast cancer.
d. whenever they begin to take estrogen supplements.
Question 6The staff on a unit that provides care to patients with dementia wants to make changes to the patients' environment. What would be the recommended change to lighting?
A) Remove all incidental lamps from the rooms
B) Keep a bedside light on in the rooms all night
C) Avoid using the fluorescent light over the beds at night
D) Close the curtains during the day to minimize the effect of sunlight
Question 7The nurse is discussing the administration of nasal spray with participants of a health fair. What information is most important to include in this discussion?
A) Finish the bottle of nasal spray to clear the infection effectively.
B) Nasal spray can be shared between family members only.
C) Administer the nasal spray in a prone position.
D) Overuse of nasal spray may cause rebound congestion.
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