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A year ago
Your patient has recently completed her first round of chemotherapy in the treatment of lung cancer. When reviewing this morning's blood work, what findings would be suggestive of myelosuppression?
 
  A) Decreased sodium levels and decreased potassium levels
  B) Increased creatinine and blood urea nitrogen (BUN)
  C) Decreased platelets and red blood cells
  D) Increased white blood cells and c-reactive protein (CRP)

Question 2

An older patient is experiencing restless legs that are interfering with sleep. What should the nurse respond to this patient's problem?
 
  A) Some people find that daily exercise helps with this problem..
  B) Most often restless legs can be traced to a deficiency in dietary calcium..
  C) There are prescription drugs that nearly always provide relief from this problem..
  D) There are a number of different medications that can cause this problem or make it worse..

Question 3

The family of a 78-year-old male patient is shocked by his recent diagnosis of pancreatic cancer, citing his lifelong commitment to a healthy diet, consistent exercise, and avoidance of environmental risk factors.
 
  Which of the following factors most likely contributed to the man's diagnosis? A) Age-related changes to his immune system may have compromised his body's ability to recognize cancerous cells.
  B) The interplay of existing chronic conditions may have contributed to the etiology of his cancer.
  C) His cancer may have been a consequence of a bacterial or viral infection earlier in life.
  D) Autoimmune processes associated with the aging process may have initiated abnormal cell division.

Question 4

Bladder distention may be assessed by palpating above the ___________ _________.
 
  Fill in the blank(s) with correct word

Question 5

An older patient hospitalized for pneumonia is having difficulty sleeping and is frustrated with the noises at night. What should the nurse do about this situation?
 
  A) Obtain an order for a benzodiazepine to be taken at bedtime
  B) Change the temperature of the client's room to be more conducive to sleep
  C) Provide a form of white noise and plan to minimize noise during caregiving activities
  D) Teach the client about the normal changes in sleep quality and quantity that accompany aging

Question 6

Mammograms (at various intervals) for detecting breast cancer are generally recommended for all women. Which group is least likely to take advantage of having them?
 
  A) Elderly women of all ethnicities
  B) Middle-aged black women
  C) Middle-aged Latinas
  D) Young Latinas

Question 7

An older patient suffering from chronic exhaustion has an EEG that shows little time is spent in REM sleep. After reviewing the patient's history, what does the nurse suspect might be contributing to the patient's sleep problem?
 
  A) Has two or three glasses of wine near bedtime
  B) Obese and diagnosed with type 2 diabetes 6 years ago
  C) Takes low-dose aspirin for the prevention of heart disease
  D) Stressed due to the spouse's new diagnosis of Alzheimer disease

Question 8

As a nurse who provides care on an oncology unit, you are aware that many of your patients who undergo surgery during cancer treatment face a particularly high risk of deep vein thrombosis (DVT) because of an increase in circulating procoagulants.
 
  In light of this risk, you should prioritize assessments of:
  A) Active and passive range of motion
  B) Petechiae and hematomas on the lower extremities
  C) Nausea that fails to respond to antiemetics
  D) Limb symmetry and calf pain

Question 9

_________ training involves developing the muscles of the perineum to improve voluntary control over voiding; bladder training may be modified for different problems.
 
  Fill in the blank(s) with correct word
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1 Reply
Replies
Answer verified by a subject expert
wrote...
A year ago
Answer to #1

C

Answer to #2

D
Feedback:
Antidepressants, antihistamines, antipsychotics, alcohol, caffeine, hypoglycemia, and simple and refined carbohydrates can contribute to restless legs syndrome. Exercise and medications are not noted to provide a solution and calcium is not noted to be implicated in the etiology.

Answer to #3

A
Feedback:
While age-related changes to the immune system are thought to contribute to cancer, the phenomena in answers B, C, and D are not likely true.

Answer to #4

symphysis pubis

Answer to #5

C
Feedback:
Reorganizing care to avoid awakening and providing white noise can facilitate sleep. These actions would be preferable to pharmacologic measures while changing the temperature does not specifically address the patient's concerns. Teaching on sleep changes would be inappropriate given the nature and context of the patient's concerns.

Answer to #6

A
Feedback:
Although the elderly have the highest rate of cancer, they are also the group having the lowest rate of early detection tests.

Answer to #7

A
Feedback:
Certain drugs can decrease REM sleep, including alcohol. The use of aspirin has not been associated with decreased REM sleep. Obesity, type 2 diabetes, and stress have not been linked to specifically reducing the amount of REM sleep although these health problems can negatively impact sleep overall.

Answer to #8

D

Answer to #9

Bladder
1
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