OCN Knowledge Assessment with All Correct & 100% Verified Answers
|Latest Version |Already Graded A+
A male patient with a history of spinal chondrosarcoma presents to the ED with complaints of feeling
weak in the legs, sharp stabbing back pain, and difficulty urinating. Emergency intervention for this
patient will most likely include: - (ANSWER)Surgical decompression of the spine
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This patient is demonstrating signs and symptoms of cauda equina, a cluster of symptoms that result
from the compression of the spinal nerve roots near the lower end of the spinal cord. Emergency
decompression has been shown to lessen the risk of nerve necrosis, which could result in paraplegia.
Following surgical removal of a brain tumor, a patient participates in a program that helps improve the
ability to perform activities of daily living (ADLs). Which nursing intervention would be MOST
appropriate? - (ANSWER)Provide positive reinforcement for skills achieved during the program
Feedback
Providing positive reinforcement for achieved skills supports the level of self-sufficiency achieved by the
patient. Other listed interventions seem to exclude patient input for their care.
A patient with bladder cancer is placed on a biotherapy regimen. The primary purpose of this treatment
modality is to: - (ANSWER)Use natural host defense mechanisms to produce antitumor effects
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Biotherapy either stimulates or suppresses certain immune system functions in order to produce
antitumor/anticancer effects.
A patient states that she plans to use herbal remedies to reduce side effects of her chemotherapy. The
nurse should: - (ANSWER)Determine what the patient is using, and inform the rest of the health care
team
Feedback
The nurse should obtain the types and amounts of herbal substances used by the patient and inform the
healthcare team of the patient's choice so adverse reactions can be avoided.
A nurse is educating a patient and her family about pheochromocytoma. In order to decrease the
likelihood of paroxysms or hypertensive crises, the patient should avoid: - (ANSWER)Constipation
, OCN Knowledge Assessment with All Correct & 100% Verified Answers
|Latest Version |Already Graded A+
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Activities, such as bending or lifting, or conditions that increase transabdominal pressure or cause labile
variations in blood pressure should be avoided. Constipation may cause the client to perform the
Valsalva maneuver, which alters cardiac function and may trigger a paroxysm.
A nurse is caring for a female cancer patient who had chemotherapy 11 days ago. The patient complains
of malaise, and her temperature is 103°F (39.4°C). Her CBC results are as follows: WBC: 4000 (polys 10%,
bands 5%, lymph 70%, monos 10%) Hgb: 10 g/dL Platelets: 60,000 mm3 Which of the following actions
would NOT be appropriate at this time? - (ANSWER)White blood cell transfusion
Feedback
White blood cell transfusion are not used frequently any more to treat neutropenia, due to their short
life span and ability to cause allergic reactions. Start antibiotic therapy after both blood cultures have
been obtained.
A nurse prepares to discharge instructions to a male patient with a recently placed colostomy due to a
bowel resection. The nurse notes that the patient handles the supplies for the colostomy and asks, "How
do I work this?" Which of the following methods would most likely ensure this patient's retention of the
discharge instructions? - (ANSWER)Providing opportunity for return demonstrations
Feedback
Tactile or kinesthetic learners need the "hands on" practice in order to retain information. Return
demonstrations will allow this patient to perform the procedures while getting immediate feedback.
A patient arrives for his scheduled chemotherapy. The nursing assessment reveals dyspnea, facial
swelling, jugular vein distension (JVD), tachycardia, and a patient complaint of fatigue. The nurse should:
- (ANSWER)Position the patient in high-Fowler's and anticipate an order for a chest X-ray from the
practitioner
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This patient's symptoms are caused by superior vena cava (SVC) syndrome, a cancer-related venous
congestion in the SVC and restricted cardiac output. Primary nursing interventions include reducing
anxiety and relieving shortness of breath and other related symptoms. A chest X-ray is usually the first
diagnostic test performed to confirm the syndrome.
|Latest Version |Already Graded A+
A male patient with a history of spinal chondrosarcoma presents to the ED with complaints of feeling
weak in the legs, sharp stabbing back pain, and difficulty urinating. Emergency intervention for this
patient will most likely include: - (ANSWER)Surgical decompression of the spine
Feedback
This patient is demonstrating signs and symptoms of cauda equina, a cluster of symptoms that result
from the compression of the spinal nerve roots near the lower end of the spinal cord. Emergency
decompression has been shown to lessen the risk of nerve necrosis, which could result in paraplegia.
Following surgical removal of a brain tumor, a patient participates in a program that helps improve the
ability to perform activities of daily living (ADLs). Which nursing intervention would be MOST
appropriate? - (ANSWER)Provide positive reinforcement for skills achieved during the program
Feedback
Providing positive reinforcement for achieved skills supports the level of self-sufficiency achieved by the
patient. Other listed interventions seem to exclude patient input for their care.
A patient with bladder cancer is placed on a biotherapy regimen. The primary purpose of this treatment
modality is to: - (ANSWER)Use natural host defense mechanisms to produce antitumor effects
Feedback
Biotherapy either stimulates or suppresses certain immune system functions in order to produce
antitumor/anticancer effects.
A patient states that she plans to use herbal remedies to reduce side effects of her chemotherapy. The
nurse should: - (ANSWER)Determine what the patient is using, and inform the rest of the health care
team
Feedback
The nurse should obtain the types and amounts of herbal substances used by the patient and inform the
healthcare team of the patient's choice so adverse reactions can be avoided.
A nurse is educating a patient and her family about pheochromocytoma. In order to decrease the
likelihood of paroxysms or hypertensive crises, the patient should avoid: - (ANSWER)Constipation
, OCN Knowledge Assessment with All Correct & 100% Verified Answers
|Latest Version |Already Graded A+
Feedback
Activities, such as bending or lifting, or conditions that increase transabdominal pressure or cause labile
variations in blood pressure should be avoided. Constipation may cause the client to perform the
Valsalva maneuver, which alters cardiac function and may trigger a paroxysm.
A nurse is caring for a female cancer patient who had chemotherapy 11 days ago. The patient complains
of malaise, and her temperature is 103°F (39.4°C). Her CBC results are as follows: WBC: 4000 (polys 10%,
bands 5%, lymph 70%, monos 10%) Hgb: 10 g/dL Platelets: 60,000 mm3 Which of the following actions
would NOT be appropriate at this time? - (ANSWER)White blood cell transfusion
Feedback
White blood cell transfusion are not used frequently any more to treat neutropenia, due to their short
life span and ability to cause allergic reactions. Start antibiotic therapy after both blood cultures have
been obtained.
A nurse prepares to discharge instructions to a male patient with a recently placed colostomy due to a
bowel resection. The nurse notes that the patient handles the supplies for the colostomy and asks, "How
do I work this?" Which of the following methods would most likely ensure this patient's retention of the
discharge instructions? - (ANSWER)Providing opportunity for return demonstrations
Feedback
Tactile or kinesthetic learners need the "hands on" practice in order to retain information. Return
demonstrations will allow this patient to perform the procedures while getting immediate feedback.
A patient arrives for his scheduled chemotherapy. The nursing assessment reveals dyspnea, facial
swelling, jugular vein distension (JVD), tachycardia, and a patient complaint of fatigue. The nurse should:
- (ANSWER)Position the patient in high-Fowler's and anticipate an order for a chest X-ray from the
practitioner
Feedback
This patient's symptoms are caused by superior vena cava (SVC) syndrome, a cancer-related venous
congestion in the SVC and restricted cardiac output. Primary nursing interventions include reducing
anxiety and relieving shortness of breath and other related symptoms. A chest X-ray is usually the first
diagnostic test performed to confirm the syndrome.
