ATI med surg content mastery practice
A nurse is planning care for a client who is receiving chemotherapy and has a protein deficiency. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
A. Mix powdered skim milk into liquid milk
B. Add a raw egg to fruit smoothies
C. Add a slice of cheese to hot vegetables
D. Add honey to hot tea
E. MIX yogurt into fresh fruit - answer ACE
A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive brachytherapy in an ambulatory care clinic. Which of the following statements by the client indicates an understanding of the teaching?
A. "I need to lie still in bed during my brachytherapy treatment."
B. "I will have an implant placed once a month during my brachytherapy treatment."
C. "I must stay at least 3 feet away from others between brachytherapy treatments.
D. "I should expect some blood in my urine after each brachytherapy treatment." - answer A
remain on bedrest with limited movement while the radioactive implant is in place to prevent dislodgement
A nurse is providing postoperative discharge teaching to a client following a panhysterectomy for uterine cancer. Which of the following pieces of information should the nurse include in the teaching?
A. "You will need to continue to use some form of birth control for 6 months.
B. "You might experience manifestations of menopause."
C. "Do not lift anything heavier than 15 lb."
D. "Pain or burning with urination is an expected outcome of this surgery. - answer B
a panhysterectomy includes the removal of the uterus and the ovaries, which might cause, manifestations of menopause (e.g. hot flashes, night sweats, and vaginal dryness).
A charge nurse is observing a newly licensed nurse provide care for a client who is receiving internal radiation therapy for the treatment of cervical cancer. For which of the following actions by the newly licensed nurse should the charge nurse intervene?
A. Leaving soiled linens in a container in the client's room i
B. Instructing visitors to remain 2 m (6 feet) away from the client
C. Borrowing a dosimeter film badge from another nurse before entering the client's room
D. Removing an extra IV pole from the client's room to be used for another client - answer C A nurse should never borrow a dosimeter film badge from another staff member. Nurses
who are caring for the client should each have a personal badge and wear it while in the
client's room. The badge measures the radiation exposure that the nurse is receiving, and each film badge will indicate the nurse's cumulative radiation exposure.
A nurse is providing preoperative teaching for a client with colorectal cancer who is scheduled to undergo colostomy placement with a perineal wound. Which of the following statements by the client indicates an understanding of the teaching?
A. "Not having any more rectal pain will be a relief."
B. "I will need to sit on a rubber donut when I am in the chair"
C. "I can have only liquids for 2 days before the surgery."
D. "The colostomy will start working about 7 days after the surgery." - answer C
The client should consume a full or clear liquid diet for 24 to 48 hours before the surgery
to decrease bulk. The client should consume a low
residue diet for several days prior to surgery to decrease peristalsis.
A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse should ensure the client understands that she will receive which of the following interventions?
A. Chemotherapy via a central venous access device
B. Radiation to the tumor from an external source
C. Precise delivery of high-dose radiation after tumor imaging
D. Radioactive infusions or insertions into or near the tumor - answer D
Brachytherapy is a type of radiation therapy during which the radiation source, either an implant or via infusion, is in direct contact with the client's tumor continuously for a specific duration.
A nurse is providing teaching to a client who has cancer and is undergoing external radiation treatment. Which of the following statements by the client indicates an understanding of the teaching?
A. "I should use petroleum-based lotions on the areas being radiated."
B. "I will dry the areas being radiated by rubbing in a circular pattern."
C. "I will apply sunscreen to the areas being radiated when I spend time in the sun."
D. "I should use my hand, instead of a washcloth, to wash the areas being radiated." - answer D
Washing the areas being radiated with the hand is gentler than using a washcloth.
A nurse on an oncology unit is providing discharge teaching to an adolescent female client who received a bone marrow transplant for leukemia. Which of the following pieces of information should the nurse include in the teaching? (Select all that apply.)
A. "Take your temperature twice each day."
B. "You may return to school if you feel strong enough."
C. "It is important to wear shoes always."
D. "Clean your toothbrush weekly with isopropyl alcohol."
E. "Avoid using tampons." - answer ACE Clients who are postoperative from bone marrow transplants are immunosuppressed and should continually monitor for manifestations of infection. A temperature that is greater than 38°C (100°F) should be reported immediately to the provider. The client should wear shoes to prevent injury and decrease the risk of infection. The use of tampons is discouraged because they can disrupt the mucosal layer of the vagina and may support the growth of bacteria if left in place for too long.
A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. Which of the following statements by the client indicates a need for further teaching?
A. "I will use a soft toothbrush or foam swab for oral care."
B. "I will use lemon and glycerin swabs after meals."
C. "I will remove my dentures except while eating."
D. "I will rinse my mouth frequently with hydrogen peroxide solution." - answer B
This client statement indicates a need for further teaching. The nurse should instruct the
client who has stomatitis to avoid the use of lemon glycerin swabs because they cause drying and irritation of the mucous membranes.
A nurse is planning an in-service training session for a group of nurses regarding the role of enzymes in digestion. Which of the following enzymes plays a role in the digestion of protein?
A. Amylase
B. Lipase
C. Steapsin
D. Pepsin - answer D
Pepsin is an enzyme secreted by the gastric mucosa that breaks down protein into polypeptides. Other enzymes such as trypsin and aminopeptidase further break down the polypeptides into amino acids, which can be used by the body.
A nurse is presenting an in-service training session about nutrition. How many of the amino acids must be obtained from dietary intake?
A.6
B.9
C. 11
D. 15 - answer B
Proteins are made up of chains of amino acids, which are composed of carbon, hydrogen, oxygen, and nitrogen. Nine amino acids are considered essential for the human body and must be obtained from diet. These include histidine, isoleucine, leucine, lysine, methionine,
phenylalanine, threonine, tryptophan, and valine.
A nurse in a provider's office is assessing a client who has GERD. The nurse should expect the client to report which of the following manifestations? (Select all that apply.)
A. Regurgitation
B. Nausea
C. Belching
A nurse is planning care for a client who is receiving chemotherapy and has a protein deficiency. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
A. Mix powdered skim milk into liquid milk
B. Add a raw egg to fruit smoothies
C. Add a slice of cheese to hot vegetables
D. Add honey to hot tea
E. MIX yogurt into fresh fruit - answer ACE
A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive brachytherapy in an ambulatory care clinic. Which of the following statements by the client indicates an understanding of the teaching?
A. "I need to lie still in bed during my brachytherapy treatment."
B. "I will have an implant placed once a month during my brachytherapy treatment."
C. "I must stay at least 3 feet away from others between brachytherapy treatments.
D. "I should expect some blood in my urine after each brachytherapy treatment." - answer A
remain on bedrest with limited movement while the radioactive implant is in place to prevent dislodgement
A nurse is providing postoperative discharge teaching to a client following a panhysterectomy for uterine cancer. Which of the following pieces of information should the nurse include in the teaching?
A. "You will need to continue to use some form of birth control for 6 months.
B. "You might experience manifestations of menopause."
C. "Do not lift anything heavier than 15 lb."
D. "Pain or burning with urination is an expected outcome of this surgery. - answer B
a panhysterectomy includes the removal of the uterus and the ovaries, which might cause, manifestations of menopause (e.g. hot flashes, night sweats, and vaginal dryness).
A charge nurse is observing a newly licensed nurse provide care for a client who is receiving internal radiation therapy for the treatment of cervical cancer. For which of the following actions by the newly licensed nurse should the charge nurse intervene?
A. Leaving soiled linens in a container in the client's room i
B. Instructing visitors to remain 2 m (6 feet) away from the client
C. Borrowing a dosimeter film badge from another nurse before entering the client's room
D. Removing an extra IV pole from the client's room to be used for another client - answer C A nurse should never borrow a dosimeter film badge from another staff member. Nurses
who are caring for the client should each have a personal badge and wear it while in the
client's room. The badge measures the radiation exposure that the nurse is receiving, and each film badge will indicate the nurse's cumulative radiation exposure.
A nurse is providing preoperative teaching for a client with colorectal cancer who is scheduled to undergo colostomy placement with a perineal wound. Which of the following statements by the client indicates an understanding of the teaching?
A. "Not having any more rectal pain will be a relief."
B. "I will need to sit on a rubber donut when I am in the chair"
C. "I can have only liquids for 2 days before the surgery."
D. "The colostomy will start working about 7 days after the surgery." - answer C
The client should consume a full or clear liquid diet for 24 to 48 hours before the surgery
to decrease bulk. The client should consume a low
residue diet for several days prior to surgery to decrease peristalsis.
A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse should ensure the client understands that she will receive which of the following interventions?
A. Chemotherapy via a central venous access device
B. Radiation to the tumor from an external source
C. Precise delivery of high-dose radiation after tumor imaging
D. Radioactive infusions or insertions into or near the tumor - answer D
Brachytherapy is a type of radiation therapy during which the radiation source, either an implant or via infusion, is in direct contact with the client's tumor continuously for a specific duration.
A nurse is providing teaching to a client who has cancer and is undergoing external radiation treatment. Which of the following statements by the client indicates an understanding of the teaching?
A. "I should use petroleum-based lotions on the areas being radiated."
B. "I will dry the areas being radiated by rubbing in a circular pattern."
C. "I will apply sunscreen to the areas being radiated when I spend time in the sun."
D. "I should use my hand, instead of a washcloth, to wash the areas being radiated." - answer D
Washing the areas being radiated with the hand is gentler than using a washcloth.
A nurse on an oncology unit is providing discharge teaching to an adolescent female client who received a bone marrow transplant for leukemia. Which of the following pieces of information should the nurse include in the teaching? (Select all that apply.)
A. "Take your temperature twice each day."
B. "You may return to school if you feel strong enough."
C. "It is important to wear shoes always."
D. "Clean your toothbrush weekly with isopropyl alcohol."
E. "Avoid using tampons." - answer ACE Clients who are postoperative from bone marrow transplants are immunosuppressed and should continually monitor for manifestations of infection. A temperature that is greater than 38°C (100°F) should be reported immediately to the provider. The client should wear shoes to prevent injury and decrease the risk of infection. The use of tampons is discouraged because they can disrupt the mucosal layer of the vagina and may support the growth of bacteria if left in place for too long.
A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. Which of the following statements by the client indicates a need for further teaching?
A. "I will use a soft toothbrush or foam swab for oral care."
B. "I will use lemon and glycerin swabs after meals."
C. "I will remove my dentures except while eating."
D. "I will rinse my mouth frequently with hydrogen peroxide solution." - answer B
This client statement indicates a need for further teaching. The nurse should instruct the
client who has stomatitis to avoid the use of lemon glycerin swabs because they cause drying and irritation of the mucous membranes.
A nurse is planning an in-service training session for a group of nurses regarding the role of enzymes in digestion. Which of the following enzymes plays a role in the digestion of protein?
A. Amylase
B. Lipase
C. Steapsin
D. Pepsin - answer D
Pepsin is an enzyme secreted by the gastric mucosa that breaks down protein into polypeptides. Other enzymes such as trypsin and aminopeptidase further break down the polypeptides into amino acids, which can be used by the body.
A nurse is presenting an in-service training session about nutrition. How many of the amino acids must be obtained from dietary intake?
A.6
B.9
C. 11
D. 15 - answer B
Proteins are made up of chains of amino acids, which are composed of carbon, hydrogen, oxygen, and nitrogen. Nine amino acids are considered essential for the human body and must be obtained from diet. These include histidine, isoleucine, leucine, lysine, methionine,
phenylalanine, threonine, tryptophan, and valine.
A nurse in a provider's office is assessing a client who has GERD. The nurse should expect the client to report which of the following manifestations? (Select all that apply.)
A. Regurgitation
B. Nausea
C. Belching
