NURS245 - WEEK 12 (UNIT 4) EXAM 2025 QUESTIONS AND ANSWERS

What is a common S&S of an anemic patient after surgery - ANS fatigue Common S&S of pernicious anemia - ANS -smooth sore red tongue -weakness RN teaching for warning signs of cancer - ANS -thickening of breast tissue in one area -indigestion regardless of food eaten -increase pigmentation with deeper coloring -difficult starting stream of urine for the past 6 months -heavy nose bleeds without trauma induced When a patient has low iron levels, what are dietary teaching recommendations? - ANS -red meat -egg yolk -legumes What is a normal effect of an iron supplement that may concern patients if not warned? - ANS Black stool NURS245 - WEEK 12 (UNIT 4) EXAM 2025 QUESTIONS AND ANSWERS Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2 An RN working with oncology patients, knows what is an age related change that happens with susceptibility - ANS decrease immune function What is the area of the body mainly affected in early Hodgkins? - ANS Neck Greatest risk for a Non-Hodgkins patient to develop TLS (tumor lysis syndrome) is... - ANS .while undergoing both radiation and chemotherapy Patient is receiving chemo through IV site, what is the main nursing intervention? - ANS Assess IV site and check for blood return every hour Reed-Sternburg cells are present in which condition - ANS Hodgkins disease TNM in chart: TIS N0 M0 -What does this mean? - ANS No distant metastasis Biggest risk factor for developing cancer - ANS age A cancer patient has thrombocytopenia - secondary to chemotherapy - what lab will the nurse monitor closely? - ANS Platelets A bladder cancer patient is receiving chemo, platelet count is 20,000. What S&S should the nurse monitor for? - ANS Petechiae A Hodgkin disease pt is receiving chemo, WBC is 2. Is this higher than normal, normal, or lower than normal - ANS lower than normal Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 3 A patient is admitted to try rule out Hodgkins, what is a question you could ask the patient to help with the Dx process - ANS "Have you noticed swelling/enlargement in your lymph nodes" A patient with leukemia (low WBC), the WBC is 2, what dietary teaching should you tell them to avoid? - ANS avoid eating raw fruit/veggies Teaching for a lupus patient taking hydroxychloroquine - ANS get frequent eye exams -side effect: retinitis RN is providing education about HIV prevention, those included in these activities should get annually tested for HIV.... - ANS -IV drug users -Sex workers and customers -sexually active with multiple partners An HIV patient has a weeping kaposi sarcoma, when the RN is doing the dressing change what is the most important for the nurses safety? - ANS adhering to standard precautions You have an HIV pt, decreasing function, and increase in viral load, which question do you ask them first? - ANS ask about adherence to drug regimen External & personal factors causing cancer - ANS External: -Chemical carcinogenesis (chemicals/drugs/etc) -Physical carcinogenesis (radiation, chronic irritation) -Viral carcinogenesis (onco