Answers
A client has a platelet count of 9800/mm3. What action by the nurse is most
appropriate? correct answer Instruct the client to call for help to get out of bed
A client has mucositis. What actions by the nurse will improve the client's
nutrition? (Select all that apply.) correct answer Assist with rinsing the mouth
with saline frequently
Encourage the client to eat room-temperature foods
Provide local anesthetic medications to swish and spit
Remind the client to brush teeth gently after each meal
A client has received a dose of ondansetron (Zofran) for nausea. What action by
the nurse is most important? correct answer Assist the client in getting out of bed
A client has thrombocytopenia. What actions does the nurse delegate to the
unlicensed assistive personnel (UAP)? (Select all that apply.) correct answer Apply
the client's shoes before getting the client out of bed
Assist the client with ambulation
Use a lift sheet to move the client up in bed
, A client hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL. What
medication should the nurse prepare to administer? correct answer Epoetin alfa
(Epogen)
A client in the emergency department reports difficulty breathing. What action by
the nurse is the priority? correct answer Assess blood pressure and pulse
A client in the oncology clinic reports her family is frustrated at her ongoing
fatigue 4 months after radiation therapy for breast cancer. What response by the
nurse is most appropriate? correct answer "It is normal to be fatigued even for
years afterward."
A client is admitted with superior vena cava syndrome. What action by the nurse
is most appropriate? correct answer Gently inquire about advance directives
A client is having a catheter placed in the femoral artery to deliver yttrium-90
beads into a liver tumor. What action by the nurse is most important? correct
answer Ensuring that informed consent is on the chart
A client is receiving chemotherapy through a peripheral IV line. What action by
the nurse is most important? correct answer Assessing the IV site every hour
A client is receiving interleukins along with chemotherapy. What assessment by
the nurse takes priority? correct answer Blood pressure
A client is receiving rituximab (Rituxan) and asks how it works. What response by
the nurse is best? correct answer "It prevents the start of cell division in the
cancer cells."