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1. A 32-year-old woman for anorexia
meets with the nurse on
her first of-ficial visit 2. One of the most serious blood
since undergoing a left coagulation complications for
mastectomy. When asked individuals with cancer and for
how she is doing, the those undergoing cancer
woman states her
appetite is still not good,
she is not getting much
sleep because she
doesn't go to bed until
her husband is asleep,
and she is really anx-
ious to get back to work.
Which of the following
nurs-ing interventions
should the nurse explore
to support the client's
current needs?
a) Ask open-ended
questions
about sexuality issues
related to her
mastectomy
b) Suggest that the client
learn relaxation techniques
to help with her insomnia
c)Call the physician to
discuss allowing the client
to return to work earlier
d) Perform a
nutritional
assessment to assess
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a) Ask open-ended questions about
sexuality issues related to her
mastectomy
-Correct Answer: A. Ask open-ended questions
about sexuality issues related to her
mastectomy b) Sepsis
Option A: The content of the client's -Correct Answer: B. Sepsis
comments suggests that she is avoiding Option B: Bacterial endotoxins released from gram-
intimacy with her husband by waiting negative bacteria activate the Hageman factor or
until he is asleep before going to bed. coagulation factor XII.
Addressing sexuality issues is appropriate
for a client who has undergone a
mastectomy.
Option B: Suggesting that she learn
relaxation techniques to help her with her
insomnia is appropriate; however, the nurse
must first address the psychosocial and
sexual issues that are contributing to her
sleeping diflculties.
Option C: Rushing her return to work may
debilitate her and add to her
exhaustion.
Option D: A nutritional assessment may be
useful, but there is no indication that she
has anorexia.
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treatments is disseminated which of the following to be
in-travascular coagulation present?
(DIC). The most common a) low-grade fever, chills,
cause of this bleeding tachycardia
disorder is:
a) Brain metastasis
b) Sepsis
c)Intravenous heparin
thera-py
d) underlying liver disease
3. A pneumonectomy is a
surgi-cal procedure
sometimes in-dicated
for the treatment of
non-small-cell lung
cancer. A
pneumonectomy involves
re-moval of:
a) One lobe of a lung
b) An entire lung field
c)One or more segments
of a lung lobe
d) A small, wedge-
shaped lung surface
4. A 36-year-old man with
lym-phoma presents
with signs of impending
septic shock 9
days after chemotherapy.
The nurse would expect
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This factor inhibits coagulation via the -Correct Answer: A. Low-grade fever, chills, tachycardia
intrinsic pathway of homeostasis, as Option A: Nine days after chemotherapy, one would expect
well as stimulating fibrinolysis. the client to be immunocompromised. The clinical
Option D: Liver disease can cause multiple signs of shock reflect changes in cardiac function,
bleeding abnormal-ities resulting in chronic, vascular resistance, cellular metabolism, and capillary
subclinical DIC; however, sepsis is the most permeability. Low-grade fever, tachy-cardia, and flushing
common cause. may be early signs of shock.
Option B: Oliguria and hypotension are late signs of
shock.
b) An entire lung field
-Correct Answer: B. An entire lung field
Option B: A pneumonectomy is the removal
of an entire lung field indicated for the
treatment of non-small cell lung cancer that
has not spread outside of the lung tissue. It
is performed on patients who will have
adequate lung function in the unattected
lung.
Option D: A wedge resection refers to the
removal of a
wedge-shaped section of lung tissue. It
may be used to remove a tumor and a
small amount of normal tissue around it/
Option A: A lobectomy is the removal of
one lobe.
Option C: Removal of one or more
segments of a lung lobe is called a partial
lobectomy.
a) low-grade fever, chills, tachycardia