NURS 3730 EXAM 4 QUESTIONS AND ANSWERS | NURS 3730
STUDY GUIDE & PRACTICE TEST 2026/2027
increased intra-abdominal pressure - ANS ✔✔can cause organ failure (don’t want over 25)
Severity of HIV - ANS ✔✔Viral load
Increased illness and HIV progression - ANS ✔✔High viral load
Immune system strength - ANS ✔✔CD4 Count
500-1500 - ANS ✔✔CD4 normal range
<200 - ANS ✔✔CD4 count (AIDS or presence of opportunistic infection)
Pain (location and size)
Obstruction (blocks resp/gi passageway - high pitched bowel sounds)
Necrosis, ulceration, fistulas (lead to bleeding) - ANS ✔✔Local clinical manifestations of cancer
Weight loss, cachexia
Infections, anemia, bleeding (alter BM function)
Alopecia, ulcer/mucositis, delayed healing
Fatigue
Psychosocial distress - ANS ✔✔Systemic clinical manifestations of cancer
Surgery with cancer - ANS ✔✔Removal/resect tumor and surrounding margins
Can be done before, during, and after chemo/radiation
Radiation with cancer - ANS ✔✔curative and palliative
Kill/shrink cancer cells
Only use MD recommended skin care products
Do not remove markings
Chemotherapy / immunotherapy - ANS ✔✔Kill/shrink cancer cells
Educate r/t side effects
Know Counts
extravasation
Advocate for central line
Monitor for an hour
DC, aspirate, MD, ice/antidote, doc - ANS ✔✔Extravasation interventions
Increased age (#1 men and women)
Family history
Early menarche
, Late menopause
Post menopausal obesity
Postmenopausal hormone replacement therapy (HRT)
Alcohol consumption
Nulliparity
Lack of breast feeding - ANS ✔✔Breast cancer causes
Texture changes
Dimpling
Lymph/bloody discharge
Redness/rash
Lumps in the armpit
Nipple inversion
Lump - ANS ✔✔Breast cancer CM
Lumps - inspect and palpate - ANS ✔✔Breast cancer assessment - L
Mammary changes - dimpling, tenderness, abnormal contours - ANS ✔✔Breast cancer assessment - M
Nipple changes - retraction, lesions, discharges - ANS ✔✔Breast cancer assessment - N
Other - size, symmetrical, appearance, direction pointing, rashes, ulceration - ANS ✔✔Breast cancer
assessment - O
Patient risks - Interview for predisposing factors, family history or use breast cancer risk assessment tool
- ANS ✔✔Breast cancer assessment - P
Increase in K, phos, uric acid
Decrease in calcium - ANS ✔✔Labs to be concerned of with tumor lysis syndrome
Lumpectomy
Simple vs modified radical mastectomy
Chemotherapy/immunotherapy
Radiation - ANS ✔✔Breast cancer treatments
Baseline in 30's
Then Qyr after 40 - ANS ✔✔How often should you get a mammogram?
Monthly - ANS ✔✔How often should you do a breast assessment self check?
Annually - ANS ✔✔How often should you get a MD breast exam?
<30ml - ANS ✔✔Normal drain output after mastectomy in first 24 hrs
Coughing
hoarseness
Wheezing
hemoptysis
STUDY GUIDE & PRACTICE TEST 2026/2027
increased intra-abdominal pressure - ANS ✔✔can cause organ failure (don’t want over 25)
Severity of HIV - ANS ✔✔Viral load
Increased illness and HIV progression - ANS ✔✔High viral load
Immune system strength - ANS ✔✔CD4 Count
500-1500 - ANS ✔✔CD4 normal range
<200 - ANS ✔✔CD4 count (AIDS or presence of opportunistic infection)
Pain (location and size)
Obstruction (blocks resp/gi passageway - high pitched bowel sounds)
Necrosis, ulceration, fistulas (lead to bleeding) - ANS ✔✔Local clinical manifestations of cancer
Weight loss, cachexia
Infections, anemia, bleeding (alter BM function)
Alopecia, ulcer/mucositis, delayed healing
Fatigue
Psychosocial distress - ANS ✔✔Systemic clinical manifestations of cancer
Surgery with cancer - ANS ✔✔Removal/resect tumor and surrounding margins
Can be done before, during, and after chemo/radiation
Radiation with cancer - ANS ✔✔curative and palliative
Kill/shrink cancer cells
Only use MD recommended skin care products
Do not remove markings
Chemotherapy / immunotherapy - ANS ✔✔Kill/shrink cancer cells
Educate r/t side effects
Know Counts
extravasation
Advocate for central line
Monitor for an hour
DC, aspirate, MD, ice/antidote, doc - ANS ✔✔Extravasation interventions
Increased age (#1 men and women)
Family history
Early menarche
, Late menopause
Post menopausal obesity
Postmenopausal hormone replacement therapy (HRT)
Alcohol consumption
Nulliparity
Lack of breast feeding - ANS ✔✔Breast cancer causes
Texture changes
Dimpling
Lymph/bloody discharge
Redness/rash
Lumps in the armpit
Nipple inversion
Lump - ANS ✔✔Breast cancer CM
Lumps - inspect and palpate - ANS ✔✔Breast cancer assessment - L
Mammary changes - dimpling, tenderness, abnormal contours - ANS ✔✔Breast cancer assessment - M
Nipple changes - retraction, lesions, discharges - ANS ✔✔Breast cancer assessment - N
Other - size, symmetrical, appearance, direction pointing, rashes, ulceration - ANS ✔✔Breast cancer
assessment - O
Patient risks - Interview for predisposing factors, family history or use breast cancer risk assessment tool
- ANS ✔✔Breast cancer assessment - P
Increase in K, phos, uric acid
Decrease in calcium - ANS ✔✔Labs to be concerned of with tumor lysis syndrome
Lumpectomy
Simple vs modified radical mastectomy
Chemotherapy/immunotherapy
Radiation - ANS ✔✔Breast cancer treatments
Baseline in 30's
Then Qyr after 40 - ANS ✔✔How often should you get a mammogram?
Monthly - ANS ✔✔How often should you do a breast assessment self check?
Annually - ANS ✔✔How often should you get a MD breast exam?
<30ml - ANS ✔✔Normal drain output after mastectomy in first 24 hrs
Coughing
hoarseness
Wheezing
hemoptysis
