ATI PN CAPSTONE EXAM 2

ATI PN CAPSTONE EXAM 2.1. Which intervention is appropriate for the nurse caring for a male client in severe pain receiving a continuous I.V. infusion of morphine? a. Assisting with a naloxone challenge test before therapy begins b. Discontinuing the drug immediately if signs of dependence appear c. Changing the administration route to P.O. if the client can tolerate fluids d. Obtaining baseline vital signs before administrating the first dose. 2. When caring for a client who has a colostomy created as part of a regimen to treat colon cancer, which activities would help to support the client in accepting changes in appearance or function? Select all that apply. a. Explain to the client that the colostomy is only temporary b. Encourage the client to participate in changing the ostomy c. Obtain a psychiatric consultation d. Offer to have a person who is coping with a colostomy visit e. Encourage the client and family members to express their feelings and concerns. 3. The nurse has received in report that the client receiving chemotherapy has severe neutropenia. Which of the following does the nurse plan to implement? Select all that apply. a. Assess for fever b. Observe for bleeding c. Administer Neulasta d. Do not permit fresh flowers or plants in the room e. Do not allow his 16 year old son to visit f. Teach the client to omit raw fruits and vegetables from his diet. 4. Which of the following findings would alarm the nurse when caring for a client receiving chemotherapy who has a platelet count of 17,000/mm3 a. Increasing shortness of breath b. Diminished bilateral breath sounds c. Change in mental status d. Weight gain of 4 pounds in 1 day 5. A 35 years old client with ovarian cancer is prescribed hydroxyurea (Hydrea), an anti- metabolite drug. Anti-metabolites are a diverse group of antineoplastic agents that interfere with various metabolic actions of the cells. The mechanism of action of anti- metabolites interferes with: a. Cell division or mitosis during the M phase of the cell cycle b. Normal cellular processes during the S phase of the cell cycle c. The chemical structure of deoxyribonucleic acid (DNA) and chemical binding between DNA molecules (Cell cycle-nonspecific). d. One or more stage of ribonucleic acid (RNA) synthesis, DNA synthesis, or both (cell cycle-nonspecific) 6. The ABCD method offers one way to assess skin lesions for possible skin cancer. What does the A stand for? a. Actinic b. Asymmetry c. Arcus