RN Targeted Medical Surgical Immune System 2019 Exam Questions And Answers

RN Targeted Medical Surgical Immune System 2019 Exam Questions And Answers A nurse is providing teaching to a client who has Hodgkin's lymphoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include? -Use an antibacterial soap to cleanse the skin. -Wash the ink marking off when showering. -Rub the skin with a towel when drying. -Avoid direct sun exposure to the skin. Avoid direct sun exposure to the skin. The nurse should instruct the client to avoid sun exposure because the client's skin is sensitive to sunburn due to the external radiation. The nurse should instruct the client to cleanse their skin with mild soap and water because the client's skin is fragile due to the external radiation. The client should avoid antibacterial soaps because they can irritate the skin. The nurse should instruct the client not to remove the ink or dye markings because they identify the location of the site that is being radiated. The nurse should instruct the client to pat, rather than rub, the skin dry to avoid damage to the skin. The nurse should instruct the client to avoid sun exposure because the client's skin is sensitive to sunburn due to the external radiation. A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following client statements indicates an understanding of the teaching? -"I will avoid being in large crowds while taking this medication." -"I should expect symptoms to subside in 1 to 2 weeks after starting this medication." -"I will increase my intake of vitamin D while taking this medication." -"I should expect to experience constipation while taking this medication." "I will avoid being in large crowds while taking this medication." The nurse should instruct the client to avoid crowds when taking methotrexate. Methotrexate can cause leukopenia due to bone marrow suppression, which can increase the client's risk for infection. The nurse should inform the client that it takes 4 to 6 weeks for the manifestations of rheumatoid arthritis to respond to methotrexate therapy. The nurse should instruct the client to increase their intake of folic acid, not vitamin D, to help decrease the adverse effects of methotrexate. "I should expect to experience constipation while taking this medication." Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen A nurse is planning an education program about testicular cancer for a group of male adolescents. Which of the following information should the nurse include? -Testicular cancer is more common in males who are older than 65. -With early treatment, the survival rate is 50%. -Examine the testicles immediately after showering. -Schedule an annual ultrasound to screen for testicular cancer. Examine the testicles immediately after showering. The client should perform a testicular self-examination on a monthly basis by examining the testicles after a bath or shower to allow for easier palpation. Males who are between the ages of 15 to 39 have an increased risk for developing testicular cancer. The survival rate for testicular cancer, when diagnosed and treated early, is nearly 100%. Ultrasounds are not used to screen for testicular cancer. However, if there is a change in testicular size, shape, or texture, the provider might schedule an ultrasound. A nurse is providing teaching to a client who is scheduled for a Papanicolaou (Pap) test. The nurse should inform the client that the Pap test is used to screen which of the following? -Uterine cancer -Cervical cancer -Ovarian cysts -Fibroids Cervical cancer The nurse should inform the client that a Pap test is used to screen for cervical cancer. The nurse should inform the client that a transvaginal ultrasound, along with an endometrial biopsy, is used to screen for uterine cancer. The nurse should inform the client that a pelvic examination, along with a transvaginal ultrasound, is used to screen for ovarian cysts. The nurse should inform the client that a pelvic examination, along with a transvaginal ultrasound, is used to screen for fibroids. A nurse is caring for a client who has viral pneumonia. Which of the following findings should the nurse report to the provider immediately? -Negative blood culture -Left shift in WBC differential -Oxygen saturation 93% -Crackles heard on auscultation Left shift in WBC differential When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is a left shift in the client's WBC differential, which indicates that the pneumonia is of bacterial origin, rather than viral. The left shift can be a manifestation of sepsis, and the nurse should report this finding to the provider.