NUR 211 / NUR211 LIFESPAN FINAL EXAM. QUESTIONS WITH 100% VERIFIED ANSWERS.

90. The RN admits a patient with sickle-cell disease in vaso-occlusive crisis. What is the priority nursing intervention for this patient? 1. Maintain adequate hydration. 2. Keep the environment warm. 3. Administer pain medication. 4. Transfuse packed red blood cells. 91. Which data collected by the RN during the health history of an adolescent supports the medical diagnosis of Hodgkin's lymphoma? 1. Frequent nose bleeds. 2. Edema of the face. 3. Pain in the neck. 4. Drenching night sweats. 92. Which meal choice would indicate to the RN that the patient with iron deficiency anemia understands the discharge teaching provided by the nutritionist concerning recommended changes in diet? 1. Tuna salad sandwich on white bread and milk. 2. Egg white omelet, bacon, and orange juice. 3. Grilled calves liver, steamed broccoli and spinach salad. 4. Roast chicken, mashed potatoes and gravy. 93. Which statement made by the patient following a bone marrow biopsy indicates to the RN that more discharge teaching is necessary? 1. "I may see some bruising in the area of the biopsy." 2. "I will take some aspirin to help manage the pain." 3. "I can take a nice warm tub bath to relieve the ache in my hip." 4. "I can remove the dressing after 24 hours." 94. A patient receiving a vinca alkaloid to manage cancer reports feeling very clumsy and having trouble using buttons on clothing to the home health RN. Which statement is the RN's best response? 1. "Are you weak and dizzy when you try to stand up?" 2. "This is normal and will go away when your therapy is complete." 3. "Have you noticed any change in your bowel movements?" 4. "There is no reason to worry about a minor side effect of the medication." 95. Which outcome should the RN select for the nursing diagnosis of Deficient fluid volume in a patient diagnosed with disseminated intravascular coagulation (DIC)? The patient will: 1. Have capillary refill less than 3 seconds in both great toes. 2. Have a urine output of 0.5 mL/kg per hour or more.. 3. Have an oxygen saturation of 95% or greater. 4. Have clear breath sounds in upper and lower lobes. 96. Which patient statement indicates to the RN a need for further education about the primary prevention of cancer? 1. "I will call my primary care provider to schedule a mammography." 2. "I will try to eat more fruits and vegetables." 3. "I will be sure to apply sunscreen when playing golf." 4. "I will join a smoking cessation class tomorrow." 97. Which nursing intervention is a priority to prevent tumor lysis syndrome in a patient receiving chemotherapy for lymphoma? 1. Monitor blood urea nitrogen (BUN) and creatinine daily. 2. Administer corticosteroids. 3. Hydrate before and after the chemotherapy. 4. Maintain normal nutritional intake of calcium 98. During an interview with the RN, the patient diagnosed one year ago with colorectal cancer expresses the desire to “eat healthy” and points to an area of impaired skin integrity around the sigmoid colostomy stoma. Which areas need to be included in this patient’s survivorship plan of care? Select all that apply. 1. Pain management. 2. Colonoscopy. 3. Liver function tests. 4. Nutrition counseling. 5. Ostomy care. 99. Which interventions should the RN implement for a patient with prostate cancer that is experiencing spinal cord compression? Select all that apply. 1. Administer corticosteroids. 2. Increase fluid intake. 3. Limit position changes. 4. Passive range of motion. 5. Pain management. 100. The RN is developing an informational presentation for an outpatient clinic. Which information should be included regarding the early detection of colon cancer? 1. A colonoscopy should be performed at least every ten years after age 50. 2. A fecal occult blood test should be performed annually after age 45. 3. A digital rectal examination should be performed annually after age 40. 4. A flexible sigmoidoscopy should be performed at least every five years after age 40.