During a clinic visit, a client reports to the practical nurse (PN) that they felt a
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solid mass in their breast during self-examination, but it was not painful. What
| | | | | | | | | | | | |
instruction should the PN reinforce with the client?
| | | | | | | |
A. Continue to monitor the mass until the next scheduled annual exam.
| | | | | | | | | | |
B. Notify the PCP if the mass becomes soft or painful or starts to drain.
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C. Schedule an appointment with the PCP for evaluation
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D. Breast masses are usually insignificant if they feel soft or are easily
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moveable. - correct answer -✔c. Schedule an appointment with the health care
| | | | | | | | | | | |
provider for evaluation.
| | |
A painless breast mass is an abnormal finding, and the PN should instruct the
| | | | | | | | | | | | |
client to obtain prompt medical evaluation.
| | | | | |
The health care provider informed a client diagnosed with stage 4 liver cancer
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that the cancer has spread to their spine. The client states to the practical
| | | | | | | | | | | | | |
nurse, "I have a cancer, but it is not malignant." What is the best initial nursing
| | | | | | | | | | | | | | | |
action?
|
A. Encourage the client to attend a cancer education program
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B. Perform a complete history and physical assessment
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C. Ask the client to explain his understanding of the term malignancy.
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,D. Offer the client emotional support to deal with the diagnosis
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Submit - correct answer -✔c. Ask the client to explain his understanding of the
| | | | | | | | | | | | |
term malignancy.
| |
The best initial action is to assess the client's knowledge of the term
| | | | | | | | | | | |
malignancy when used to describe cancer. The client appears to have
| | | | | | | | | | |
inaccurate knowledge. Stage 4 cancer means the cancer has spread
| | | | | | | | | |
(metastasized) from where it has started to another body part.
| | | | | | | | | |
A client diagnosed with osteoarthritis. Which intervention should the practical
| | | | | | | | |
nurse implement to help relieve joint pain and stiffness?
| | | | | | | | |
a. Encourage the client to perform weight-bearing exercises.
| | | | | | |
b. Teach the client how to perform range-of-motion exercises.
| | | | | | | |
c. Explain the use of ice and massage for pain relief.
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d. Instruct the client to take an analgesic before walking daily - correct answer -
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✔d. Instruct the client to take an analgesic before walking daily.
| | | | | | | | | |
Adequate pain management is important for the success of an exercise
| | | | | | | | | |
program. Keeping the joints active decreases pain, so taking an analgesic and
| | | | | | | | | | | |
walking daily is likely to help decrease joint pain and stiffness.
| | | | | | | | | | |
A client diagnosed with prostate cancer is prescribed radioactive seed
| | | | | | | | |
implantation (brachytherapy). What is the most important nursing action for
| | | | | | | | | |
the practical nurse (PN) to do?
| | | | | |
a. Follow radiation exposure precautions
| | | |
,b. Encourage regular meals
| | |
c. Collect all urine in sealed containers
| | | | | |
d. Avoid touching the client. - correct answer -✔a. Follow radiation exposure
| | | | | | | | | | |
precautions.
|
Clients being treated for prostate cancer with brachytherapy (radioactive seeds
| | | | | | | | |
implant) should be placed on radiation exposure precautions. The PN needs to
| | | | | | | | | | | |
follow the institution's protocols put in place regarding the amount of time and
| | | | | | | | | | | | |
distance needed to prevent excessive exposure that would pose a hazard to
| | | | | | | | | | | |
others.
|
A client diagnosed with emphysema that is oxygen-dependent lives alone at
| | | | | | | | | |
home and manages self-care with no difficulty. Which finding should prompt
| | | | | | | | | | |
the home health practical nurse to consult the registered nurse case manager?
| | | | | | | | | | | |
a. A pulse oximetry reading of 91% on oxygen at 2 L/m
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b. A weight loss of 5 pounds since the last monthly home visit
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c. The client reports feeling as tired as at the last visit by the nurse
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d. Upon entering the home, the PN noticed dirty dishes and clothing scattered
| | | | | | | | | | | |
around the home. - correct answer -✔b. A weight loss of 5 pounds since the
| | | | | | | | | | | | | | |
last monthly home visit
| | | |
A weight loss of 5 pounds in 1 month is a concern. Clients with COPD need
| | | | | | | | | | | | | | |
additional calorie intake because they are using up a lot from the energy they
| | | | | | | | | | | | | |
are using to breath. The practical nurse needs to consult with the registered
| | | | | | | | | | | | |
nurse case manager for a nutrition consult
| | | | | | |
, The nurse has reinforced instructions to a client with diabetes mellitus on how
| | | | | | | | | | | |
to self-monitor for symptoms of diabetic ketoacidosis (DKA). The nurse realizes
| | | | | | | | | | |
the instructions have been effective if the client can list which symptoms?
| | | | | | | | | | | |
(Select all that apply.)
| | | |
a. Fruity breath odor
| | |
b. Rapid, weak pulse
| | |
c. Cold, clammy skin
| | |
d. Extreme thirst
| |
e. Urinary frequency
| |
f. Protruding eyeballs - correct answer -✔a. Fruity breath odor
| | | | | | | | |
b. Rapid, weak pulse
| | |
d. Extreme thirst
| |
e. Urinary frequency
| |
Diabetic ketoacidosis is caused by a profound deficiency of insulin. Some
| | | | | | | | | |
common characteristics include a sweet, fruity breath odor, a rapid weak
| | | | | | | | | | |
pulse, extreme thirst, urinary frequency, and sunken-appearing eyeballs.
| | | | | | | |
A client mentions using garlic daily as an herb to lower cholesterol and
| | | | | | | | | | | |
triglyceride levels. Which nursing action is a priority?
| | | | | | | |
a. Monitor the client for signs of bleeding.
| | | | | | |
b. Instruct the client that garlic tends to cause hypertension.
| | | | | | | | |
c. This may relieve fever in the same way that acetaminophen does.
| | | | | | | | | | |
| | | | | | | | | | | | | | |
solid mass in their breast during self-examination, but it was not painful. What
| | | | | | | | | | | | |
instruction should the PN reinforce with the client?
| | | | | | | |
A. Continue to monitor the mass until the next scheduled annual exam.
| | | | | | | | | | |
B. Notify the PCP if the mass becomes soft or painful or starts to drain.
| | | | | | | | | | | | | |
C. Schedule an appointment with the PCP for evaluation
| | | | | | | |
D. Breast masses are usually insignificant if they feel soft or are easily
| | | | | | | | | | | |
moveable. - correct answer -✔c. Schedule an appointment with the health care
| | | | | | | | | | | |
provider for evaluation.
| | |
A painless breast mass is an abnormal finding, and the PN should instruct the
| | | | | | | | | | | | |
client to obtain prompt medical evaluation.
| | | | | |
The health care provider informed a client diagnosed with stage 4 liver cancer
| | | | | | | | | | | |
that the cancer has spread to their spine. The client states to the practical
| | | | | | | | | | | | | |
nurse, "I have a cancer, but it is not malignant." What is the best initial nursing
| | | | | | | | | | | | | | | |
action?
|
A. Encourage the client to attend a cancer education program
| | | | | | | | |
B. Perform a complete history and physical assessment
| | | | | | |
C. Ask the client to explain his understanding of the term malignancy.
| | | | | | | | | | |
,D. Offer the client emotional support to deal with the diagnosis
| | | | | | | | | |
Submit - correct answer -✔c. Ask the client to explain his understanding of the
| | | | | | | | | | | | |
term malignancy.
| |
The best initial action is to assess the client's knowledge of the term
| | | | | | | | | | | |
malignancy when used to describe cancer. The client appears to have
| | | | | | | | | | |
inaccurate knowledge. Stage 4 cancer means the cancer has spread
| | | | | | | | | |
(metastasized) from where it has started to another body part.
| | | | | | | | | |
A client diagnosed with osteoarthritis. Which intervention should the practical
| | | | | | | | |
nurse implement to help relieve joint pain and stiffness?
| | | | | | | | |
a. Encourage the client to perform weight-bearing exercises.
| | | | | | |
b. Teach the client how to perform range-of-motion exercises.
| | | | | | | |
c. Explain the use of ice and massage for pain relief.
| | | | | | | | | |
d. Instruct the client to take an analgesic before walking daily - correct answer -
| | | | | | | | | | | | | |
✔d. Instruct the client to take an analgesic before walking daily.
| | | | | | | | | |
Adequate pain management is important for the success of an exercise
| | | | | | | | | |
program. Keeping the joints active decreases pain, so taking an analgesic and
| | | | | | | | | | | |
walking daily is likely to help decrease joint pain and stiffness.
| | | | | | | | | | |
A client diagnosed with prostate cancer is prescribed radioactive seed
| | | | | | | | |
implantation (brachytherapy). What is the most important nursing action for
| | | | | | | | | |
the practical nurse (PN) to do?
| | | | | |
a. Follow radiation exposure precautions
| | | |
,b. Encourage regular meals
| | |
c. Collect all urine in sealed containers
| | | | | |
d. Avoid touching the client. - correct answer -✔a. Follow radiation exposure
| | | | | | | | | | |
precautions.
|
Clients being treated for prostate cancer with brachytherapy (radioactive seeds
| | | | | | | | |
implant) should be placed on radiation exposure precautions. The PN needs to
| | | | | | | | | | | |
follow the institution's protocols put in place regarding the amount of time and
| | | | | | | | | | | | |
distance needed to prevent excessive exposure that would pose a hazard to
| | | | | | | | | | | |
others.
|
A client diagnosed with emphysema that is oxygen-dependent lives alone at
| | | | | | | | | |
home and manages self-care with no difficulty. Which finding should prompt
| | | | | | | | | | |
the home health practical nurse to consult the registered nurse case manager?
| | | | | | | | | | | |
a. A pulse oximetry reading of 91% on oxygen at 2 L/m
| | | | | | | | | | |
b. A weight loss of 5 pounds since the last monthly home visit
| | | | | | | | | | | |
c. The client reports feeling as tired as at the last visit by the nurse
| | | | | | | | | | | | | |
d. Upon entering the home, the PN noticed dirty dishes and clothing scattered
| | | | | | | | | | | |
around the home. - correct answer -✔b. A weight loss of 5 pounds since the
| | | | | | | | | | | | | | |
last monthly home visit
| | | |
A weight loss of 5 pounds in 1 month is a concern. Clients with COPD need
| | | | | | | | | | | | | | |
additional calorie intake because they are using up a lot from the energy they
| | | | | | | | | | | | | |
are using to breath. The practical nurse needs to consult with the registered
| | | | | | | | | | | | |
nurse case manager for a nutrition consult
| | | | | | |
, The nurse has reinforced instructions to a client with diabetes mellitus on how
| | | | | | | | | | | |
to self-monitor for symptoms of diabetic ketoacidosis (DKA). The nurse realizes
| | | | | | | | | | |
the instructions have been effective if the client can list which symptoms?
| | | | | | | | | | | |
(Select all that apply.)
| | | |
a. Fruity breath odor
| | |
b. Rapid, weak pulse
| | |
c. Cold, clammy skin
| | |
d. Extreme thirst
| |
e. Urinary frequency
| |
f. Protruding eyeballs - correct answer -✔a. Fruity breath odor
| | | | | | | | |
b. Rapid, weak pulse
| | |
d. Extreme thirst
| |
e. Urinary frequency
| |
Diabetic ketoacidosis is caused by a profound deficiency of insulin. Some
| | | | | | | | | |
common characteristics include a sweet, fruity breath odor, a rapid weak
| | | | | | | | | | |
pulse, extreme thirst, urinary frequency, and sunken-appearing eyeballs.
| | | | | | | |
A client mentions using garlic daily as an herb to lower cholesterol and
| | | | | | | | | | | |
triglyceride levels. Which nursing action is a priority?
| | | | | | | |
a. Monitor the client for signs of bleeding.
| | | | | | |
b. Instruct the client that garlic tends to cause hypertension.
| | | | | | | | |
c. This may relieve fever in the same way that acetaminophen does.
| | | | | | | | | | |
