NUR 257 Exam 1/ NUR257 Exam 1 (Newest 2020) : Rasmussen College | 100 % VERIFIED ANSWERS, GRADE A

NUR 257 Exam 1/ NUR257 Exam 1 (Newest 2020) : Rasmussen College | 100 % VERIFIED ANSWERS, GRADE A NUR 257 Exam 1 1. A nurse is caring for a terminally ill client who is unresponsive; the nurse correctly identifies the client’s pain and distress by which of the following? SATA a. Observes for respiratory signs b. Observes for grimacing c. Monitor vital signs 2. A nurse is assessing a client’s skin care after external radiation therapy, the nurse documents the client verbalizes understanding of skin care after the client states which of the following? a. Massage the area to increase circulation b. The radiation marking tattoo should be washed off with mild soap and water c. I can use my OTC cream with the skin that is radiated d. Avoid direct sunlight 3. A nurse is caring for a restless client with diabetes; the client has metastatic cancer and has 6 months to live. During morning rounds the client requests a chocolate shake. The nurse correctly responds. a. I will call the kitchen and see if they have some 4. The nurse cares for a dying client, what manifestations of dying does the nurse treat first? a. Pain b. Anorexia c. Hair loss d. Depression 5. A licensed practical/vocational nurse has been ordered to the hospice unit. The charge nurse may delegate which to the LPN/LVN? SATA a. Encourage family members to talk b. Determine how often physical assessments are needed c. Teach family members about commonly occurring signs of approaching death d. Administer morphine for pain control 6. A client with recent chemo tells the nurse he is concerned he may be developing Alzheimer’s because of recent memory loss. Which of the following should the nurse do to help the client? a. Keeping a journal 7. Family members at the bedside of a terminally ill client are concerned with the onset of loud wet respirations. Which intervention will the nurse provide for the death rattle? a. Atropine 8. A nurse is providing a terminally ill client with morphine for pain control. In addition to the medication which of the following adjuvants can be prescribed? a. Anticonvulsants b. Corticosteroids c. Antidepressants 9. When caring for a client with tumor lysis the nurse administers glucose and insulin for which condition? a. Hypophosphatemia b. Hyperkalemia c. Hypernatremia d. Diabetes insipidus 10. While planning care for a client experiencing fatigue due to chemotherapy. Which of the following is the most appropriate nursing intervention? a. Space out activities throughout the day 11. A client receiving chemotherapy for cancer has ahgb of 9.7. which of the following should the nurse anticipate as treatment for the client? a. Transfusion of platelets b. Administer neumega c. Administer epoetin d. Administer neupogen 12. A nurse is caring for a terminally ill client who has just died in the hospital and the family is by the bedside. What will the nurse do first? a. Call for the doctor to rule clinical death b. Allow family members to spend time with the patient 13. A clients tumor is stage using the TNM system T4N3M1 a. Large tumor, multiple nodes and presence of metastasis 14. A client with cancer is admitted to a short-term rehab facility. The nurse prepares to administer the client’s chemo medicine. Which action by the nurse is most appropriate? a. Wear personal protective equipment 15. A nurse is planning interventions to address the potential problem of mucositis for a client receiving chemo. Which of the following interventions by the nurse? a. Administer something for the lips I chose 16. A nurse caring for a terminally ill client is aware of impending death when which of the following occur? a. Fixed pupils b. Slowing of circulation c. Irregular respirations d. Mottling of the skin 17. A client presents with squamous carcinoma of the lung complains of SOB, cyanosis, edema of the face and arms a. Superior vena cava syndrome 18. A terminally ill client begins to experience fatigue and weakness at the end of life. The nurse will provide which of the following? SATA a. Place client on bedrest b. Space out activities c. Increase IV fluids 19. A dying client is surrounded by family and friends at home, the hospice nurse talks with the spouse of the dying client to ensure that everything the family needs is being done. The nurse is providing support to a. The bereaved 20. When asked about an armband that a pregnant client is wearing. The client states it helps with morning sickness. The nurse realizes the client is utilizing which form of alternative medicine? a. Acupressure 21. A terminally ill client is more alert and talkative. She is requesting specific foods to eat. The nurse should question the family regarding the family’s behavior because this can indicate? a. Final surprising rally before retreating 22. The nurse would incorporate which of the following into the plan of care as a secondary strategy as prevention? a. Colonoscopy at 50 and 10 years 23. A nurse is caring for a terminally ill client who has 20 second periods of apnea followed by periods of deep rapid breathing a. Cheyne stokes respirations 24. The nurse cares for a terminally ill client who is experiencing cheyne stoke repirations. Which action by the nurse is most appropriate? a. Place the client in a high fowler position b. Place O2 c. Provide comfort measures 25. A nurse working with a client who experience alopecia knows that which is the best method of helping clients manage the psychosocial impact of this problem? a. Assist the client to preplan for this event b. Teaching the client ways to protect the scalp 26. A nurse is instructing a client on strategies to lessen the impact on lifestyle on the development of cancer. SATA a. Limit sun exposure b. Exercise regularly c. Do not smoke or any tobacco d. Follow low fat diet 27. A client prescribed to begin chemotherapy asks the nurse how does chemotherapy work? Which of the following should the nurse respond? a. Systemic and targets rapidly dividing cells 28. Order 175mg/250 ml. 7mcg/kg/min. pat weighs 121 kg. What is ml/hr? 73ml/hr 29. A client with prostate cancer is receiving chemotherapy. The client develops Thrombocytopenia. What is highest priority? a. Assess for bleeding 30. A client is experiencing dyspnea in the last moments of life. Which intervention will the nurse provide? a. Morphine 31. A client is prescribed a selective estrogen receptor modulator. Which of the following is a side effect of this medication? SATA a. Hot flashes b. Blood clots c. Reduced libido 32. A client is diagnosed with metastatic cancer. The family asks the nurse what is the difference between hospice and palliative care? The nurse correctly responds with which statement? a. Palliative care is for clients in any stage of serious illness 33. A nurse assesses a client who is dying. Which manifestations does the nurse determine whether the client is near death? a. Respiratory rate 34. A client receiving chemotherapy has a platelet count of 45000. a. Assess for bleeding and bruising 35. A nurse is providing community education on the signs of cancer. All of the following are signs of cancer except? Which one is NOT. (CAUTION) a. Daily abdominal pain 36. Which carcinogen stage does invasion and damage the DNA occur and not reversible? a. Initiation 37. A client is experiencing nausea after 2 days after receiving chemotherapy. The nurse realizes the client’s nausea is related to? a. Delayed 38. A competent terminally ill client no longer wishes to eat or drink in order to hasten death. The client is exercising which end of life concept? a. Terminal dehydration 39. After teaching the client about advance directives teaching? a. Advance directive will specify what I want done when I am no longer able to make decision about my care 40. Which of the following patients is a candidate client for hospice care? a. Colon cancer client with 6 months to live 41. Native American dies and stays with family for how long? a. 36 hours 42. A terminally ill client is experiencing restlessness. Which interventions will the nurse to provide for comfort of the client? a. Soothing music 43. The nurse is providing the client with massage in order to create the following benefits? a. Reduce BP 44. A nurse caring for oncology patient knows that which of following metastasis is the most common? a. Bloodborne 45. Cancer cells exhibit which of the following features? a. Migration 46. Practitioner orders Morphine 3mg. have 7 mg what is mL? 0.42 mL 47. A client is experiencing nausea and vomiting related to chemotherapy the nurse would use which of the following interventions? a. Administer Zofran b. Eat food at room temp c. Consume flood with electrolytes and glucose during times of emesis 48. Your client is admitted to the ICU with MI. the physician orders infusion rate. 2 mL 49. A nurse is caring for several children with cancer and is reviewing their morning lab results. Which of the client condition combined with an indicated lab results cause the most concern? a. Fever with Neutrophil 450 mm 50. A client is receiving care to manage their symptoms. This will not alter the course of the disease. What type of care? a. Palliative