HESI Case Study: Breast Cancer Exam Questions with Correct Answers 100% Verified|
Guaranteed Success
Which intervention should the nurse include in the client's plan of care related to the
antineoplastic chemotherapy she has decided to take? (Select all that apply.) Provide
management options for bouts of diarrhea.
Explain how alopecia occurs with antineoplastic chemotherapy.
A multilumen central venous catheter has been inserted. The nurse is preparing to administer a
dose of chemotherapy through the central line by first flushing the lumens. The nurse notes
that two of the four lumens do not flush easily.
Which intervention should the nurse implement? Notify the HCP that the central line may
no longer be functional.
The nurse is aware that treatment with antineoplastic chemotherapeutic agents can cause
immunosuppression, which predisposes the client to infection. Which assessment finding
warrants intervention by the nurse? Temperature of 99.5° F (37.5° C).
The client has completed her first round of chemotherapy. She calls the nurse to report that she
cut her arm on the operative side while doing yard work the previous day. Now her arm
appears very swollen and tender. The client is admitted to the hospital with a medical diagnosis
of lymphedema and possible cellulitis.
Which assessment finding warrants immediate intervention by the nurse related to the
complication of lymphedema? Swelling and numbness in the affected arm.
Which nursing care measure will be most beneficial in the management of the client's
lymphedema? (Select all that apply.) Apply a sequential compression device.
Elevate the affected arm.
, The client's prescriptions include vancomycin IV 1 g every 12 hours, obtain peak and trough
levels, and acetaminophen 500 mg PO for fever greater than 100° F (37.7° C). What action
should the nurse implement? Schedule to draw the vancomycin trough fifteen minutes prior
to administration of the next dose of the drug.
It is time for the client's vancomycin. The vancomycin IV 1 g is in a 250 mL bag of 0.9% sodium
chloride to be delivered in 1 hour. The IV tubing set is 15 drops/mL. How many drops per
minute would the nurse set on the IV pump? (Enter the numerical value only. If rounding is
necessary, round to the whole number.)
________ mL 63
After receiving vancomycin for 7 days, the client complains that her mouth is painful when she
swallows. When assessing her mouth, the nurse visualizes white, patchy lesions. Which nursing
intervention best promotes effective communication? Candida superinfection is a common
side effect of antibiotic therapy.
The nurse continues to reinforce the HCP's instructions regarding activity limitations and
exercises. Which intervention should the nurse include in the client's discharge instructions?
Avoid lifting anything over 10 pounds for at least 4 weeks.
The nurse reviews signs and symptoms with the client that would require her to contact her
HCP. Which signs or symptoms should the client be instructed by the nurse to immediately
report? Increased swelling around incisions.
The nurse reviews signs and symptoms of recurring breast cancer, including nipple discharge
and retraction.
The client becomes anxious and begins crying. What action is most important for the nurse to
take? Continue to review the signs and symptoms of breast cancer recurrence.
The nurse completes the client's discharge teaching. The client reflects and reminds the nurse
that the only symptom she had was a lump she felt during a breast self-exam. The client wants
Guaranteed Success
Which intervention should the nurse include in the client's plan of care related to the
antineoplastic chemotherapy she has decided to take? (Select all that apply.) Provide
management options for bouts of diarrhea.
Explain how alopecia occurs with antineoplastic chemotherapy.
A multilumen central venous catheter has been inserted. The nurse is preparing to administer a
dose of chemotherapy through the central line by first flushing the lumens. The nurse notes
that two of the four lumens do not flush easily.
Which intervention should the nurse implement? Notify the HCP that the central line may
no longer be functional.
The nurse is aware that treatment with antineoplastic chemotherapeutic agents can cause
immunosuppression, which predisposes the client to infection. Which assessment finding
warrants intervention by the nurse? Temperature of 99.5° F (37.5° C).
The client has completed her first round of chemotherapy. She calls the nurse to report that she
cut her arm on the operative side while doing yard work the previous day. Now her arm
appears very swollen and tender. The client is admitted to the hospital with a medical diagnosis
of lymphedema and possible cellulitis.
Which assessment finding warrants immediate intervention by the nurse related to the
complication of lymphedema? Swelling and numbness in the affected arm.
Which nursing care measure will be most beneficial in the management of the client's
lymphedema? (Select all that apply.) Apply a sequential compression device.
Elevate the affected arm.
, The client's prescriptions include vancomycin IV 1 g every 12 hours, obtain peak and trough
levels, and acetaminophen 500 mg PO for fever greater than 100° F (37.7° C). What action
should the nurse implement? Schedule to draw the vancomycin trough fifteen minutes prior
to administration of the next dose of the drug.
It is time for the client's vancomycin. The vancomycin IV 1 g is in a 250 mL bag of 0.9% sodium
chloride to be delivered in 1 hour. The IV tubing set is 15 drops/mL. How many drops per
minute would the nurse set on the IV pump? (Enter the numerical value only. If rounding is
necessary, round to the whole number.)
________ mL 63
After receiving vancomycin for 7 days, the client complains that her mouth is painful when she
swallows. When assessing her mouth, the nurse visualizes white, patchy lesions. Which nursing
intervention best promotes effective communication? Candida superinfection is a common
side effect of antibiotic therapy.
The nurse continues to reinforce the HCP's instructions regarding activity limitations and
exercises. Which intervention should the nurse include in the client's discharge instructions?
Avoid lifting anything over 10 pounds for at least 4 weeks.
The nurse reviews signs and symptoms with the client that would require her to contact her
HCP. Which signs or symptoms should the client be instructed by the nurse to immediately
report? Increased swelling around incisions.
The nurse reviews signs and symptoms of recurring breast cancer, including nipple discharge
and retraction.
The client becomes anxious and begins crying. What action is most important for the nurse to
take? Continue to review the signs and symptoms of breast cancer recurrence.
The nurse completes the client's discharge teaching. The client reflects and reminds the nurse
that the only symptom she had was a lump she felt during a breast self-exam. The client wants
