NUR 271 TEST #3 QUESTIONS WITH 100% SOLVED
CORRECT ANSWERS.
A client receiving radiation therapy for bladder cancer tells the nurse " I feel as
if I am voiding through my vagina." The nurse interprets this condition as.
a. Altered perineal sensation as a side effect of radiation therapy
b. The development of a vesicovaginal fistula
c. Extreme stress caused by the diagnosis of cancer
d. Rupture of the bladder Answer - b. The development of a vesicovaginal
fistula
While giving care to a client with an internal cervical radiation implant, the
nurse finds the implant in the bed. The nurse should take which initial action?
a. Pick up the implant with gloved hands and flush it down the toilet.
b. Reinsert the implant into the vagina.
c. Pick up the implant with long-handled forceps and place it in a lead
container.
d. Call the health care provider Answer - c. Pick up the implant with long-
handled forceps and place it in a lead container.
A 12 year old boy seen in the clinic, and a diagnosis of Hodgkin's disease is
suspected. Which diagnostic test results confirm the diagnosis of Hodgkin's
disease?
,A . Elevated vanillylmandelic acid urinary level.
B. The presence of blast cells in the bone marrow
C. The presence of Epstein-Barr virus in the blood.
D. The presence of Reed-Sternberg cells in the lymph nodes Answer - D. The
presence of Reed-Sternberg cells in the lymph nodes
When caring for a client with a history of benign prostatic hypertrophy (BPH),
the nurse should do which of the following? Select all that apply.
A. Provide privacy and time for the client to void.
B. Monitor intake and output.
C. Catheterize the client for post void residual urine.
D. Ask the client if he has urinary retention.
E. Test the urine for hematuria. Answer - A. Provide privacy and time for the
client to void.
B. Monitor intake and output.
D. Ask the client if he has urinary retention.
E. Test the urine for hematuria.
The nurse teaches the client with chronic cancer pain about optimal pain
control. Which of the following recommendations is most effective for pain
control?
A. Get used to some pain and use a little less medication than needed to keep
from being addicted.
B. Take prescribed analgesics on an around-the-clock schedule to prevent
recurrent pain.
C. Take analgesics only when pain returns
, D. Take enough analgesics around the clock so that you can sleep 12 to 16
hours a day to block the pain. Answer - B. Take prescribed analgesics on an
around-the-clock schedule to prevent recurrent pain.
When assessing a client for early septic shock, the nurse should assess the
client for which of the following?
A. Cool, clammy skin
B. Warm, flushed skin
C. Increased blood pressure
D. Hemorrhage Answer - B. Warm, flushed skin
Which of the following should be included in the teaching plan for a client with
cancer who is experiencing thrombocytopenia? Select all that apply.
1. Use an electric razor
2. Use a soft-bristle toothbrush
3. Avoid frequent flossing for oral care
4. Include an over the counter no steroidal anti-inflammatory (NSAID) daily for
pain control.
5.Monitor temperature daily.
6.Report bleeding, such as nosebleed, petechiae, or Melena, to a healthcare
professional. Answer - 1. Use an electric razor
2. Use a soft-bristle toothbrush
3. Avoid frequent flossing for oral care
6.Report bleeding, such as nosebleed, petechiae, or Melena, to a healthcare
professional.
CORRECT ANSWERS.
A client receiving radiation therapy for bladder cancer tells the nurse " I feel as
if I am voiding through my vagina." The nurse interprets this condition as.
a. Altered perineal sensation as a side effect of radiation therapy
b. The development of a vesicovaginal fistula
c. Extreme stress caused by the diagnosis of cancer
d. Rupture of the bladder Answer - b. The development of a vesicovaginal
fistula
While giving care to a client with an internal cervical radiation implant, the
nurse finds the implant in the bed. The nurse should take which initial action?
a. Pick up the implant with gloved hands and flush it down the toilet.
b. Reinsert the implant into the vagina.
c. Pick up the implant with long-handled forceps and place it in a lead
container.
d. Call the health care provider Answer - c. Pick up the implant with long-
handled forceps and place it in a lead container.
A 12 year old boy seen in the clinic, and a diagnosis of Hodgkin's disease is
suspected. Which diagnostic test results confirm the diagnosis of Hodgkin's
disease?
,A . Elevated vanillylmandelic acid urinary level.
B. The presence of blast cells in the bone marrow
C. The presence of Epstein-Barr virus in the blood.
D. The presence of Reed-Sternberg cells in the lymph nodes Answer - D. The
presence of Reed-Sternberg cells in the lymph nodes
When caring for a client with a history of benign prostatic hypertrophy (BPH),
the nurse should do which of the following? Select all that apply.
A. Provide privacy and time for the client to void.
B. Monitor intake and output.
C. Catheterize the client for post void residual urine.
D. Ask the client if he has urinary retention.
E. Test the urine for hematuria. Answer - A. Provide privacy and time for the
client to void.
B. Monitor intake and output.
D. Ask the client if he has urinary retention.
E. Test the urine for hematuria.
The nurse teaches the client with chronic cancer pain about optimal pain
control. Which of the following recommendations is most effective for pain
control?
A. Get used to some pain and use a little less medication than needed to keep
from being addicted.
B. Take prescribed analgesics on an around-the-clock schedule to prevent
recurrent pain.
C. Take analgesics only when pain returns
, D. Take enough analgesics around the clock so that you can sleep 12 to 16
hours a day to block the pain. Answer - B. Take prescribed analgesics on an
around-the-clock schedule to prevent recurrent pain.
When assessing a client for early septic shock, the nurse should assess the
client for which of the following?
A. Cool, clammy skin
B. Warm, flushed skin
C. Increased blood pressure
D. Hemorrhage Answer - B. Warm, flushed skin
Which of the following should be included in the teaching plan for a client with
cancer who is experiencing thrombocytopenia? Select all that apply.
1. Use an electric razor
2. Use a soft-bristle toothbrush
3. Avoid frequent flossing for oral care
4. Include an over the counter no steroidal anti-inflammatory (NSAID) daily for
pain control.
5.Monitor temperature daily.
6.Report bleeding, such as nosebleed, petechiae, or Melena, to a healthcare
professional. Answer - 1. Use an electric razor
2. Use a soft-bristle toothbrush
3. Avoid frequent flossing for oral care
6.Report bleeding, such as nosebleed, petechiae, or Melena, to a healthcare
professional.