relias onc rn a Assessment Questions With Complete Answers.

YES....Using a condom during sex *****Avoiding highly acidic foods Using products that contain parabens Avoiding products that contain DEET - correct answer Your patient is receiving a continuous cisplatin (Platinol®, Platinol-AQ®) infusion for testicular cancer. What is the MOST important safety practice you should educate him about? Colon - correct answer FOLFOX chemotherapy is recommended for what type of cancer? These are signs and symptoms of end stage cycle of life that your loved one will likely pass very soon. - correct answer You are assessing a patient receiving end-of-life care and find Cheynes-Stokes respirations, decerebrate positioning, and cool, mottled extremities. What should you tell the family about these findings? 2,000 - correct answer A patient weighting 220 lbs is ordered to receive IV heparin 20 units/kg/hour. How many units should he receive each hour? Lung - correct answer Which type of cancer is associated with the HIGHEST rate of death in women? Beneficence vs justice Non-maleficence vs justice ****Autonomy vs beneficence YES....Autonomy vs non-maleficence - correct answer A patient who wishes to be discharged to his home even though his physician and other members of his healthcare team believe and have informed the patient that his decision poses a risk of harm is a conflict of what ethical principles? A hospital-wide in-service training on strategies to improve the patient experience YES.....Obtaining payment for provided healthcare services ****When requested by a family member with proof of identity A research project conducted by nursing students to study medication regimens - correct answer In which of the following instances is disclosure of patient health information permitted without patient authorization? Even though the procedure wasn't as bad as I anticipated, I'm so glad I don't have to go through that ever again - correct answer A 52-year-old patient had a colonoscopy 2 years ago for colon cancer screening. What statement indicates a need for more education? Acknowledge that hair loss is visible to others and can attract unwanted attention, which can be difficult to cope with - correct answer You are speaking with a patient experiencing hair loss after chemotherapy. She tells you she does not go out of the house unless it is absolutely necessary because she feels like people stare at her. Which of the following is the BEST response? Loss of appetite - correct answer Which symptom is MOST likely due to an elevated calcium level? Ensure the patient has sufficient knowledge to make an informed decision - correct answer What is the nurse's responsibility related to informed consent? Acknowledge the patient's faith and ask how you can be supportive - correct answer Your terminally-ill patient says that they believe in the power of prayer and has faith that God will cure them. How should the nurse respond? Prevent nausea and vomiting rather than providing treatment once symptoms begin - correct answer What is the BEST approach for dealing with nausea and vomiting associated with a first round of chemotherapy? Spinal cord compression - correct answer The patient with lymphoma reports numbness in the feet, weakness when ambulating, cramping, weakness in the extremities, foot drop, and loss of bowel and/or bladder control. What condition might you expect? Drug diversion - correct answer A patient with chronic pain has been prescribed long-term opioids. His urine drug screen is negative for opioids, and although his last 30-day prescription was filled 7 days ago, your pill count reveals that he only has a 3-day supply remaining. What primary concern should you discuss with the patient's physician? Ask the patient if he's considering harming himself - correct answer A patient who is hospitalized has been crying and inconsolable. He tells you, "I see no reason to continue living". What is the FIRST action to take? Teaching lifestyle modifications to reduce the risk of cancer YES...Slowing disease progression and preventing complications Identifying cancer through early detection when a cure is possible ---Avoiding unnecessary interventions that are unlikely to improve patient outcomes - correct answer What is the PRIMARY goal of tertiary care? Schedule him for a MRI to rule out spinal cord compression. - correct answer Your patient is a 35 year old man with prostate cancer and widespread osseous metastases.He complains of worsening mid-thoracic back pain for 2 weeks. His physical exam reveals tenderness at T8, with no neurologic deficits. What can we anticipate as the oncologist's FIRST step? With early detection, there are conservative treatment approaches that may preserve fertility. - correct answer A 24-year-old female with a family history of cervical cancer tells you she is hoping to be pregnant soon because the only treatment for cervical cancer is a hysterectomy. What is the BEST response? *****NSAIDs taken with warfarin can cause liver toxicity. NSAIDS decrease the effects of warfarin. NSAIDS increase renal clearance of warfarin. YES......NSAIDs increase the effects of warfarin. - correct answer What is the danger of taking NSAIDs with warfarin? Encourage the patient to stay hydrated YES....Use of a fan to increase air circulation Raise the temperature to warm the room ****Lower the head of the bed - correct answer What non-pharmacologic treatment would be recommended for your patient experiencing end-of-life dyspnea? YES..... It inhibits absorption of antiretroviral therapy ***It increases the rate of excretion of antiretroviral therapy It inhibits gastric motility It increases the risk for liver toxicity - correct answer Why should patients with HIV who are taking antiretroviral therapy be advised to avoid taking a proton-pump inhibitor? Medicare False Claims Act - correct answer A physician has ordered several diagnostic tests for a Medicare patient, some of which the patient has recently had and others that do not seem necessary. What is the legal basis for your concern? Intercourse is possible but abstain until surgery-related vaginal discharge has stopped and wounds have healed. - correct answer You are providing education to a patient who is scheduled to have a total hysterectomy next week. What should you tell your patient regarding postoperative intercourse? Survivor's guilt - correct answer You are caring for a patient who tells you, " avoid seeing my friend, Katy. I feel bad that her husband died of cancer but I was cured of my cancer. I just can't face her knowing that." This statement is MOST indicative of what psychological condition? ****8 to 12 weeks 8 to 12 months YES....3 to 5 months *****3 to 5 weeks - correct answer How long after initiation of tumor treating fields (TTFields) is a response typically observed on a radiographic evaluation? Scalp cooling may be effective in preventing hair loss in some instances. - correct answer Your patient is concerned about alopecia after starting chemotherapy and said she has heard that scalp cooling is an effective method for preventing hair loss. How should you respond? Adrenal crisis - correct answer What oncologic emergency is MOST likely to occur after abrupt discontinuation of long-term glucocorticoids? T