MDC II Exam I 2023 Solved 100%

A. Encourage baseline colonoscopy screening - ANSWER-A patient has a positive family history of colon cancer. Which of the following is a recommendation you would want them to adhere to? A. Encourage baseline colonoscopy screening B. Strict physical activity C. Encourage the patient to increase dietary intake of red meats D. Encourage the patient to reduce intake of fiber A. The goal of radiation therapy is to destroy the cancer cells, while minimizing further damage to the body - ANSWER-The patient asks the nurse how radiation works to destroy cancer cells. How would you respond? A. The goal of radiation therapy is to destroy the cancer cells, while minimizing further damage to the body B. The goal of localized radiation therapy is to kill all of the rapidly dividing cells throughout the body C. The goal of radiation therapy is to localize the tumor and reverse it back to normal tissue D. The goal of radiation therapy is to promote cell proliferation C. It refers to the amount of radiation being delivered - ANSWER-A patient asks the nurse to explain what radiation "exposure" refers to. Which response is correct? A. It refers to the amount of radiation absorbed B. It refers to the amount of local treatment C. It refers to the amount of radiation being delivered D. It refers to ionization liquification B. "A benign tumor is normal cells growing in the wrong place at the wrong time. But they are not cancerous." - ANSWER-A patient asks the nurse to explain the difference between a benign tumor and a malignant tumor. What is an appropriate response? A. "Don't worry about it. The point is you're okay." B. "A benign tumor is normal cells growing in the wrong place at the wrong time. But they are not cancerous." C. "A benign tumor will kill you, whereas a malignant tumor cannot." D. "A benign tumor has not undergone apoptosis, whereas a malignant tumor has." B. Hand hygiene - ANSWER-A patient is undergoing chemotherapy and is receiving education about the reduction of infection risk. Which action reduces the risk of infection? A. Live vaccine B. Hand hygiene C. Weight bearing exercises D. Monitor for bruising C. Cancer cells have moved from their primary site - ANSWER-A patient would like to know what it means that her breast cancer has metastasized. A. irreversible damage has caused tumor growth B. a tumor has sent chemical signals to develop its own vasculature C. cancer cells have moved from their primary site D. repeated exposure lead to mutation A. Thyroidectomy - ANSWER-The patient who has undergone which procedure is at most risk for hypocalcemia? A. Thyroidectomy B. Adrenalectomy C. Pancreactectomy D. Gastectomy D. Potassium less than 3.5 mEq/L - ANSWER-What serum laboratory value does the nurse expect to see with a patient who is hypokalemic? A. Calcium less than 8.0 mEq/L B. Potassium less than 5.0 mEq/L C. Calcium less than 11.0 mEq/L D. Potassium less than 3.5 mEq/L C. Patient care with a focus on treatment of symptoms - ANSWER-The nurses uses which phrase to describe palliative care? A. care for a patient with a prognosis less than 6 months B. palliative care focuses on end of life patient care C. patient care with a focus on treatment of symptoms D. its client education about relative treatment alternatives b. fluid volume overload - ANSWER-A nurse is caring for a 72 year old female. She has a diagnosis of dehydration. Which of the following nursing diagnoses should NOT be included in their plan? a. Safety, fall and risk b. Fluid volume overload c. Fluid volume deficit d. Knowledge deficit 1880 mL breakfast: 16 oz coffee + 4 oz OJ = 20 oz x 30 mL = 600 mL lunch: 8 oz + 8 oz = 16 oz x 30 mL = 480 mL IV: (100mL x 8 hours) = 800 mL - ANSWER-Calculate the intake for a 7-3 shift: At breakfast 2 cups of coffee, a 4 oz glass of orange juice At lunch 8 oz chicken broth, 8 oz diet soda IV of normal saline at 100 mL per hour A. Tumor Lysis Syndrome (TLS) - ANSWER-A nurse is caring for a patient that was recently diagnosed with cancer and is undergoing chemotherapy. A review of the morning labs show they have hyperphosphatemia, hyperkalemia, and hyperuricemia. Based on the laboratory findings what condition are you expected to find? A. Tumor lysis syndrome (TLS) B. Hypercalcemia of malignancy C. Syndrome of Inappropriate Antidiuretic Hormone D. Febrile neutropenia b. High dose radiation - ANSWER-A nurse is caring for a patient recently diagnosed with cancer and they are exhibiting signs and symptoms of superior vena cava syndrome. Which would be a priority treatment for relief of airway obstruction? a. Fluid restriction b. High dose radiation c. Surgical intervention d. Blood transfusion C. Curative - ANSWER-A nurse is caring for a patient that was recently diagnosed with lung cancer. Based on testing there is no indication that cancer has spread to the other organs. The patient is scheduled for surgery to have a lobectomy performed. This classification of surgery is what type of treatment? A. Prophylactic B. Diagnostic C. Curative D. Palliative B. "I'm going to eat ham instead of chicken." - ANSWER-A patient has CHF and the have renal failure. Which of these statements by the patient requires further education to avoid hypervolemic episodes? A. "I'm going to monitor my weight daily." B. "I'm going to eat ham instead of chicken." C. "I'll go to the emergency room if I have difficulty breathing." D. Administer via an infusion pump - ANSWER-A nurse is caring for a patient who's being treated for hypokalemia. Which of the following is correct statement regarding potassium administration? A. Infuse at a rate no greater than 40 mEq/hr B. Administer IM or IV C. Administer IV push D. Administer via an infusion pump A. the importance of maintaining the external markings on the skin for future treatment - ANSWER-A nurse is caring for a patient who is undergoing external radiation treatment for liver cancer, what information do you need to provide to the patient and family? A. The importance of maintaining the external markings on the skin for future treatment B. Family should avoid contact with the patient C. The treatments can last 4-6 hours D. Radiation treatment has very few side effects A. Isotonic - ANSWER-A nurse is caring for a 90 year old female patient. She was admitted for N/V and diarrhea for 5 days. Her HR is 130 bpm, her BP is 96/50, her mucus membranes are dry. She has poor skin turgor. Which of the following is an appropriate fluid replacement? A. Isotonic B. Hypotonic C. Hypertonic D. Colloids