NUR 201 Exam 6 - likely caused this decreased platelet production?

NUR 201 Exam 6

• The nurse is caring for a chemotherapy client with a low platelet aggregation level. Which

likely caused this decreased platelet production?

• Anemia
• Thrombocytopenia
• Bone marrow suppression
• Low hemoglobin and hematocrit (H&H) counts

Answer

• Bone marrow Suppression

• The nurse is assigned to care for a client with metastatic breast cancer who is taking

tamoxifen citrate. The nurse plans to monitor for which changes in laboratory values for this client? Select all that apply.

• Increase in lipase level
• Increase in blood glucose level
• Increase in serum calcium level
• Increase in serum potassium level
• Decrease in low-density lipoprotein levels

Answer

• Increase in serum calcium level
• Decrease in low-density lipoprotein levels

• The nurse is caring for a client on the oncology unit who has developed stomatitis during

chemotherapy. The nurse should plan which measure to treat this complication?

• Rinse the mouth with diluted baking soda or saline.
• Use lemon and glycerin swabs liberally on painful oral lesions. c. Brush the teeth and use

non-waxed dental floss at least twice a day.

• Place the client on NPO (nothing by mouth) status for 12 hours, and then resume liquids.

Answer

• Rinse the mouth with diluted baking soda or saline.

• The nurse is caring for a client receiving combination chemotherapy. Which

nursing intervention is the most appropriate?

• Give 2 agents from the same medication class. 1 / 3

• Give 2 agents with like nadirs at the same time.
• Test the client's knowledge about each agent's nadir.
• Avoid giving agents with the same nadirs and toxicities at the same time.

Answer

• Avoid giving agents with the same nadirs and toxicities at the same time.

• A client is having a diagnostic workup for colorectal cancer. Which factors in the client's

history place the client at increased risk for this type of cancer? Select all that apply.

• A high-fiber diet
• A diet high in fats
• Minimal alcohol intake
• A diet high in carbohydrates
• A history of inflammatory bowel disease
• A maternal grandfather who had a history of heart disease

Answer

• A diet high in fats
• A diet high in carbohydrates
• A history of inflammatory bowel disease

• The nurse monitoring an oncological client assesses for which early sign of vena cava

syndrome?

• Cyanosis
• Arm edema
• Periorbital edema
• Mental status changes

Answer

• Periorbital edema

• A client has undergone abdominal perineal resection for a bowel tumor. The nurse

interprets that the client's colostomy is beginning to function if which sign is noted?

• Absent bowel sounds
• The passage of flatus
• Blood drainage from the colostomy 2 / 3

• The client's ability to tolerate food

Answer

• The passage of flatus

• The nurse is performing an admission assessment of a client with a possible right colon tumor.

Which sign or symptom should the nurse anticipate the client may report?

• Frequent diarrhea
• Crampy gas pains
• Flat, ribbon-like stools
• Dull abdominal pain exacerbated by walking

Answer

• Dull abdominal pain exacerbated by walking

• A 27-year-old client is undergoing evaluation of lumps in her breasts. In determining

whether the client could have fibrocystic breast disorder, the nurse should ask her whether the breast lumps seem to become more prominent or troublesome at which time?

• After menses
• Before menses
• During menses
• At any time, regardless of the menstrual cycle

Answer

• Before menses

• The nurse has provided teaching for an adult client about screening for a colon cancer.

Which statement by the client indicates that education was effective?

• "I should have an annual fecal occult blood test."
• "I should have an annual colonoscopy when I become 60."
• "I will have a colonoscopy before the fecal occult blood test."
• "I will not need to have further fecal occult blood tests after a colonoscopy."-

Answer

• "I should have an annual fecal occult blood test."
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