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A client with prostate cancer is being discharged from the hospital.Which educational topic is inappropriate for this client?


A) Provide information on doses of complementary herbs.
B) Teach the client and his family methods of pain control.
C) Stress the importance of keeping client appointments with healthcare providers.
D) Provide the client and the client's family information on support groups.

Correct Answer

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The nurse is providing discharge teaching to an older adult client with lung cancer.What changes in activities of daily living can the nurse suggest to help the older adult maintain independence?


A) Wear shirts with buttons
B) Use a self-leveling spoon
C) Wear shoes with laces
D) Use a shower chair

Correct Answer

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The client with lung cancer who presents with dysphagia likely has a tumor located where?


A) By the trachea
B) By the esophagus
C) By the mediastinum
D) By the pleura

Correct Answer

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A client is receiving chemotherapy for acute lymphocytic leukemia.While providing care for this client,which clinical manifestations would indicate tumor lysis syndrome? Select all that apply.


A) Thrombocytopenia
B) Cardiac arrhythmia
C) Respiratory distress
D) Changes in urine output
E) Upper-extremity edema

Correct Answer

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A dark-skinned client tells the nurse of plans to bask in the sun on an upcoming vacation.The nurse questions the client about sunscreen use.Which response indicates the client needs further education?


A) "I don't need sunscreen because I am dark-skinned already."
B) "I will avoid the sun between the peak hours of 10 a.m.and 4 p.m."
C) "I can still experience sun damage despite my dark skin tones."
D) "The melanocytes in my skin provide me with increased protection from the sun."

Correct Answer

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A client is admitted to the emergency department in a sickle cell crisis.The nurse assesses the client and documents the following clinical findings: temperature 102°F,O2 saturation of 89%,and complaints of severe abdominal pain.Based on the assessment findings,which intervention is the greatest priority?


A) Apply oxygen per nasal cannula at 3 L/minute.
B) Assess and document peripheral pulses.
C) Administer morphine sulfate 10 mg IM.
D) Administer Tylenol 650 mg by mouth.

Correct Answer

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A nurse is caring for a client with cancer.The nurse teaches the client about which potentially undesirable cellular alterations that can occur during the cell cycle? Select all that apply.


A) Hyperplasia
B) Differentiation
C) Anaplasia
D) Dysphagia
E) Adaptation

Correct Answer

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The nurse is caring for a client with sickle cell anemia.The nurse teaches the client that the inherited alteration of which type of hemoglobin causes the abnormal shape to the red blood cell?


A) Hgb A
B) Hgb S
C) Hgb B
D) Hgb E

Correct Answer

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A nurse is caring for a client with chronic myeloid leukemia (CML) who is neutropenic.Which interventions will the nurse implement to ensure this client's safety? Select all that apply.


A) Teach the client to maintain good personal hygiene.
B) Encourage the client to eat a diet low in protein.
C) Administer granulocyte colony-stimulating factor (G-CSF) as ordered.
D) Administer neutrophil colony-stimulating factor (N-CSF) as ordered.
E) Administer a prophylactic gram-negative antibiotic.

Correct Answer

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Which individuals are more likely to develop lung cancer without a history of smoking?


A) An individual under age 50
B) An individual with a genetic abnormality on chromosome 6
C) An individual over age 50
D) An individual with a genetic abnormality on chromosome 8

Correct Answer

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A nurse educator is teaching student nurses about methods of cellular transport.When instructing on passive transportation,which process will the nurse include in the teaching plan?


A) Endocytosis
B) Facilitated diffusion
C) Exocytosis
D) Phagocytosis

Correct Answer

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The nurse is caring for a client in a community clinic who wishes to quit smoking.The client asks the nurse,"If I quit smoking,will my risk of lung cancer be the same as a nonsmoker?" Which is the best response by the nurse?


A) "No one knows for sure what the risk is for someone who quits smoking."
B) "Your risk of lung cancer will be equal to that of a nonsmoker."
C) "Your risk of lung cancer will decline if you quit,but it will remain higher than a nonsmoker's."
D) "Your risk of lung cancer will never drop because the damage has already been done."

Correct Answer

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The nurse educator is teaching a group of student nurses regarding human growth and development.Which statement by the student nurse indicates that teaching has been effective?


A) "The zygote undergoes differentiation to form a multicellular embryo,which becomes a fetus and then an infant."
B) "Meiosis occurs only in the sex cells of the testes and ovaries."
C) "Mitosis reduces the amount of genetic material by half."
D) "When the two sex cells combine during fertilization,a total of 50 chromosomes are present in the offspring's cells."

Correct Answer

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For clients with cancer,what should the nurse regularly monitor to assess for cachexia?


A) Weight
B) Blood pressure
C) Heart rate
D) Temperature

Correct Answer

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The nurse is caring for a thin,older adult client who is diagnosed with cancer and is receiving aggressive chemotherapy.The client is experiencing severe side effects from the therapy and has lost 10 pounds in the past week.What should the nurse teach the client to do? Select all that apply.


A) Purchase fast foods and prepared foods.
B) Eat cold foods rather than hot foods.
C) Keep a food diary and record intake.
D) Eat large frequent meals high in calories.
E) Drink liquid supplements to increase intake of nutrients.

Correct Answer

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The nurse is evaluating a client's understanding of dietary needs to treat dietary deficiency anemia.Which client statement indicates a need for additional teaching?


A) "I will eat more fruits and vegetables,especially green leafy ones,to get more iron in my diet."
B) "I will need to include more protein foods in my diet such as meats,dried beans,and whole-grain breads."
C) "I will decrease foods high in vitamin C,as they decrease my absorption of iron."
D) "I will take vitamins with extra iron in addition to eating a balanced diet with meat to correct my anemia."

Correct Answer

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A client experiencing fatigue,pallor,and dyspnea on exertion has a complete blood count drawn.Which red blood cell disorder should the nurse anticipate the client is experiencing?


A) Polycythemia
B) Erythropoiesis
C) Herpes simplex
D) Anemia

Correct Answer

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Why should the nurse tell a client who has undergone surgery for breast cancer to avoid wearing deodorant on the affected side?


A) Deodorant can stimulate tumor growth in remaining cancer cells.
B) Deodorant can inhibit the production of sweat,which stimulates healing.
C) Deodorant can harbor bacteria and increase the client's risk for infection.
D) Deodorant can irritate the skin and slow the healing process.

Correct Answer

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The nurse is planning care for a young child who is admitted with sickle cell crisis.The parents are with the child,and neither has much information about the disease.When planning care for this family,the nurse will set which goal with this family?


A) The child will drink adequate amounts of fluid each day.
B) The child will play outside in the sun.
C) The family will not have the child vaccinated.
D) The family will plan vacations in high-altitude areas.

Correct Answer

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The nurse provides an educational session for community members about the risk factors for colorectal cancer.Which participant statement indicates that teaching has been effective? Select all that apply.


A) "There is a genetic link in the development of colorectal cancer."
B) "People with other bowel diseases are at increased risk for developing this cancer."
C) "Eating a diet high in red meat reduces the risk for developing this type of cancer."
D) "Eating cereal fiber reduces the risk of developing colorectal cancer."
E) "Taking aspirin and a multivitamin each day reduces the risk of colorectal cancer."

Correct Answer

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