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Saturday, December 15, 2018

'Nursing MedSurg Lewis\r'

'The suck is caring for a longanimous suffering from anorexia alternative to chemotherapy. Which strategy would be most appropriate for the defend to procedure to increase the forbearings nutritional intake? A. deal out three large meals per day plus snacks amidst each meal. B. Add tips such as skimmed milk powder, cheese, honey, or peanut butter to selected foods. C. amplification intake of liquids at meal m to stimulate the appetite. D. Avoid the use of liquid protein supplements to encourage eating at mealtime. 2. The long-suffering Is receiving an IV visitant chemotherapy drug. The shelter notices swelling and bolshie at the site.What should the treasure do first? A. wish the ordering health cargon provider. B. Ask the tolerant If the site hurts. C. Administer sterile saline to the blushful argona. D. Turn off the chemotherapy extract. 3. The female forbearing is having total brain radiation for brain metastasis. She is concerned intimately how she testame nt get a line when she loses her hair. What is the best response by the nurse to this tolerant? A. â€Å"When your hair grows back it provide be patchy. ” â€Å"You should contact â€Å"Look Good, Feel erupt” to figure out what to do about this. ” B. â€Å"You peck get a wig now to chalk up your hair so you give not look different. D. C. Dont use your curling iron and that will decompress down the loss. ” 4. The patient has been analysed with non-small cadre lung crabmeat. Which type of targeted therapy will most likely be used for this patient to suppress cell proliferation and promote programmed tumour cell death? A. BCC-ABLE tyrosine kinas inhibitors B. Protease inhibitors C. Epidermal growth factor in receptor-tyrosine kinas inhibitors. CD monoclonal antibodies (Mob) 5. A 33-year-old patient has tardily been diagnosed with comprise II cervical malignant neoplastic disease. What should the nurse transform about the patients cancer? A. It has diastase. B. It Is In situ. C.It has afford locally. D. It has spread extensively. 6. The patient was told that he would shake up Interpersonal chemotherapy. He asks the nurse when the IV will be started for the chemotherapy. What should the nurse teach the patient about this type of chemotherapy language? A. A Classic catheter will be laughably placed into the peritoneal cavity for chemotherapy administration. B. It is delivered via an Mayo beginning and extension 3 hours. D. The arteries supplying the tumor ar accessed with surgical placement of a catheter connected to an infusion pump. . The patient is being treated with peripherally for cervical cancer.What factors must the nurse be aware of to protect herself when caring for this patient? A. The time the nurse spends at what distance from the patient B. The nutritional supplements that will serving the patient C. The medications the patient is taking D. How much time is needed to provide the patients trade 8. The patient and his family are upset that the patient is going through procedures to diagnose cancer. What nursing actions should the nurse use first to relieve their coping with this situation (select all that apply)? A. Give them antiquity medications. B. Maintain hope. C. Exhibit a caring attitude. D.Be unattached to listen to fears and concerns. E. Teach them about all the types of cancer that could be diagnosed. F. Plan realistic long-term goals. 9. The research laboratory reports that the cells from the patients tumor biopsy are Grade II. What should the nurse bonk about this histologist grading? A. Cells are abnormal and jolly differentiated. B. Cells are very abnormal and poorly differentiated. C. Cells are immature, primitive, and undifferentiated. D. Cells differ slightly from normal cells and are well-differentiated. 10. front administrations of chemotherapy agents to a cancer patient have resulted in diarrhea.Which dietary modification should the nurse recommend? A. A diet emphasizing whole and organic foods B. A bland, low-fiber diet C. A diet high in fresh fruits and vegetables D. A high-protein, high-calorie diet 1 1 . When caring for the patient with cancer, what does the nurse understand as the response of the immune system to antigens of the malignant cells? A. tumor misdiagnoses B. Immunologic surveillance C. Immunologic escape D. Metastasis 12. The patient with breast cancer is having telegraphy radiation discourses subsequently ere surgery. What should the nurse teach the patient about the vex of her skin? A.Avoid heat and cold to the treatment area. B. odourise lotion can be used on the area. D. Wear the new bra to comfort and foul the area. 13. Which cellular dysfunction in the process of cancer development allows defective cell proliferation? A. Cell eminence B. Activation of nosecones C. Proto-nosecones D. Dynamic equilibrium 14. The patient is receiving biological and targeted therapy for ovarian cancer. What medication shoul d the nurse expect to propagate before therapy to combat the most common positioning effects of these medications? A. Acetaminophen (Ethylene) B. Anderson (Saffron) C. Ibuprofen (David) D.Morphine sulfate 15. The nurse is caring for a patient receiving an initial window pane of chemotherapy to treat a rapidly growing metastasis colon cancer. The nurse is aware that this patient is at lay on the line for tumor lists syndrome (TLS) and will monitor the patient near for which abnormality associated with this oncology emergency? A. hypoglycaemia B. Hypoglycemia C. Hypothermias D. Hypoglycemia 16. Which nursing diagnosis is most appropriate for a patient experiencing multiprocessing secondhand to chemotherapy for cancer treatment? A. Hypothermia B. Acute pain C. Powerlessness D. Risk for contagious disease 17.The patient has stomachache of the right leg. The unlicensed assisting violence (ASAP) reports that the patients vital signs are normal, but the patient says he still has p ain in his leg and it is acquire worse. What assessment question should the nurse ask the patient to determine treatment measures for this patients pain? A. â€Å"Where is the pain? ” B. â€Å"Do you use medications to relieve the pain? ” C. â€Å"Is the pain acquire worse? ” D. â€Å"What does the pain feel like? ” 18. Which item would be most beneficial when providing oral care to a patient with atheistic cancer who is at risk for oral tissue injury secondary to chemotherapy?A. Hydrogen peroxide rinse B. Alcohol-based mouthwash C. Firm-bristle soup-strainer 19. What can the nurse do to facilitate cancer prevention for the patient in the promotion stage of cancer development? A. Teach the patient to execute daily. B. Teach the patient promoting factors to avoid. C. Tell the patient to have the cancer surgically removed now. D. Teach the patient which vitamins will improve the immune system. 20. The patient is told that the adenoma tumor is not encapsu lated but has normally fractionated cells and that surgery will be needed.\r\n'

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