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A client, age 28, was recently diagnosed with Hodgkin’s disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP— nitrogen mustard, vincristine (Onconvin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?

A.

cushingoid appearance

B.

alopecia

C.

temporary or permanent sterility

D.

pathologic fractures

A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?

A.

Open the airway.

B.

Administer oxygen.

C.

Suction the client.

D.

Check for breathing.

Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:

A.

iron, folic acid, and B12.

B.

an increase of protein in the diet.

C.

vitamins A and C.

D.

an increase of calcium in the diet.

The goals of palliative care include all of the following except:

A.

giving clients with life-threatening illnesses the best quality of life possible.

B.

taking care of the whole person—body, mind, spirit, heart, and soul.

C.

no interventions are needed because the client is near death.

D.

support of needs of the family and client.

Which is the proper hand position for performing chest vibration?

A.

cup the hands

B.

use the side of the hands

C.

flatten the hands

D.

spread the fingers of both hands

A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:

A.

plantar fasciitis.

B.

hallux valgus.

C.

hammertoe.

D.

Morton’s neuroma.

To remove hard contact lenses from an unresponsive client, the nurse should:

A.

gently irrigate the eye with an irrigating solution from the inner canthus outward.

B.

grasp the lens with a gentle pinching motion.

C.

don sterile gloves before attempting the procedure.

D.

ensure that the lens is centered on the cornea before gently manipulating the lids to release the lens.

Which of the following nursing diagnoses might be appropriate as Parkinson’s disease progresses and complications develop?

A.

Impaired Physical Mobility

B.

Dysreflexia

C.

Hypothermia

D.

Impaired Dentition

A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:

A.

the client’s body has developed tolerance, requiring more drug to produce the same effect.

B.

the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.

C.

addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.

D.

the client has a dual diagnosis of substance abuse and chronic back pain.

All of the following factors, when identified in the history of a family, are correlated with poverty except:

A.

high infant mortality rate.

B.

frequent use of Emergency Departments.

C.

consultation with folk healers.

D.

low incidence of dental problems.

When helping a client gain insight into anxiety, the nurse should:

A.

help relate anxiety to specific behaviors.

B.

ask the client to describe events that precede increased anxiety.

C.

instruct the client to practice relaxation techniques.

D.

confront the client’s resistive behavior.

Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:

A.

notify the physician of the drainage.

B.

change the dressing.

C.

reinforce the dressing.

D.

apply an abdominal binder.

In teaching clients with Buck’s Traction, the major areas of importance should be:

A.

nutrition, ROM exercises.

B.

ROM exercises, transportation.

C.

nutrition, elimination, comfort, safety.

D.

elimination, safety, isotonic exercises.

Assessment of the client with an arteriovenous fistula for hemodialysis should include:

A.

inspection for visible pulsation.

B.

palpation of thrill.

C.

percussion for dullness.

D.

auscultation of blood pressure.

Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?

A.

broiled catfish

B.

hamburgers

C.

wheat bread

D.

fresh apples