(Solution) 16-20 Multiple Choice Identify The Choice That Best Completes The Statement Or Answers The Question. A B C D 1. You Are Teaching A Nutrition Class In... | Snapessays.com

(Solution) 16-20 Multiple Choice Identify the choice that best completes the statement or answers the question. A B C D 1. You are teaching a nutrition class in...

16-20 Multiple ChoiceIdentify the choice that best completes the statement or answers the question.   A B C D  1.  You are teaching a nutrition class in the local high school. One student tells you that he has heard that certain foods can increase the incidence of cancer. You respond, “Research has shown that certain foods appear to increase the risk of cancer.” Which of the following menu selections would be the best choice for reducing the risks of cancer? a. Smoked salmon and green beans b. Pork chops and fried green tomatoes c. Baked apricot chicken and steamed broccoli d. Liver, onions, and steamed peas   A B C D  2.  While a patient is receiving intravenous doxorubicin hydrochloride, the nurse observes that there is swelling and pain at the IV site. The nurse should a. stop the administration of the drug immediately. b. notify the patient's physician. c. continue to administer but decrease the rate of infusion. d. apply a warm compress to the site.   A B C D  3.  You are orienting a new nurse to the oncology unit where you work. As you prepare to administer an antineoplastic agent to a one of your patients, what should you teach the new nurse about antineoplastic agents? a. Administer only prepackaged agents from the manufacturer b. Wash hands and arms following administration c. Use gloves and a lab coat d. Dispose of the antineoplastic wastes in the hazardous waste receptacle   A B C D  4.  The nursing instructor is teaching a class in oncology nursing to her junior nursing students. The instructor is aware that infection is a significant consideration when providing care to an oncology patient. The leading cause of death in an oncology patient is infection caused by what? a. Malnutrition b. Impaired skin integrity c. Poor hygiene d. Broken oral mucosa   A B C D  5.  The nursing instructor is discussing the care of oncology patients with her junior nursing students. The instructor presents this scenario: An oncology patient develops erythema following radiation therapy. What should the nurse instruct the patient to do? a. Apply ice to the area. b. Keep the area cleanly shaven. c. Apply petroleum ointment to the affected area. d. Avoid using soap on the area of treatment.   A B C D  6.  Adverse effects to chemotherapy are dealt with by patients and their caregivers every day. What would the nurse do to combat the most common adverse effects of chemotherapy? a. Administer an antiemetic b. Administer an antimetabolite c. Administer a tumor antibiotic d. Administer an anticoagulant   A B C D  7.  The staff educator is giving a class on oncology nursing for a group of nurses new to the unit. What is the most common mechanism of metastasis of cancer cells? a. Hematologic spread b. Lymphatic circulation c. Invasion d. Angiogenisis   A B C D  8.  You are a part of a team of nurses that is developing an educational program entitled Cancer: Its Risks and What You Can Do About It. This program is an example of what? a. Primary prevention b. Risk reduction c. Secondary prevention d. Tertiary prevention   A B C D  9.  What is a minimally invasive surgical approach that is diagnostic for cancer and has, in some instances, replaced lymph node dissections? a. Lymphadenectomy b. Needle biopsy c. Open biopsy d. Sentinel lymph node biopsy   A B C D  10.  You are caring for a patient who has just been told that her stage IV colon cancer has recurred and metastasized to the liver. The oncologist offers the patient the option of surgery to treat the progression of this disease. What type of surgery does the oncologist offer? a. Palliative b. Reconstructive c. Salvage d. Prophylactic   A B C D  11.  You are caring for a patient with an advanced stage of breast cancer. The cancer has metastasized. You enter the room and find the patient struggling to breath. You note that this patient's jugular veins are distended. What would you suspect is happening with this patient? a. Increased intracranial pressure b. Superior vena cava syndrome (SVCS) c. Spinal cord compression d. Metastatic tumor of the neck   A B C D  12.  You are caring for a patient who has been recently diagnosed with a terminal disease. This patient refuses to accept the diagnosis and refuses to comply with treatment. What is the psychosocial purpose of this strategy? a. The patient is trying to protect loved ones from the emotional effects of the illness. b. The patient is being noncompliant. c. The patient is afraid of treatment. d. The patient understands that treatment will have no benefit.   A B C D  13.  Your patient has a diagnosis of bladder cancer with metastasis. The patient asks you about hospice. Which principle applies to a hospice setting? a. Death must be accepted. b. Symptoms of terminal illness should not be treated. c. Each member of the interdisciplinary team develops an individual plan of care for the patient. d. Terminally ill patients should die in the hospital.   A B C D  14.  You are the clinic nurse doing patient teaching for palliative radiotherapy to the spine. After you complete the patient teaching, your patient continues to ask the same questions that you have already addressed. What can you conclude? a. The patient is not listening. b. The patient is noncompliant. c. The patient may have a low IQ. d. Learning has not occurred.   A B C D  15.  You are part of the health care team at an oncology center. Your patient has been diagnosed with leukemia and the prognosis is poor. The patient is unaware of the prognosis. How can the bad news best be conveyed to the patient? a. Family should be given the prognosis first. b. The prognosis should be delivered with the patient at eye level. c. The physician should deliver the news to the patient alone. d. The appointment should be scheduled at the end of the day.   A B C D  16.  One aspect of assessment when caring for the terminally ill is the assessment of hope. The nurse is assessing a patient with liver failure for the presence of hope. What is a hope-fostering category? a. Uplifting memories b. Ignoring negative outcomes c. Envisioning one outcome d. Avoiding an actual or potential threat   A B C D  17.  You are providing end-of-life care for a patient with metastatic bone cancer. You note that your patient has been receiving analgesic for her pain and is now having difficulty swallowing the medication. What should you do? a. Request the physician to order sublingual medication. b. Crush the medication. c. Administer the patient's medication with the meal tray. d. Administer the medication rectally.   A B C D  18.  A patient is in a hospice receiving palliative care for lung cancer. The cancer has metastasized to the liver and bones. The patient is experiencing dyspnea. What might the nurse do to help to relive the dyspnea the patient is experiencing? a. A fluid bolus b. High-flow oxygen to treat low oxygen saturation c. High doses of opioids d. Administer corticosteroids as ordered   A B C D  19.  The nurse is caring for a patient who has terminal lung cancer and is unconscious. Which assessment would indicate to the nurse that the patient's death is imminent? a. Mottling of the lower limbs b. Slow steady pulse c. Shallow breathing d. Increased swallowing   A B C D  20.  Your patient is a 42-year-old mother of two children with a diagnosis of ovarian cancer. She has just been told that her ovarian cancer is terminal. She begins to express her rage at God and the clergy. When you admitted this patient, you did a spiritual assessment. What would it have been very important for you to assess? a. Is she able to tell her family of negative test results? b. Does she have a sense of peace of mind and a purpose to her life? c. Can she let go of her husband so he can make a new life? d. Does she need time and space to bargain with God for a cure?   A B C D  21.  In the United States, what belief is the hospice movement based on? a. Meaningful living during terminal illness requires technologic interventions. b. Meaningful living during terminal illness is best supported in designated facilities. c. Meaningful living during terminal illness is best supported in the home. d. Meaningful living during terminal illness is meant to prolong physiologic dying.   A B C D  22.  You are the nurse caring for an 87-year-old Mexican-American female patient who is in end-stage renal disease. The physician has just been in to see the patient and her family to tell them that nothing more can be done for the patient and that death is not far off. The physician offers to discharge the patient home to hospice care. The patient and family refuse. After the physician leaves, the patient's daughter approaches you and asks what hospice care is. What would this lack of knowledge about hospice care be perceived as? a. Lack of an American education of the patient and her family b. A language barrier to hospice care for this patient c. A barrier to hospice care for this patient d. Inability to grasp American concepts of health care   A B C D  23.  Patients who are enrolled in hospice care through Medicare are often felt to suffer unnecessarily because they do not receive adequate attention for their symptoms of the underlying illness. Why is this? a. Unwillingness to overmedicate the dying patient b. Medicare rules concerning completion of all cure-focused medical treatment c. Unwillingness of patients and families to acknowledge the patient is terminal d. Lack of knowledge of patients and families regarding availability of care   A B C D  24.  Many people find the referral to a grief support group both comforting and beneficial after the death of a loved one. What is the most important accomplishment available by attending a grief support group? a. Providing a framework for incorporating the old life into the new life b. Normalizing adaptation to a continuation of the old life c. Aiding in adjusting to using old, familiar social skills d. The normalization of feelings and experiences   A B C D  25.  The ANA Position Statement on Assisted Suicide clearly states that nursing participation in assisted suicide is a violation of the Code for Nurses. What does the Position Statement further stress? a. Contributing to the creation of environments for care that honor the patient's desire to die b. Identifying patient and family concerns and fears c. Identifying resources that meet the patient's desire to die d. Supporting effective means to honor the patient's desire to die   A B C D  26.  You are a hospice nurse caring for a 22-year-old with a diagnosis of leukemia. What would be included in the care you give this patient? a. Quantity of life b. Financial advice for paying for care c. Realistic emotional preparation for death d. Suggestions to maximize family social interactions after the patient's death   A B C D  27.  You are a pediatric ICU nurse at a metropolitan children's hospital. What is one thing you can do to support families and other caregivers when a death has occurred? a. Take time off from work to mourn the death b. Get together with friends and go out on the town c. Talk with your spiritual advisor d. Attend memorial services   A B C D  28.  You are caring for a hospice patient who is scheduled for a surgical procedure to reduce the size of the tumor in an effort to relieve pain. How would this hospice patient's surgical procedure be classified? a. Diagnostic b. Laparoscopic c. Curative d. Palliative   A B C D  29.  You are caring for a preoperative patient. You have given the patient a preoperative narcotic and the patient is now requesting to void. What action should you take? a. Assist the patient to the bathroom. b. Offer the patient a bedpan. c. Wait until the patient gets to the operating room and is catheterized. d. Have the patient go to the bathroom.   A B C D  30.  You are the nurse caring for a patient who is admitted to the emergency room with the diagnosis of acute appendicitis. You note during the assessment that the patient's ribs and xiphoid process are prominent. The patient states she exercises daily. The patient's mother indicates she is being treated for anorexia nervosa. What should you do? a. Inform the postoperative nurse of the patient's risk for wound dehiscence. b. Evaluate the patient's ability to manage her pain level. c. Inform the surgical team and determine her electrolyte levels. d. Instruct the patient on the need for proper nutrition to promote healing.   A B C D  31.  You are doing preoperative patient education with a patient who is a known smoker. What would be the best instruction to give to this patient? a. Reduce smoking to prevent the development of pneumonia. b. Stop smoking at least 6 weeks before the scheduled surgery to enhance pulmonary function and decrease infection. c. Stop smoking at least 24 hours prior to surgery to promote pulmonary function. d. Stop smoking 4 to 8 weeks before the scheduled surgery to enhance pulmonary function and decrease infection.   A B C D  32.  You are doing preoperative teaching with a patient scheduled for surgery in 1 month. During the preoperative teaching, the patient gives you a list of medications she takes, the dosage, and frequency. Which of the following interventions provides the patient with the most accurate information? a. Instruct the patient to stop taking St. John's wort at least 2 weeks prior to surgery due to its interaction with anesthetic agents. b. Instruct the patient to continue taking ephedrine prior to surgery due to its effect on blood pressure. c. Instruct the patient to discontinue synthroid due to its effect on blood coagulation and potential heart dysrrythmias. d. Instruct the patient to continue any herbal supplements, and inform the patient that they have no effect on the surgical procedure.   A B C D  33.  You are the nurse working in the preoperative holding area. Your patient has just received a preanesthetic medication. What should you instruct the patient to do? a. Use the call light to summon the nurse for assistance. b. Leave the bedpan at the bedside. c. Have a bedside commode available for the patient. d. Instruct the patient on catheterization.   A B C D  34.  You are obtaining informed consent for a 16-year-old woman who is married and expecting her first child. She is scheduled for a cesarean section. She is still living with her parents and is on her parents' health insurance. When obtaining informed consent for the cesarean section, who is legally responsible for signing the operative permit? a. Her parents b. Her husband c. The patient d. The obstetrician   A B C D  35.  One of the things taught to a patient during preoperative teaching is to have nothing by mouth for 8 hours before surgery. The patient asks the nurse why this is important. What is the most appropriate response for the patient? a. “You will need to have food and fluid restricted for 8 hours before surgery so you are not at risk for aspiration.” b. “The restriction of food or fluid will present the development of pneumonia related to decreased lung capacity.” c. “The presence of food in the stomach interferes with the absorption of anesthetic agents.” d. “By withholding food for 8 hours before surgery, you will not develop constipation in the postoperative period.”   A B C D  36.  When does the postoperative phase of perioperative nursing end? a. When the patient is returned to her room after surgery b. When a follow-up evaluation in the clinical setting or home setting is done c. When the patient is discharged home d. When the family becomes responsible for the patient's care   A B C D  37.  You are performing a preoperative assessment on a 37-year-old male patient who is having surgery in 1 week for a knee injury. You know that it is important to assess this patient's immune function. What is one thing you would be assessing for? a. Huntington disease b. Allergies c. Disabilities d. Muscular dystrophy   A B C D  38.  You are the nurse caring for a 78-year-old female patient who is scheduled for surgery for the removal of a brain tumor. The patient is very apprehensive and keeps asking when she will get her preoperative medicine. The medicine is ordered to be given “on call to OR.” When would be the best time to give this medication? a. After being notified by the OR and after making sure the consent and preoperative checklist are complete b. As the patient is transferred to the OR bed c. When the preoperative staff arrives on the floor to take the patient to surgery d. After being notified by the OR and before attending to other details of the preoperative preparation   A B C D  39.  You are caring for an 88-year-old female who is scheduled for a right mastectomy. You know that elderly patients are more anxious prior to surgery than younger patients. What would you increase with this patient to decrease her anxiety? a. Teaching on guided imagery b. Therapeutic touch c. Preoperative medication d. Sleeping medication the night before surgery   A B C D  40.  The anesthetist is coming to the unit to see a patient prior to surgery that is scheduled for tomorrow morning. What information, obtained during the admission assessment, should be given to the anesthetist during the visit? a. Last bowel movement b. Latex allergy c. Number of pregnancies d. Difficulty falling asleep   A B C D  41.  Surgical asepsis is a requirement in the restricted zone of the operating suite. What personal protective equipment should the nurse wear at all times in the restricted zone of the operating room?


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