The nurse is talking with a client who has breast cancer and is receiving tamoxifen. Which of the following statements by the client would require immediate follow-up?

I have noticed that my menses are heavy.

I have been experiencing frequent hot flashes.

I have been experiencing vaginal dryness.

I have had a decreased interest in sexual intercourse.

The home health nurse is teaching a client who underwent a right mastectomy with lymph node removal. The client is experiencing lymphedema in the affected arm. Which of the following information should the nurse include? Select all that apply.

Avoid receiving injections in your right arm.

Keep your right arm elevated at the level of your heart as much as possible.

Perform isometric exercises with your right arm daily.

Wear a compression sleeve on your right arm during the day.

Apply a heating pad to your right arm for 15 minutes several times a day.

A nurse is caring for a client 1 day after a left-sided mastectomy with lymph node dissection. Which nursing intervention is the priority in caring for this client?

Elevate the affected arm on a pillow

Apply an ice pack to the left shoulder

Help the client ambulate frequently

Obtain a pneumatic compression sleeve

The nurse is caring for a client with polycythemia vera. Which of the following actions should the nurse take? Select all that apply.

Encourage the client to increase the intake of fluids.

Administer low-dose aspirin to the client as prescribed.

Teach the client to elevate the legs while sitting.

Prepare the client for phlebotomy.

Request a prescription for an iron supplement for the client.

The nurse is talking with the parent of a 5-year-old client about managing recurrent nosebleeds at home. Which of the following statements would be appropriate for the nurse to make? Select all that apply.

Apply direct pressure by pinching your child's nostrils together for 5-15 minutes.

Provide reassurance to keep your child calm and quiet.

Place a cold cloth over the bridge of your child's nose.

Take your child to the emergency department as soon as possible.

Tell your child to lie down and turn your child on the left side.

The nurse is assessing a client with acute myeloid leukemia. Which of the following findings would the nurse expect to obtain?

petechiae and a decreased RBC count

night sweats and swollen lymph nodes

pathological fractures and an elevated serum calcium level

The nurse is caring for a 50-year-old client in the clinic. The client's annual physical examination revealed a hemoglobin value of 10 g/dL (100 g/L) compared to 13 g/dL (130 g/L) a year ago. What should be the nurse's initial action?

Facilitate a screening colonoscopy

Encourage intake of over-the-counter iron pills

Encourage intake of red meat and egg yolks

Facilitate another blood test in 6 months

The nurse is caring for a client with breast cancer who has a new prescription for tamoxifen. Which of the following information in the client's medical record would indicate a contraindication for tamoxifen?

hospitalization with deep venous thrombosis 1 year ago

allergies to shellfish and peanuts

quit smoking cigarettes 5 years ago

previous treatment for depression following the death of a parent

The nurse teaches a client diagnosed with iron deficiency anemia about iron-rich foods. Which meal selection by the client indicates the teaching has been effective?

Kale salad with boiled eggs and dried fruit, a brownie, and orange juice

Chicken salad with lettuce on French bread, chocolate pudding, and milk

Fat-free yogurt, carrot sticks, apple slices, and diet soda

Ham, steamed carrots, green beans, gelatin dessert, and iced tea

The nurse is assessing a client with suspected Hodgkin lymphoma. Which of the following statements by the client would support a diagnosis of Hodgkin lymphoma? Select all that apply.

I have had a recurring fever for the past month.

I have had a painless lump in my underarm for the past several weeks.

Sometimes I sweat so much while sleeping that I need to change my bed sheets.

My diet and exercise regimen have not changed, but my weight has decreased in the past month.

I noticed a large, brown and black-colored mole on my back that was not there a few months ago.

The nurse is screening clients for those at risk for developing endometrial cancer. Which of the following clients is at highest risk for developing endometrial cancer?

51-year-old client who has polycystic ovary syndrome and is obese

42-year-old client who has been taking a progestin-containing oral contraceptive for 10 years

45-year-old client who has a history of one ectopic pregnancy and two births

54-year-old client who has a history of hysterectomy for uterine fibroids

The nurse is reviewing medical histories with several clients during a community health screening event. Which of the following client statements indicate a risk factor for cervical cancer? Select all that apply.

I have had four sexual partners during my lifetime.

I have smoked cigarettes for many years.

I received treatment for chlamydia when I was younger.

I tested positive for human papillomavirus a few years ago.

I never used birth control pills because my partners wore condoms.

A client diagnosed with head and neck cancer has developed mouth sores related to external radiation therapy. Which of the following oral hygiene practices does the nurse include while educating the client about the condition? Select all that apply.

Apply a water-soluble lubricating agent to moisturize mouth tissues

Brush teeth with a soft-bristle toothbrush

Cleanse the mouth with saline after meals and at bedtime

Do not drink hot liquids or eat foods that are spicy or acidic

Remove dentures between meals and soak with cleaning solution

The nurse is preparing to admit a client with endometrial cancer to the oncology unit for brachytherapy via a sealed cervical implant. Which of the following interventions are appropriate to include in the plan of care for this client? Select all that apply.

Assign the client to a lead-lined room and ensure availability of lead shields

Cluster care to limit the amount of time in the client's room

Ensure all staff caring for the client are wearing their own dosimeter badge

Instruct the client to be careful not to dislodge the implant when repositioning

Teach visitors to stay at least 6 ft (1.8 m) away from the client

The nurse is caring for assigned clients. The nurse should recognize the client at highest risk for developing pulmonary embolism is the client who

had a cesarean birth 6 hours ago

is receiving hormone replacement therapy

NCLEX - HEMATOLOGY Day2

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23 questions

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MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse is reviewing new prescriptions for a client who has tumor lysis syndrome. The nurse should clarify the prescription for

IV furosemide

IV 0.9% sodium chloride

PO sevelamer

PO spironolactone

MULTIPLE SELECT QUESTION

1 min • 1 pt

A client with throat cancer receives radiation therapy to the head and neck. Which of the following strategies are appropriate to decrease the adverse effects associated with radiation therapy? Select all that apply.

Avoid irritants such as acidic, spicy foods

Discourage the use of topical analgesics

Encourage liquid nutritional supplements

Perform oral hygiene once per day

Use artificial saliva to control dryness

MULTIPLE SELECT QUESTION

1 min • 1 pt

A nurse is screening clients at a community health event. Which of the following client statements should the nurse recognize as a warning sign of cancer? Select all that apply.

For the past few years, I get a productive cough in the winter that goes away in spring.

I occasionally have heartburn an hour after I eat fried foods and sausage.

Last month when I was doing my breast self-examination, I noticed a marble-sized lump.

My mole is itchy, and the borders have become uneven with a blackish to bluish color.

Recently I have noticed that my bowel movements appear black.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse is caring for a 3-year-old client with Wilms tumor who is scheduled for a nephrectomy. Which of the following actions would be a priority for the nurse to take?

Monitor the client's blood pressure

Assess the client's emotional maturity level

Instruct the parents to avoid palpating the client's abdomen

Auscultate the client's lungs for adventitious breath sounds

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse has attended a staff education program about various types of diets. The nurse recognizes that which diet would place a client at the highest risk for megaloblastic anemia?

lactoovovegetarian

lactovegetarian

ovovegetarian

vegan

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A student nurse is caring for a client with iron deficiency anemia who is newly prescribed ferrous sulfate. Which action by the student nurse requires the supervising nurse to intervene?

Encourages the client to drink extra fluids while taking ferrous sulfate

Offers the client orange juice for administration of ferrous sulfate

Plans to administer ferrous sulfate one hour before breakfast

Prepares to administer a prescribed calcium supplement with ferrous sulfate

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse provides care for a client diagnosed with polycythemia vera. Which statement by the client would require immediate follow-up?

I am trying to find makeup to cover my unattractive, ruddy facial complexion.

I must have injured my leg in some way because it is sore, swollen, and red.

I take low-dose aspirin to relieve my occasional headaches.

My skin itches so severely, and no lotion or cream seems to help.

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