Practice Question
The nurse is caring for a 9-year-old undergoing chemotherapy to treat leukemia. Select the priority nursing goal for the child's plan of care.
Answer Choices:
Correct Answer:
Utilize approaches to minimize risk of infection and bleeding episodes.
Rationale:
💠 Chemotherapy suppresses bone marrow, increasing infection and bleeding risks.
💠 Leukemia compromises white blood cell and platelet production, leading to neutropenia and thrombocytopenia.
💠 Priority care involves neutropenic precautions, hand hygiene, and fall prevention.
💠 Nutritional and developmental needs are important but secondary to survival.
💠 Protection from infection directly reduces morbidity and mortality in pediatric oncology.
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This question is from Massbay Community College Med Surg exam 2 which contains 44 questions.
More Questions from This Exam
Which early symptoms in a focused assessment by the nurse may indicate the presence of a brain tumor?
Answer Choices:
A. Sudden unconsciousness, unresponsiveness, and apnea.
B. Increased temperature, blood pressure, heart rate, and respirations.
C. Changes in vision and personality, and headache upon awakening.
D. Fever, increased white blood cell count, and decreased appetite.
The nurse is evaluating the cranial nerves of a person with Parkinson disease who has difficulty swallowing foods. The nurse asks the patient to stick out their tongue and move it rapidly from side to side. The nurse is assessing which cranial nerve?
Answer Choices:
A. Hypoglossal - Cranial Nerve XII
B. Trigeminal - Cranial Nerve V
C. Facial - Cranial Nerve VII
D. Vestibulocochlear - Cranial Nerve VIII
The nurse assesses a patient who potentially may have meningitis. The patient demonstrates a positive Brudzinski's sign with which changes in position.
Answer Choices:
A. Flexion of the hip causes resistance to extension of the leg.
B. Flexion of the neck causes flexion of the hips and knees.
C. Flexion of the ankle causes upward fanning of the toes.
D. Flexion of the neck causes pain and spasm in the leg muscles.
The nurse is educating the family about anticipated changes during the late stages of amyotrophic lateral sclerosis (ALS) for their father. What teaching point is most important for the nurse to include?
Answer Choices:
A. The person's cognitive and mental capacity will most likely remain intact throughout the disease progression.
B. The person's ability to swallow will remain intact throughout the disease.
C. The person's risk for seizures increases with progression of the disease.
D. The person's breathing will not be affected by the disease.
The nurse is caring for a patient with anemia. Their medical history includes diabetes mellitus Type 1, hypertension, chronic kidney disease, and peripheral vascular disease. Which condition most likely contributes to their anemia?
Answer Choices:
A. Diabetes mellitus Type 1
B. Peripheral vascular disease
C. chronic kidney disease
D. Hypertension
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4
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