Question 1

A patient at the clinic who has metastatic breast cancer has a new prescription for trastuzumab (Herceptin). The nurse will plan to

Accepted Answer

A)  have the patient schedule frequent eye examinations. 
B)  instruct the patient to call if she notices ankle swelling. 
C)  remind the patient that hot flashes may occur with the medication. 
D)  teach the patient about the need to monitor serum electrolyte levels. 
A)  have the patient schedule frequent eye examinations. 
B)  instruct the patient to call if she notices ankle swelling. 
C)  remind the patient that hot flashes may occur with the medication. 
D)  teach the patient about the need to monitor serum electrolyte levels.

Question 2

When the nurse is caring for a patient with breast cancer who is receiving chemotherapy with doxorubicin (Adriamycin) and cyclophosphamide (Cytoxan), which assessment finding is most important to communicate to the health care provider?

Accepted Answer

A)  The patient's apical pulse is irregular. 
B)  The patient has complaints of fatigue. 
C)  The patient eats only 15% of food on meal tray. 
D)  The patient's white blood cell ( WBC ) count is 5000/mm3. 
A)  The patient's apical pulse is irregular. 
B)  The patient has complaints of fatigue. 
C)  The patient eats only 15% of food on meal tray. 
D)  The patient's white blood cell ( WBC ) count is 5000/mm3.

Question 3

When the nurse is working in the women's health care clinic, which of these actions is appropriate to take?

Accepted Answer

A)  Educate a healthy 36-year-old about the need for an annual mammogram. 
B)  Discuss the need for a clinical breast examination every year with a 22-year-old. 
C)  Talk about magnetic resonance imaging (MRI) with a 26-year-old with a BRCA-1 mutation. 
D)  Teach an active 70-year-old that mammography frequency can be reduced to every 3 years. 
A)  Educate a healthy 36-year-old about the need for an annual mammogram. 
B)  Discuss the need for a clinical breast examination every year with a 22-year-old. 
C)  Talk about magnetic resonance imaging (MRI) with a 26-year-old with a BRCA-1 mutation. 
D)  Teach an active 70-year-old that mammography frequency can be reduced to every 3 years.

Question 4

Which of the following nursing interventions for the patient who has had right-sided breast-conservation surgery and an axillary lymph node dissection is appropriate to delegate to an LPN/LVN?

Accepted Answer

A)  Teaching the patient how to avoid injury to the right arm 
B)  Assessing the patient's range of motion for the right arm 
C)  Administering an analgesic 30 minutes before the scheduled arm exercises 
D)  Evaluating the patient's understanding of discharge instructions about drain care 
A)  Teaching the patient how to avoid injury to the right arm 
B)  Assessing the patient's range of motion for the right arm 
C)  Administering an analgesic 30 minutes before the scheduled arm exercises 
D)  Evaluating the patient's understanding of discharge instructions about drain care

Question 5

A patient has a saline breast implant inserted in the outpatient surgery area. Which instruction will the nurse include in the discharge teaching?

Accepted Answer

A)  Take aspirin every 4 hours to reduce inflammation. 
B)  Check wound drains for excessive blood or any foul odor. 
C)  Wear a loose-fitting bra to decrease irritation of the sutures. 
D)  Resume normal activities 2 to 3 days after the mammoplasty. 
A)  Take aspirin every 4 hours to reduce inflammation. 
B)  Check wound drains for excessive blood or any foul odor. 
C)  Wear a loose-fitting bra to decrease irritation of the sutures. 
D)  Resume normal activities 2 to 3 days after the mammoplasty.

Exam 52: Nursing Management: Breast Disorders

A patient at the clinic who has metastatic breast cancer has a new prescription for trastuzumab (Herceptin). The nurse will plan to

When the nurse is caring for a patient with breast cancer who is receiving chemotherapy with doxorubicin (Adriamycin) and cyclophosphamide (Cytoxan), which assessment finding is most important to communicate to the health care provider?

When the nurse is working in the women's health care clinic, which of these actions is appropriate to take?

Which of the following nursing interventions for the patient who has had right-sided breast-conservation surgery and an axillary lymph node dissection is appropriate to delegate to an LPN/LVN?

A patient has a saline breast implant inserted in the outpatient surgery area. Which instruction will the nurse include in the discharge teaching?

Contemporary Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Community-Based Nursing and Home Care

Complementary and Alternative Therapies

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Addictive Behaviors

Inflammation and Wound Healing

Genetics, Altered Immune Responses, and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, Electrolyte, and Acid-Base Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Hematologic System

Nursing Management: Hematologic Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Dysrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver, Pancreas, and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urologic Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Sexually Transmitted Diseases

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: Stroke

Nursing Management: Chronic Neurologic Problems

Nursing Management: Alzheimers Disease, Dementia, and Delirium

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care

Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency, Terrorism, and Disaster Nursing

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