ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 22 Questions
Question 1 of 5
A client has dry, itchy skin after cancer treatment. Which actions can the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
Correct Answer: A,C
Rationale: The nurse can delegate applying unscented moisturizer and using mild soap for bathing. Steroid creams are not used for this condition. Hot water will worsen the irritation. Client teaching is a nursing function.
Question 2 of 5
A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer the client's chemotherapy medications. What action by the nurse is most appropriate?
Correct Answer: D
Rationale: During the administration of oral chemotherapy agents, nurses must take the same precautions that are used when administering IV chemotherapy. This includes using personal protective equipment. These medications cannot be crushed, split, or chewed. Giving one at a time is not needed.
Question 3 of 5
A client has a low hemoglobin level. Which medication does the nurse prepare to administer?
Correct Answer: A
Rationale: The client's hemoglobin is low, so the nurse should prepare to administer epoetin alfa, a colony-stimulating factor that increases production of red blood cells. Filgrastim is for neutropenia. Mesna is used to decrease bladder toxicity from some chemotherapeutic agents. Oprelvekin is used to increase platelet count.
Question 4 of 5
A client is receiving interleukins along with chemotherapy. What assessment by the nurse takes priority?
Correct Answer: A
Rationale: Interleukins can cause capillary leak syndrome and fluid shifting, leading to intravascular volume depletion. Although all assessments are important in caring for clients with cancer, blood pressure and other assessments of fluid status take priority.
Question 5 of 5
A client has received a dose of ondansetron (Zofran) for nausea. What action by the nurse is most important?
Correct Answer: B
Rationale: Ondansetron side effects include postural hypotension, vertigo, and bradycardia, all of which increase the client's risk for injury. The nurse should assist the client when getting out of bed. Headache and fluid retention are not side effects of this drug.