ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
For a client with polycythemia vera, how can the nurse help decrease the risk for thrombus formation?
Correct Answer: B
Rationale: For a client with polycythemia vera, there is an increased risk for thrombus formation due to the increased viscosity of the blood. Wearing thromboembolic stockings or support hose can help promote circulation, prevent stasis, and reduce the risk of thrombus formation. Compression stockings provide external pressure to the legs, which helps prevent blood from pooling and clotting. This intervention is commonly recommended for patients at risk for thrombus formation to improve blood flow in the lower extremities and reduce the risk of deep vein thrombosis (DVT) and pulmonary embolism.
Question 2 of 5
What is the most important postoperative instruction the nurse must give a client who has just returned from the operating room after receiving a subarachnoid block?
Correct Answer: D
Rationale: After receiving a subarachnoid block, the client may experience a sudden drop in blood pressure that can lead to complications such as dizziness or fainting upon standing. Therefore, it is crucial for the client to remain in a supine position for the duration specified by the physician to allow for proper monitoring and management of any potential postoperative complications. This instruction helps prevent the occurrence of hypotension and other adverse effects by allowing adequate time for the block to wear off and for the body to adjust to changes in blood pressure. It also ensures the safety and well-being of the client during the immediate postoperative period.
Question 3 of 5
The nurse is teaching a group of women to perform breast self-examination. The nurse should explain that the purpose of performing the examination is to discover:
Correct Answer: A
Rationale: The primary purpose of performing breast self-examination is to detect any abnormal changes in the breast tissue, including the presence of cancerous lumps. By regularly examining their breasts, women can become familiar with the normal look and feel of their breasts, making it easier to identify any new lumps or other changes that may indicate a potential problem, such as breast cancer. Detecting cancerous lumps early through self-examination can lead to early detection and improved treatment outcomes. It is important for women to perform breast self-examinations regularly and report any concerning findings to their healthcare provider for further evaluation.
Question 4 of 5
A client is receiving the cell cycle-nonspecific alkylating agent thiotepa (thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of a chemotherapeutic regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its therapeutic effects?
Correct Answer: C
Rationale: Thiotepa is a cell cycle-nonspecific alkylating agent that exerts its therapeutic effects by interfering with both DNA replication and RNA transcription. The alkylating properties of thiotepa lead to the cross-linking of DNA strands, ultimately inhibiting DNA replication. Additionally, thiotepa can also disrupt RNA synthesis, further affecting protein production and cell function. This combined action on DNA replication and RNA transcription contributes to the cytotoxic effects of thiotepa on rapidly dividing cancer cells.
Question 5 of 5
A client with uterine cancer asks the nurse, "Which is the most common type of cancer in women?" The nurse replies that it's breast cancer. Which type of cancer causes the most deaths in women?
Correct Answer: B
Rationale: Lung cancer causes the most deaths in women. Despite breast cancer being the most common type of cancer in women, lung cancer is responsible for the highest number of deaths among women due to factors such as smoking, secondhand smoke exposure, and other environmental factors. It is crucial for women to be aware of the risks associated with lung cancer, even if they are non-smokers, and to take steps to reduce their risk factors through lifestyle changes and early detection methods.