Questions 49

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ATI nur 242 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is teaching a client who has stage IV pancreatic cancer about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Correct Answer: B

Rationale: DIC involves abnormal coagulation with fibrinogen , causing clotting and bleeding. Heparin is not a lifelong solution. DIC is acquired, not genetic . Platelet counts decrease, not increase .

Extract:

History and Physical
Vital signs
Nurse’s Notes
Diagnostic Results
The client is a 60-year-old female diagnosed with Stage III breast cancer and undergoing chemotherapy with docetaxel. She has a history of hypertension and no known drug allergies. The client presents with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue. Her last chemotherapy session was 10 days ago, and she has been feeling increasingly fatigued in the last week.
A nurse is caring for a 60-year-old female client in the oncology unit who is currently receiving chemotherapy for breast cancer. The client presents with a recent onset of symptoms, and the nurse must evaluate the best actions to take based on the exhibits provided.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: B,C,D

Rationale: Private room and mask protect against infection in immunosuppression. Fluid intake manages symptoms. Contact precautions are unnecessary. Antibiotics need provider orders.

Extract:


Question 3 of 5

A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client?

Correct Answer: C

Rationale: Low WBC count indicates increased infection risk . Bleeding risk relates to platelets. Erythropoiesis agents treat anemia, not indicated here. Protein diet is secondary.

Question 4 of 5

A nurse is teaching a client who has stage IV pancreatic cancer about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Correct Answer: B

Rationale: DIC involves abnormal coagulation with fibrinogen , causing clotting and bleeding. Heparin is not a lifelong solution. DIC is acquired, not genetic . Platelet counts decrease, not increase .

Question 5 of 5

A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

Correct Answer: D

Rationale: Limiting healthcare workers reduces infection risk. Catheters increase infection risk. Fresh fruit may harbor bacteria. Temperature checks should be more frequent.

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