Page 1328 - Saunders Comprehensive Review For NCLEX-RN

Practice Questions

443. The nurse is reviewing the laboratory results of a client diagnosed with
multiple myeloma. Which would the nurse expect to note specifically in this
disorder?
1. Increased calcium level
2. Increased white blood cells
3. Decreased blood urea nitrogen level
4. Decreased number of plasma cells in the bone marrow
444. The nurse is creating a plan of care for the client with multiple myeloma and
includes which priority intervention in the plan?
1. Encouraging fluids
2. Providing frequent oral care
3. Coughing and deep breathing
4. Monitoring the red blood cell count
445. When caring for a client with an internal radiation implant, the nurse should
observe which principles? Select all that apply.
1. Limiting the time with the client to 1 hour per shift.
2. Keeping pregnant women out of the client’s room.
3. Placing the client in a private room with a private bath.
4. Wearing a lead shield when providing direct client care.
5. Removing the dosimeter film badge when entering the client’s
room.
6. Allowing individuals younger than 16 years old in the room as
long as they are 6 feet away from the client.
446. While giving care to a client with an internal cervical radiation implant, the
nurse finds the implant in the bed. The nurse should take which initial
action?
1. Call the primary health care provider (PHCP).
2. Reinsert the implant into the vagina.
3. Pick up the implant with gloved hands and flush it down the
toilet.
4. Pick up the implant with long-handled forceps and place it in a
lead container.
447. The nurse should plan to implement which intervention in the care of a client
experiencing neutropenia as a result of chemotherapy?
1. Restrict all visitors.
2. Restrict fluid intake.
3. Teach the client and family about the need for hand hygiene.
4. Insert an indwelling urinary catheter to prevent skin breakdown.
448. The home health care nurse is caring for a client with cancer who is
complaining of acute pain. The most appropriate determination of the
client’s pain should include which assessment?
1. The client’s pain rating
2. Nonverbal cues from the client
3. The nurse’s impression of the client’s pain

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