Page 1329 - Saunders Comprehensive Review For NCLEX-RN

4. Pain relief after appropriate nursing intervention
449. The nurse is caring for a client who is postoperative following a pelvic
exenteration, and the surgeon changes the client’s diet from NPO (nothing
by mouth) status to clear liquids. The nurse should check which priority item
before administering the diet?
1. Bowel sounds
2. Ability to ambulate
3. Incision appearance
4. Urine specific gravity
450. A client is admitted to the hospital with a suspected diagnosis of Hodgkin’s
disease. Which assessment finding would the nurse expect to note
specifically in the client?
1. Fatigue
2. Weakness
3. Weight gain
4. Enlarged lymph nodes
451. During the admission assessment of a client with advanced ovarian cancer,
the nurse recognizes which manifestation as typical of the disease?
1. Diarrhea
2. Hypermenorrhea
3. Abnormal bleeding
4. Abdominal distention
452. The nurse is caring for a client with lung cancer and bone metastasis. What
signs and symptoms would the nurse recognize as indications of a possible
oncological emergency? Select all that apply.
1. Facial edema in the morning
2. Weight loss of 20 lb (9 kg) in 1 month
3. Serum calcium level of 12 mg/dL (3.0 mmol/L)
4. Serum sodium level of 136 mg/dL (136 mmol/L)
5. Serum potassium level of 3.4 mg/dL (3.4 mmol/L)
6. Numbness and tingling of the lower extremities
453. A client who has been receiving radiation therapy for bladder cancer tells the
nurse that it feels as if she is voiding through the vagina. The nurse interprets
that the client may be experiencing which condition?
1. Rupture of the bladder
2. The development of a vesicovaginal fistula
3. Extreme stress caused by the diagnosis of cancer
4. Altered perineal sensation as a side effect of radiation therapy
454. The nurse is instructing a client to perform a testicular self-examination
(TSE). The nurse should provide the client with which information about the
procedure?
1. To examine the testicles while lying down
2. That the best time for the examination is after a shower
3. To gently feel the testicle with one finger to feel for a growth
4. That TSEs should be done at least every 6 months
455. The nurse is conducting a history and monitoring laboratory values on a
client with multiple myeloma. What assessment findings should the nurse
expect to note? Select all that apply.

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