Page 1331 - Saunders Comprehensive Review For NCLEX-RN

1. “I change my pouch every week.”
2. “I change the appliance in the morning.”
3. “I empty the urinary collection bag when it is two-thirds full.”
4. “When I’m in the shower I direct the flow of water away from my
stoma.”
462. A client with carcinoma of the lung develops syndrome of inappropriate
antidiuretic hormone (SIADH) as a complication of the cancer. The nurse
anticipates that the primary health care provider will request which
prescriptions? Select all that apply.
1. Radiation
2. Chemotherapy
3. Increased fluid intake
4. Decreased oral sodium intake
5. Serum sodium level determination
6. Medication that is antagonistic to antidiuretic hormone
463. The nurse is monitoring a client for signs and symptoms related to superior
vena cava syndrome. Which is an early sign of this oncological emergency?
1. Cyanosis
2. Arm edema
3. Periorbital edema
4. Mental status changes
464. The nurse manager is teaching the nursing staff about signs and symptoms
related to hypercalcemia in a client with metastatic prostate cancer and tells
the staff that which is a late sign or symptom of this oncological emergency?
1. Headache
2. Dysphagia
3. Constipation
4. Electrocardiographic changes
465. As part of chemotherapy education, the nurse teaches a female client about
the risk for bleeding and self-care during the period of greatest bone marrow
suppression (the nadir). The nurse understands that further teaching is
needed if the client makes which statement?
1. “I should avoid blowing my nose.”
2. “I may need a platelet transfusion if my platelet count is too low.”
3. “I’m going to take aspirin for my headache as soon as I get home.”
4. “I will count the number of pads and tampons I use when
menstruating.”
466. The community health nurse is instructing a group of young female clients
about breast self-examination. The nurse should instruct the clients to
perform the examination at which time?
1. At the onset of menstruation
2. Every month during ovulation
3. Weekly at the same time of day
4. One week after menstruation begins
467. A client is diagnosed as having a intestinal tumor. The nurse should monitor
the client for which complications of this type of tumor? Select all that
apply.
1. Flatulence

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