Page 1342 - Saunders Comprehensive Review For NCLEX-RN

because of their antiplatelet activity. Options 1, 2, and 4 are correct statements by the
client to prevent and monitor bleeding.
Test-Taking Strategy: Note the strategic words, further teaching is needed. Recalling
the effects of bone marrow suppression will direct you to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Adult Health: Oncology
Health Problem: Adult Health: Hematological: Bleeding/Clotting Disorders
Priority Concepts: Cellular Regulation; Clinical Judgment
Reference: Lewis et al. (2017), pp. 250, 253.

466. Answer: 4

Rationale: The breast self-examination should be performed regularly, 7 days
after the onset of the menstrual period. Performing the examination weekly is not
recommended. At the onset of menstruation and during ovulation, hormonal
changes occur that may alter breast tissue.
Test-Taking Strategy: Option 3 can be eliminated easily because of the word
weekly. Eliminate options 1 and 2 next because they are comparable or alike in the
similarity that exists regarding the hormonal changes that occur during these times.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Health Assessment/Physical Exam: Breasts
Health Problem: Adult Health: Cancer: Breast
Priority Concepts: Client Education; Health Promotion
Reference: Ignatavicius, Workman, Rebar (2018), pp. 1443-1444.

467. Answer: 2, 3, 4, 5

Rationale: Complications of intestinal tumors include bowel perforation, which
can result in hemorrhage and peritonitis. Other complications include bowel
obstruction and fistula formation. Flatulence can occur but is not a complication;
lactose intolerance also is not a complication of intestinal tumor.
Test-Taking Strategy: Focus on the subject, complications of an intestinal tumor.
Think about the location and pathophysiology associated with this type of tumor to
answer correctly.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Oncology
Health Problem: Adult Health: Cancer: Esophageal/Gastric/Intestinal
Priority Concepts: Cellular Regulation; Clinical Judgment
Reference: Lewis et al. (2017), p. 968.

468. Answer: 2

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