Nokea
Men over age 50 should consider an annual ___ test and rectal examination.
Correct Answer: PSA (prostate-specific antigen)
Rationale: Men over age 50 should consult with their health care provider to consider the benefits of having a prostate-specific antigen (PSA) test and rectal examination once a year.
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Which is an appropriate intervention for a patient experiencing thrombocytopenia?
- A. Requesting an order for aspirin for discomfort
- B. Trimming toenails close
- C. Using an electric razor
- D. Vigorous tooth cleaning
Correct Answer: C
Rationale: The patient should be taught to use an electric shaver. Thrombocytopenia is a reduction in the number of circulating platelets, due to the depression of the bone marrow. When the platelet count is less than 20,000/mm3, spontaneous bleeding can occur.
A patient undergoing radiation therapy says, 'I feel so useless. I have no energy, no appetite, and I fall asleep whenever I sit down.' Which response by the nurse is most therapeutic?
- A. Fatigue is part of your illness. Taking several long naps in the daytime is helpful.'
- B. Fatigue is an unfortunate side effect of radiation. It may help to take frequent rest periods.'
- C. You really shouldn?t be fatigued. Let me make an appointment with your health care provider to get this checked out.'
- D. Don?t worry about it. You probably deserve the rest!'
Correct Answer: B
Rationale: Fatigue is a side effect of radiation, and taking frequent rest periods may be helpful.
A male patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin disease. After 2 weeks of treatment, he tells the nurse that he is so tired he can hardly get out of bed in the morning. Which is an appropriate intervention?
- A. Take two rest periods during the day.
- B. Ambulate in the hall four times a day.
- C. Select two activities for distraction.
- D. Investigate a consultation with a psychiatrist for treatment of depression.
Correct Answer: A
Rationale: The person undergoing radiation therapy should be assured that lethargy and fatigue are not uncommon during treatment, and that frequent rest periods are helpful. Periods of rest are very beneficial.
A patient has developed stomatitis from chemotherapy. Which intervention is appropriate for a patient with this condition?
- A. Instruction in the following of a liquid diet
- B. Using a commercial mouthwash after each meal
- C. Cleaning teeth with a cotton swab dipped in hydrogen peroxide
- D. Using a soft toothbrush
Correct Answer: D
Rationale: The use of a soft toothbrush to clean the teeth and rinsing with normal saline or soda will prevent added discomfort and bleeding.
For which possible sign of testicular cancer would the nurse encourage the patient to look for during self-testicular examination?
- A. Smooth consistency of testicle
- B. Stomachache
- C. Breast enlargement
- D. Heavy feeling in the scrotum
- E. Enlarged blood vessels in scrotum
- F. Hematuria
Correct Answer: B,C,D
Rationale: Signs and symptoms of a scrotal tumor include an ache in the groin or stomach, feeling of heaviness in the scrotum, and breast enlargement.