Nokea
The nurse expects which nursing intervention to be in the plan of care for a patient experiencing thrombocytopenia following chemotherapy to treat cancer?
- A. Take aspirin daily to promote blood flow.
- B. Avoid all sexual contact
- C. Use a soft toothbrush for mouth care
- D. Take antibiotics before elective surgery
- E. Apply direct pressure for 5 - 10 minutes if bleeding occurs
Correct Answer: C,E
Rationale: A person with a low platelet count is at risk for bleeding. The patient should use a soft toothbrush for mouth care and apply direct pressure for 5-10 minutes if bleeding occurs. Aspirin is contraindicated with thrombocytopenia. If the patient has sexual intercourse, gentleness and adequate lubrication should be used. The patient should not have any elective surgery. In addition, antibiotics will not be beneficial for a low platelet count.
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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.
How many minutes of daily exercise does the American Cancer Society recommend as a prevention of cancer?
- A. 10 minutes
- B. 15 minutes
- C. 20 minutes
- D. 30 minutes
Correct Answer: C
Rationale: The ACS recommends 150 minutes of moderate exercise weekly, which comes to around 20 minutes a day.
Which event happens during the process of immunosurveillance?
- A. T cells recognizing and destroying the abnormal cell
- B. White blood cells (WBC) destroying the abnormal cell
- C. Excretion of histamine to interfere with the replication of the abnormal cell
- D. B cells attaching to abnormal cell
Correct Answer: A
Rationale: The T cells are responsible for immunosurveillance by recognizing an abnormal cell and destroying it.
The patient receiving radiation therapy reports not liking the conspicuous markings on the skin. In which manner can the nurse explain about these markings?
- A. They are residues of the treatment and can be washed off.
- B. They are caused by radiation and will fade in time.
- C. They are indicators of the amount of radiation the patient is receiving.
- D. They are markers for treatment and should be left on.
Correct Answer: D
Rationale: When external radiation is planned, the specific area on the body is marked to indicate the part at which external radiation will be directed. These markings must not be washed off.
A ___ test screens for occult blood in the stool.
Correct Answer: guaiac
Rationale: The guaiac test is a screening test for occult blood in the stool.