Nokea
To accurately determine the dosage of antineoplastic drugs, which information is essential to obtain from the client's chart?
- A. Urine output for the past 24 hours
- B. Body weight and height
- C. Date of surgery
- D. Drug allergies
Correct Answer: B
Rationale: Body weight and height are used to calculate body surface area, which determines accurate dosing of antineoplastic drugs.
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The female client presents to the gynecologist’s office for the fifth time with an ovarian cyst and is scheduled for an exploratory laparoscopy. The client asks the nurse, 'Why do I need to have another surgery? The other cysts have all been benign.' Which statement is the nurse’s best response?
- A. Because eventually the cysts will become cancerous.'
- B. All abnormal findings in the ovary should be checked out.'
- C. The surgery will not be painful and you will have peace of mind.'
- D. Are you afraid of having surgery? Would you like to talk about it?'
Correct Answer: B
Rationale: Persistent ovarian cysts require evaluation to rule out malignancy or complications, despite prior benign findings. Suggesting inevitable cancer is inaccurate, minimizing pain is dismissive, and addressing fear is secondary.
The office manager schedules a mandatory staff meeting for all nursing personnel. As the nurse enters the room, several documents containing the client's name, medical records number, mammogram results, and diagnosis are found unattended on the table. Which nursing actions are appropriate in this situation? Select all that apply.
- A. Notify housekeeping to come and dispose of the papers.
- B. Toss the papers in the trash.
- C. Put the papers into the shredder bin.
- D. Try to determine who left the papers unattended.
- E. State the papers neatly, placing them off to the side.
- F. Notify the office manager of the breach in confidentiality.
Correct Answer: C,F
Rationale: Shredding the papers ensures secure disposal of protected health information (PHI), and notifying the office manager addresses the confidentiality breach, as required by HIPAA regulations.
The male client presents to the public health clinic complaining of joint pain and malaise. On assessment, the nurse notes a rash on the trunk, palms of the hands, and soles of the feet. Which action should the nurse implement next?
- A. Determine if the client has had a chancre sore within the last two (2) months.
- B. Ask the client how many sexual partners he has had in the past year.
- C. Refer the client to a dermatologist for a diagnostic work-up.
- D. Have the client provide a clean voided midstream urine specimen.
Correct Answer: A
Rationale: Joint pain, malaise, and a rash on palms/soles suggest secondary syphilis; confirming a prior chancre sore supports this diagnosis. Partner history, dermatology referral, and urine tests are less urgent.
On the basis of this client's age, which statement by the nurse is the best explanation for the client's discomfort?
- A. The pelvic muscles are more sensitive to pressure after menopause.
- B. The clitoris is unable to respond to sexual foreplay as women age.
- C. The vagina hypertrophies if intercourse is infrequent.
- D. The mucus-producing glands decrease with aging.
Correct Answer: D
Rationale: Postmenopausal vaginal dryness due to decreased mucus production is a common cause of painful intercourse in older women.
The client is diagnosed with benign uterine fibroid tumors. Which question should the nurse ask to determine if the client is experiencing a complication?
- A. How many periods have you missed?'
- B. Do you get short of breath easily?'
- C. How many times have you been pregnant?'
- D. Where is the location of the pain you are having?'
Correct Answer: D
Rationale: Pain location helps identify complications like fibroid degeneration or pressure on organs. Missed periods are common, shortness of breath is unrelated, and pregnancy history is less relevant.