Nokea
Which patient will be the highest priority for referral for a prostate-specific antigen (PSA)?
- A. 43-year-old Hispanic man
- B. 45-year-old African American man
- C. 49-year-old Korean man
- D. 50-year-old Native American man
Correct Answer: B
Rationale: African American men are a high-risk population for prostate cancer. Asian Americans and Native Americans have a relatively low incidence of prostate cancer.
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A female patient, age 59, has lost 7 lb in the first 3 weeks of her chemotherapy and does not eat because nothing tastes good. The nurse expects to see which goal addressed in the plan of care?
- A. Patient will verbalize understanding of the need for increased nutrition.
- B. Patient will be free from nutrition related infections.
- C. Patient will maintain current weight.
- D. Patient will undergo psychiatric evaluation regarding anorexia.
Correct Answer: C
Rationale: This patient needs to maintain current weight, and not lose further weight. Adequate nutrition is difficult if the patient loses 10 or more pounds (4,5 kg).
What is the function of organizations like The Lost Chord Club, Reach for Recovery, and I Can Cope?
- A. Arrange for transportation to a clinic.
- B. Provide a small amount of financial support to patients.
- C. Send volunteers to speak with a person facing a lifestyle change.
- D. Arrange for reduced drug costs.
Correct Answer: C
Rationale: Support groups like The Lost Chord Club, Reach for Recovery, and I Can Cope are available to send volunteers to talk with persons facing lifestyle changes because of cancer.
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 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.