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Which statement is appropriate for a nurse to tell a patient before insertion of the radioactive implant?
- A. Nurses will always be available, but they will spend only short periods of time at your bedside.'
- B. Personal cleanliness is essential, so you will be given a complete bed bath each day.'
- C. Your diet will be changed to a high-fiber diet to encourage daily bowel movements.'
- D. Your bed linens will be completely changed each day to minimize radioactive contamination.'
Correct Answer: A
Rationale: Generally, it is recommended that the nurse spend short periods of time in the room of a patient with an implant. Baths and linen changes are not given daily. A low-residue diet is the norm to minimize peristalsis and bowel movements that might dislodge the implant.
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A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion. The nurse notices the patient is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. The nurse will prepare the patient to undergo which procedure?
- A. Whole blood transfusion
- B. A bone marrow biopsy
- C. Immediate radiation treatment
- D. Dialysis
Correct Answer: D
Rationale: If hydration and administration of diuretics and allopurinol are not effective, dialysis may be necessary.
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.
Which advice will the nurse provide to the patient who found a lump in her breast a week ago during breast self-examination?
- A. Arrange for an examination by her health care provider.
- B. Wait until her next ovulatory cycle and check the lump again.
- C. Postpone appointment until the lump enlarges.
- D. Apply warm, moist compresses.
Correct Answer: A
Rationale: Nurses should teach to all patients, both men and women, that any identifiable problem should be brought to the attention of a health care provider.
Which meal represents foods that help prevent cancer?
- A. Broiled steak, baked potato, whole wheat roll, soy milk
- B. Baked ham, rice and gravy, apples stewed in butter, whole milk
- C. Fried pork chops, candied sweet potatoes, white rolls and butter, iced tea
- D. Broiled chicken, cabbage with onion and garlic, and soy milk
Correct Answer: D
Rationale: Green and yellow vegetables, cruciferous vegetables, whole grain and soy products are all examples of foods that prevent cancer. Reducing the consumption of processed meats and red meat are additional diet-related prevention steps.
Select the food that is recommended for prevention of colorectal cancer in men.
- A. Oranges
- B. Ham
- C. Skinless chicken
- D. Asparagus
- E. Cheddar cheese
- F. Squash
Correct Answer: A,C,F
Rationale: Eating plenty of fruits, vegetables, and whole grain foods and limiting intake of high-fat foods will help prevent cancer.