A patient with cancer is admitted with a weight loss of 25 lbs. over the last month with progressive anorexia. Which physiological effect of cancer should the nurse suspect the patient is experiencing?
A. Anorexia-cachexia syndrome
B. Infection
C. Paraneoplastic syndrome
D. Esophageal obstruction
Answer: A
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A nurse caring for a patient who has an immunosuppressive disorder knows that continual monitoring of the patient is critical. What is the primary rationale behind the need for continual monitoring?
A) So that the patient's functional needs can be met immediately B) So that medications can be given as ordered and signs of adverse reactions noted C) So that early signs of impending infection can be detected and treated D) So that the nurse's documentation can be thorough and accurate
The nurse who is concerned about a patient's poor nutritional intake and his risk for infection bases this worry on the fact that depletion of which nutrient increases a patient's susceptibility to infection?
A) Vitamin B B) Fats C) Proteins D) Vitamin C
A hospital has a number of different perineal pads available for use. A nurse is observed soaking several of them and writing down what she sees. This activity indicates that the nurse is trying to:
a. Improve the accuracy of blood loss estimation, which usually is a subjective as-sessment. b. Determine which pad is best. c. Demonstrate that other nurses usually underestimate blood loss. d. Reveal to the nurse supervisor that one of them needs some time off.
The nurse notices dimpling of the skin surrounding a palpable mass in the right breast of a female patient. What is the most appropriate action for the nurse to take next?
a. Record this as an expected finding. b. Palpate the area of dimpling for pain. c. Palpate the borders of the area of dimpling for irregularity. d. Tell the patient that dimpling indicates the mass is benign.