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1.

  A nurse is caring for a client who is scheduled for radiation therapy. Which of the (1 point)
following statements if made by the client indicates the most common concern of clients
receiving this therapy?
      ⚪ I’m certain that this will do the trick
      ⚫ Will I be radioactive afterward?
      ⚪ This is just one of several options I have for treatment
      ⚪ This treatment is great because it is invinsible and very effective
 
2.  A nurse receives a call that a client is being admitted who will undergo implantation of a (1 point)
sealed internal radiation source. The nurse contacts the admission office clerk to ensure
that which of the following rooms is selected for the client?
      ⚫ A single room at the distance end of the hall
      ⚪ A single room near the nurse’s station
      ⚪ A semiprivate room between 2 isolation rooms
      ⚪ A semiprivate room near the nurse’s stations
 
3.  A female client has a cesium needle implanted in her cervix. She asks the nurse if she (1 point)
may get out of bed to go to the bathroom. The appropriate response is to tell her
      ⚪ The nurse will have to get a physician's order for her to get out of bed
      ⚪ She may get out of bed with the nurse's help
      ⚫ She may not get out of bed while the needle is implanted
      ⚪ She must stay in bed, but she can move around to be more comfortable while the needle is
implanted
 
4.  A nurse is reinforcing teaching with a client about compromised host precautions. The (1 point)
client is receiving filgrastim (Neupogen) for neutropenia. The selection of which lunch
suggests the client has learned about necessary dietary changes?
      ⚪ A grilled chicken sandwich and yoghurt
      ⚫ Roast beef, mashed potatoes, and baked nuts
      ⚪ Peanut butter sandwich, banana and ice tea
      ⚪ Barbeque beef, baked beans, and coleslaw
 
5.  A client with renal cancer is being treated preoperatively with radiation therapy. The (1 point)
nurse evaluates that the client has an understanding of proper care of the skin over the
treatment field if the client states the need to:
      ⚫ Avoid skin exposure to direct sunlight and chlorinated water
      ⚪ Use lanolin-based cream on the affected skin on a daily basis
      ⚪ Remove the lines or ink marks using gentle soap after each treatment
      ⚪ Use the hottest water possible to wash the treatment site twice daily
6.  A client with leukemia is receiving a course of chemotherapy, and the nurse is told (1 point)
that the client’s neutrophil count is 600 mm3. The nurse provides which of the
following instructions to the client about home care?
      ⚫ Avoid eating any raw fruits or vegetables
      ⚪ Avoid aspirin or medications that contain aspirin
      ⚪ Avoid straining gat bowel movements
      ⚪ Use an electric shaver fro shaving
 
7.  A client with neutropenia has an absolute neutrophil count of 900. What is the client’s (1 point)
risk of infection?
      ⚪ Normal risk
      ⚫ Moderate risk
      ⚪ High risk
      ⚪ Extremely high risk
 
8.  A client with neutropenia has an absolute neutrophil count of 900. What is the client’s (1 point)
risk of infection?
      ⚪ Normal risk
      ⚫ Moderate risk
      ⚪ High risk
      ⚪ Extremely high risk
     
 
9. A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When
implementing the plan, the nurse should make which statement to the client?
A. “You can take aspirin as needed for headache.”
B. “You can drink beverages containing alcohol in
moderate amounts each evening.”
C. “You need to consult with the health care provider (HCP) before receiving
immunizations.”
D. “It is fine to receive a flu vaccine at the local health fair without HCP approval because the
flu is so contagious.”
 
10. A client with ovarian cancer is being treated with vincristine. The nurse monitors the client,
knowing that which manifestation indicates an adverse effect specific to this medication?
A. Diarrhea
B. Hair loss
C. Chest pain
D. Peripheral neuropathy

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