5e89478c-9b88-49f7-bbc7-8d4a5242dbc4 (pdf) - Course Sidekick (2024)

HESI Case Studies--Medical/Surgical-Cervical Cancer (Mrs. Judy Sailor) Study online at https://quizlet.com/_4zim2k 1.1. What information is most important for the RN toobtain to determine Mrs. Sailor's risk for cervicalcancer? (Select all)-History of sexual partners -Age with first preg- nancy 2.2. When developing a plan of care to reduce therisks for cervical cancer, the RN recognizes thatprimary prevention should include which interven- tion? Provide community education 3.3. After speaking with the RN, Mrs. Sailor under-stands that the endocervical biopsy will be doneby cervical conization to allow for microscopic ex-amination of the cervical tissue. She is scheduledfor cervical conization in 2 day. How should the RN respond to the client? Ask the client about her understanding of the abnormal pap smear result 4.4. When Mrs. Sailor asks the RN where the bioopsywill take place, how should the RN respond? The HCP's office 5.5. Which explanation about HPV quadrivalent vac-cine is best to give to Mrs. Sailor?HPV quadrivalent vaccine does not treat cervical cancer 6.6. In response to the client's statement, which con-cern is most important for the RN to explore ingreater depth? Sexual limitations as a result of the surgery 7.7. Based on the RN's assessment, what is the pri-ority nursing diagnosis for this clients?Ineffective sexuality pattern related to physiological limita- tions 8.8. Which intervention should the RN include in Mrs.Sailor's plan of care?Provide accurate and timely teaching re- garding the client's sexual concerns 9.Nausea and vomit- ing are anticipated, 1 / 4

HESI Case Studies--Medical/Surgical-Cervical Cancer (Mrs. Judy Sailor) Study online at https://quizlet.com/_4zim2k 9. After Mrs. Sailor expresses concern about nau-sea and vomiting while taking chemotherapy, whatinformation should the RN provide? so medications will be given to prevent them 10.10. Ondansetron is ordered 8mg IVPB prior to ad-ministration of cisplatin. Ondansetron is available in 4mg/2mL. How may mL should the RN adminis- ter? 4 11.11. Which laboratory result is most important forthe RN to report to the HCP?White blood cell (WBC) count 1,700/mm^3 12.12. It is important for the RN to include whichpriority client education based on the prescribedtherapy? Report a fever greater than 100.4F 13.13. What additional information should the RN ob-tain about the side effects of cisplatin? (Select all)-Presence of cough or productive sputum -Frequency of urina- tion -Reports of malaise and chills 14.14. Which prescription should the RN implementfirst?Collect specimens for cultures 15.15. To which room should the RN admit Mrs. Sailor?Private room close to the nurse's station 16.16. Mrs. Sailor's son and 4-year-old grandchild ar-rive for a visit. What action should the nurse imple-ment?Allow the grandchild to visit from the door- way 17.17. The RN is teaching the client how to prevent fur-ther complications of neutropenia. Which instruc-tion is most important? Wash hands fre- quently 18.18. While the RN is reviewing instructions with the client, Mrs. Sailor's husband arrives with a box of 2 / 4

HESI Case Studies--Medical/Surgical-Cervical Cancer (Mrs. Judy Sailor) Study online at https://quizlet.com/_4zim2k chocolates and a beautiful boquet of long-stemroses. What action should the RN take?Advise the husband that roses are a source of infection 19.19. At change of shift report, the RN is assignedMrs. Sailor and three additional clients for the dayshift. Which client should the RN assess first?A 58-year-old re- ceiving fluorouracil and methotrexate for colon cancer who re- ports having three di- arrhea stools 20.20. To evaluate the effectiveness of diphenhy-dramine, the RN should assess for which findings?Absence of itching, urticaria, and flushing 21.21. Which action is most important for the RN toimplement to avoid blood-related transfusion reac-tions when preparing to administer Mrs. Sailor'sunit of PRBC? Match the label on the blood with the client's identification band 22.22. Upon further inspection, the RN observes asmall amount of swelling at the site and sluggishfluid infusion of normal saline. What action shouldthe RN implement? Discontinue the infu- sion and restart at an- other site 23.23. The client is scheduled to receive potassiumchloride 40mEq/L in 400mL over 4 hours. The RN should set the infusion pump to deliver how many mL per hour? 100 24.24. One hour after the initiation of the IV infusionof potassium chloride, the RN reassess Mrs. Sailor.Which nursing assessment has the highest priori-ty? Complaining of palpi- tations and a heavy feeling in the chest 25.25. Which assessment data indicates to the Rnthat the desired outcome of the filgrastim has beenachieved? WBC count 3,500/mm^3 26.Mild to moderate bone pain 3 / 4

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