Nursing 211

N211: Health Differences Across the Lifespan I

Final Review Answer Key 1. Fatigue, anemia, and enlarged liver and spleen a. Rationale: These are common manifestations of acute leukemia. Anemia causes the fatigue, and proliferation of abnormal cells leads to enlargement of the liver and spleen 2. Demonstrate colostomy care a. Rationale: A return demonstration is the best way to ensure that the patient knows self-care techniques 3. It strengthens the immune response a. Rationale: Therapy with biologic response markers (BRMs) like interleukin-2 is based on restoration of the body’s natural defenses (immune response). 4. Multiple sexual partners 5. Steamed vegetables a. Rationale: Fruits and vegetables (especially cruciferous vegetables) are recommended to decrease the risk of colorectal cancer. Steaming preserves nutritive qualities and does not introduce carcinogens. 6. Rinse mouth prior to meals a. Rationale: Rinsing the mouth reduces unpleasant taste sensations and stimulates appetite. 7. Hair loss, numbness, and decreased reflexes a. Rationale: Neuropathy and alopecia are expected side effects of vincristine chemotherapy 8. The central venous catheter entry site appears reddened. a. Rationale: May indicate the beginning of an infection 9. Hypertrophy of the stomach muscles a. Rationale: Pyloric stenosis is the result of overgrowth (hypertrophy and/or hyperplasia) or thickening of the muscle at the outlet of the stomach. 10. Use long handled forceps to pick up the implant and place it in a lead-lined container. a. Rationale: Principles of time, distance, and shielding 11. Before moving the patient, ask the patient’s advice about how to initiate and perform the moves. a. Rationale: The patient knows better than the nurse what will be painful and how much pain is tolerable and will benefit from a sense of control in making decisions about being moved. 12. Lungs a. Rationale: Osteogenic sarcoma (osteosarcoma) generally begins in the distal femur, the proximal tibia, or the humerus. Regardless of the point of origin, the most common site of metastasis is the lung. Metastasis typically takes about two years and is usually fatal. 13. Cancer cells can enter blood vessels and go to other parts of the body.


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