RN Med Surg 3 Final Exam 2024/2025 LATEST EXAM WITH RATIONALE [ 100 Questions], Exams of Nursing

Download RN Med Surg 3 Final Exam 2024/2025 LATEST EXAM WITH RATIONALE [ 100 Questions] and more Exams Nursing in PDF only on Docsity! RN Med Surg 3 Final Exam 2024/2025 LATEST EXAM WITH RATIONALE [ 100 Questions] The client underwent surgical repair of their rotator cuff and is now being discharged home and will begin physical therapy. The nurse will include which of the following in the discharge teaching? SATA [] Do not use your affected shoulder for the next 6 weeks post-op [] Use shoulder immobilizer as instructed for 6 weeks post-op [] keep bandages/ dressing dry and intact [] Opioid analgesics are necessary to manage your discomfort [] Ice packs can be applied to the shoulder for pain management [] Your weight lighting restriction is 30 pounds [] Full recovery can take 6-12 months to achieve [] expect to begin active physical therapy in 6 weeks [] keep bandages/ dressing dry and intact [] Ice packs can be applied to the shoulder for pain management [] Full recovery can take 6-12 months to achieve The nurse understands the initial process of the bone healing of ture site within the first 1-3 days is : Leakage of blood begins to change from liquid to semisolid clot The client has an order for traction to the right leg. The nurse understands that the main priority assessment before and after the application of traction to the leg is which of the following? a. Monitor the client's pain level b. check the pallor c. assess for paresthesia d. assess distal pulses of the right leg c. assess for paresthesia the client complains of pain in the left foot after that leg was recently amputated. what should the nurse recognize about this type of pain? a. it will become worse with the use of a prosthesis b. it is caused by swelling at the incision site c. it should be treated with ordered analgesics d. it can be managed with diversion because this psychological c. it should be treated with ordered analgesics Perform a neurovascular assessment. The nurse is reviewing risk factors for osteoporosis with a new graduate on the medical-surgical unit. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis? a. nonsteroidal anti-inflammatory medication b. opioid analgesics c. Long-term use of cardiac glycosides d. Long-term use of thyroid medications d. Long-term use of thyroid medications During the assessment of the client with systemic Lupus Erythematosus [ SLE], what may the nurse find? SATA [] tachypnea [] Thrombocytopenia [] Bull eye rash [] Menstrual Abnormalities [] Peripheral neuropathy [] Bradycardia [] polyarthralgia [] Thrombocytopenia [] Bull eye rash [] Menstrual Abnormalities [] Peripheral neuropathy [] polyarthralgia The nurse should teach the client with rheumatoid arthritis to manage their activities of daily living by performing which of the following? a. protecting the knee joints by sleeping with a small pillow under both knees b. Limiting the number of exercises repetitions during periods of acute inflammation c. strengthening small hand muscles by wringing out sponges or wash cloths d. standing rather than sitting when performing daily house hold and yard chores. b. Limiting the number of exercises repetitions during periods of acute inflammation An elderly client with rheumatoid arthritis states , " I am not sure how much longer i can keep going with this pain." What is the most important nursing intervention? a. Assess for suicidal ideation b. Ask the client if the pain keeps her up at night c. Ask the client what she is taking to treat her pain. d. Call the provider and ask for an order for an increased dose of the client's current pain medication. a. Assess for suicidal ideation What should the nurse do to control edema of the residual limb in a client who has had an above-the-knee amputation? Keeping the residual limb elevated on a pillow The nurse is caring for a client who is taking naproxen following exacerbation of rheumatoid arthritis. which of the following statements by the client requires further discussion or follow up by the nurse? a. I have been taking an anatacid now to help with heartburn b. I have lost 2 pounds since my appointment 2 weeks ago c. I take the naproxen with a full glass of water The client recovering from an acute exacerbation of rheumatoid arthritis [ RA] expresses to the nurse that they are too tired to bathe. what is the best action by the nurse? a. allow the client a rest period before showering with the nurse's help. b. inform the client of the importance of maintaining self-care activities c. Give the client a bed bath to conserve their energy d. Tell the client that they can skip bathing if they agree to walk in the hall later. c. Give the client a bed bath to conserve their energy The nurse is providing discharge teaching to a client who has a Piaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include? Report any numbness or pain in your toes The client is in an urgent care setting and complains of pain in the right wrist area. The nurse assesses the client and the wrist has strong radial pulses, no deformity, and the client denies a history of falls. What order does the nurse anticipate next for this client based on the above data? a. calcium and RA factor lab levels to be sent to the lab b. An x-ray to assess for underlying soft tissue injury c. Rest and Comfort measures for a few days unless the pain worsens d. A CT scan to assess for bone fractures that may not be visible. c. Rest and Comfort measures for a few days unless the pain worsens The nurse is completing discharge instructions with a client following an acute onset of h=gout. which of the following client statements indicate an understanding of the treatment regimen.? a. i will limit my alcohol intake to reduce gout attacks b. i will closely follow a high purine diet c. i will take one aspirin every day for pain d. i will limit my fluid intake to 1 liter per day a. i will limit my alcohol intake to reduce gout attacks which information will the nurse include when teaching a client with newly diagnosed systemic exertion intolerance disease [ SEID] about self-management? a. a gradual increase in your daily exercise may help decrease fatigue b. avoid use of over the counter antihistamines or decongestants c. systemic exertion intolerance disease usually progresses as patients become older d. a Low residue, low fiber diet will reduce abdominal distention b. avoid use of over the counter antihistamines or decongestants The client is two days post-operative for an open reduction with internal fixation [ orif] of a left lower leg fracture. The client starts to complain of severe leg pain 30 minutes after receiving the prescribed intravenous [ IV] hydromorphone. which action should the nurse take next? When providing care for a client who has had a debridement for osteomyelitis, which intervention is most important for the nurse to implement? a. assess the white blood cell count b. administer pain medication c. assess circulation in the distal extremities d. monitor temperature c. assess circulation in the distal extremities a. in osteoarthritis, the joint destruction is caused by changes in the synovial fluid b. rheumatoid arthritis usually has bilateral joint involvement c. in osteoarthritis, only the small joints of the fingers are affected d. in rheumatoid arthritis, weight bearing joints are affected first. b. rheumatoid arthritis usually has bilateral joint involvement after the nurse has provided teaching with a 28-year-old with fibromyalgia. which statement by the client indicates a good understanding of effective self- management? a. I will need to stop drinking so much coffee and soda b. I will call the doctor every time my symptoms get worse c. I should avoid using over-the-counter medications for pain d. I am going to join a soccer team to get more exercise a. I will need to stop drinking so much coffee and soda The home health nurse is conducting a follow-up visit to a client being treated for acute osteomyelitis with intravenous antibiotics. The client's wife expresses the client is barely eating because their mouth is so sore. During assessment, What is the nurse most likely to find? a. white, curd-like membranous lesions of the mucosa b. ulcers of the mouth and lips surrounded by a reddened base c. single or clustered vesicles on the tongue and buccal mucosa d. a dry, cracked tongue with a central furrow a. white, curd-like membranous lesions of the mucosa when an older adult client with a new right long leg cast exhibits bilateral pedal edema, the nurse would assess first for : a. local leg trauma b. cardiovascular disease c. compartment syndrome d. thrombophlebitis d. thrombophlebitis The nurse is providing teaching while administering medications to a client experiencing an acute gout attack. The nurse recognizes further teaching is needed if the client identifies which medication is for the management of acute gout pain. a. allopurinol b. prednisone c. naproxen d. colchicine allopurinol The nurse in the health clinic is speaking with a client who of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications for mild pain. a. Cyclobenzaprine b. acetaminophen c. Ibuprofren d. Celecoxib b. acetaminophen Exam 2 - Chapter 49-51 B. new onset shortness of breath c. frequent urination d. temperature of 100.6 F e. Burning on urination B. new onset shortness of breath d. temperature of 100.6 F e. Burning on urination What is the priority focus for care of the recipient of a kidney transplant in the immediate postoperative period? a. fluid and electrolyte balance b. pain management c. prevention of pneumonia d. monitoring for signs of rejection d. monitoring for signs of rejection The client with a urinary tract infection is prescribed cefadroxil and phenazopyridine. The nurse evaluates that the phenazopyridine is effective based on which observation? a. urine is clear amber b. a reddish-orange discoloration of the urine is present c. urge incontinence is not present d. urination is not painful b. a reddish-orange discoloration of the urine is present The client with a urinary tract infection is given a prescription for levofloxacin. the nurse should provide the client with which information regarding this medicaiton.? a. pain in the back of the leg should be reported immediately b. your urine may turn an orange color, which is harmless c. you may get dizzy, so move around slowly d. You may experience altered taste. a. pain in the back of the leg should be reported immediately What should the nurse include in the teaching plan for a client post cystectomy? a. restricts activity to bed rest for 4-6 hours b. remains NPO for 8 hours to prevent vomiting c. understands to expect pink-tinged urine d. Learns to request narcotics for pain. c. understands to expect pink-tinged urine The nurse completes which assessment for the client with acute glomerulonephritis who is experiencing periorbital edema? a. measuring deep tendon reflexes. b. testing urine for the presence of protein c. auscultating breath sounds d. checking blood glucose levels. c. auscultating breath sounds The nurse should know that sodium polystyrene sulfonate reduces potassium by which mechanism? a. increases calcium absorption in the colon which releases potassium b. releases hydrogen ions for sodium ions to reabsorb potassium c. increases potassium excretion from the colon in exchange for sodium b. calcium phosphate c. struvite d. uric acid c. struvite During peritoneal dialysis, how can the nurse best prevent a serious complication? a. infuse the dialysate solution as slowly as possible b. reposition the client frequently and promote deep breathing c. use strict aseptic technique in the dialysis procedure d. have the client empty the bowel before the input phase c. use strict aseptic technique in the dialysis procedure The nurse notes the presence of a normal P wave, QRS complex of 0.06 seconds, flattened T waves, & and occasional U waves on a client's cardiac monitor screen. Fill in each blank below by choosing the options listed in parentheses. The nurse should suspect [1]__________________[ Hypokalemia, hyperkalemia or hypomagnesemia] because of the [2]______________[ P wave, QRS complex, or flattened T waves with occasional U waves] . [1] Hypokalemia [2]] The nurse is preparing to administer an ordered dose of 15g of sodium polystyrene sulfonate by mouth due at 0900. Prior to giving this medication, the nurse checks the client's most recent potassium level and it is 3.6 mEq/L from 0900 his am. what is the nurse's next action? a. hold the medication to administer later b. call the prescribing health care provider now c. give the medication as ordered, now d. call the lab to confirm the order b. call the prescribing health care provider now The nurse is teaching a patient with chronic kidney disease about performing peritoneal dialysis treatments at home. which statement [s] made by the client indicates that teaching has been effective? Select all that apply. a. I should choose high-protein food sources for most of my meals b. I will notify the provider if my drainage fluid appears cloudy during exchanges c. my average dwell time for the continuous ambulatory method should be around 6-8 hours d. I should watch for hernia development or lower back pain from increased pressure in my abdomen e. equipment setup is difficult and requires an extensive training program over several months f. i should avoid commercial salt substitutes and check labels carefully g. I will not need to do any manual exchanges b. I will notify the provider if my drainage fluid appears cloudy during exchanges d. I should watch for hernia development or lower back pain from increased pressure in my abdomen f. i should avoid commercial salt substitutes and check labels carefully Which clients are most susceptible to an intrarenal cause of acute kidney injury [AKI]? select all that apply a. the client experiencing an acute hemolytic blood transfusion reaction b. the client recently diagnosed with prostate cancer c. the client with an acute myocardial infarction d. the client with a dissecting abdominal aortic aneurysm e. the client receiving intravenous gentamycin f. the client with acute glomerulonephritis G. the client was diagnosed with systemic lupus erythematosus [ SLE] H. the client with a bilateral ureteral obstruction d. the client with a dissecting abdominal aortic aneurysm which client should the dialysis nurse assess first prior to initiating morning dialysis treatments? a. the client who did not take their antihypertensive medication this morning b. the client who reported being exhausted and is sleeping c. the client with a hemoglobin of 9.8 g/dl and a hematocrit of 30 % d. the client with a fistula that does not have a palpable thrill or auscultated bruit d. the client with a fistula that does not have a palpable thrill or auscultated bruit in interviewing a client with a family history of polycystic kidney disease [ PKD], the nurse correlates which clinical manifestation [s] with this disorder? select all that apply a. increased abdominal girth b. flank pain c. hypertension d. hypotension e. diarrhea f. bloody urine b. flank pain f. bloody urine c. hypertension a. increased abdominal girth The nurse is reviewing the list of home medications of a client scheduled for an intravenous pyelogram [IVP]. which medication should the nurse instruct the client to hold 24 before and 48 hours after this procedure? a. sitagliptin b. lorazepam c. metformin d. metoprolol c. metformin The nurse is verifying fluid restrictions for a client with renal disease who had a total output of 450 mls during the previous 24-hour period. Calculator client's total fluid restriction for the next 24 hours. 450 X 1000=450,000 a 48-year-old client who weighs 242 pounds undergoes a nephrectomy for massive kidney trauma from a motor vehicle crash. which postoperative assessment finding is most important to communicate to the surgeon? a. Blood pressure is 102/58. b. Urine output is 20 mL/hr for 2 hours. c. Incisional pain level reported as 9/10. d. Crackles present at bilateral lung bases. b. Urine output is 20 mL/hr for 2 hours. Chapter 59 : Male Reproductive Problems Which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)? a. Bladder irrigation decreases the risk of postoperative bleeding. b. Hydration and urine output are maintained by bladder irrigation. c. Antibiotics are infused continuously through the bladder irrigation. d. Bladder irrigation prevents obstruction of the catheter after surgery. d. Bladder irrigation prevents obstruction of the catheter after surgery. Which information will the nurse plan to teach the patient scheduled for photovaporization of the prostate (PVP)? a. Urine will appear bloody for several days. b. Discomfort with voiding may last several weeks. c. Complications are associated with urethral stenting. d. There will be a permanent need for a urinary catheter b. Discomfort with voiding may last several weeks. A 50-yr-old male is scheduled for an annual physical examination. Which diagnostic test will the nurse plan to explain to the patient? a. Urinalysis collection b. Uroflowmetry studies c. Prostate-specific antigen (PSA) d. Transrectal ultrasound scanning (TRUS) c. Prostate-specific antigen (PSA) Which potential cause of infection will the nurse consider as a risk in the plan of care for a patient immediately after a perineal radical prostatectomy? a. Urinary incontinence b. Prolonged urinary stasis c. Fecal wound contamination d. Suprapubic catheter placement c. Fecal wound contamination Which instruction would the nurse give the patient who is incontinent of urine following a radical retropubic prostatectomy? a. Restrict oral fluid intake. b. Do pelvic muscle exercises. c. Perform intermittent self-catheterization. d. Use belladonna and opium suppositories. b. Do pelvic muscle exercises. A 70-yr-old patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) is being discharged from the hospital today. Which patient statement indicates a need for the nurse to provide additional instruction? a. "I should call the doctor if I have incontinence at home." b. "I will avoid driving until I get approval from my doctor." c. "Ishould schedule yearly appointments for prostate examinations." d. "I will increase fiber and fluids in my diet to prevent constipation." a. "I should call the doctor if I have incontinence at home." Which side effect of leuprolide (Lupron) would the nurse plan to discuss with a patient who has cancer of the prostate? b. Ask the patient if he has any questions or concerns about the diagnosis and treatment. c. Inform the patient's wife that concerns about sexual function are common with this diagnosis. d. Document the patient's lack of communication on the health record and continue preoperative care. b. Ask the patient if he has any questions or concerns about the diagnosis and treatment. Which information would the nurse include when performing discharge teaching for a patient after a vasectomy? a. Do not have sexual intercourse until the 6-week follow-up visit. b. Use other methods of birth control until semen testing shows no sperm. c. There may be temporary erectile dysfunction (ED) because of swelling. d. Expect to notice a decrease in the appearance and volume of the ejaculate. a. Do not have sexual intercourse until the 6-week follow-up visit. A patient tells the nurse that he decided to seek treatment for erectile dysfunction (ED) because his partner "is losing patience with the situation." Which patient concern would be the focus of the nurse's follow-up questions? a. Low self-esteem b. Role performance c. Increased anxiety d. Infrequent intercourse b. Role performance A patient with urinary obstruction from benign prostatic hyperplasia (BPH) tells the nurse, "My symptoms are much worse this week." Which response would the nurse make? a. "Have you taken any over-the-counter (OTC) medications recently?" b. "I will talk to the HCP about a prostate-specific antigen (PSA) test." c. "Have you talked to the HCP about a transurethral resection of the prostate (TURP)?" d. "The prostate gland changes in size from day to day, and this may be making your symptoms worse now." a. "Have you taken any over-the-counter (OTC) medications recently?" Which health history information would the nurse obtain from the patient who has possible testicular cancer? a. Testicular torsion b. Testicular trauma c. Undescended testicles d. Sexually transmitted infection (STI) c. Undescended testicles Which information would the nurse plan to teach a 67-yr-old patient who has been diagnosed with orchitis? a. Pain management b. Emergency surgery c. Scrotal sac fluid aspiration d. Applying heat to the scrotum a. Pain management A patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine. Which prescribed therapy would the nurse implement first? a. Assure the patient that ED is common with aging. b. Ask the patient about any prescription drugs he is taking. c. Tell the patient that Viagra does not always work for ED. d. Discuss the common adverse effects of erectogenic drugs b. Ask the patient about any prescription drugs he is taking. The nurse in a health clinic receives requests for appointments from several patients. Which patient would be seen by the health care provider first? a. A 48-yr-old patient who has perineal pain and a temperature of 100.4F b. A 58-yr-old patient who has a painful erection that has lasted more than 6 hours c. A 38-yr-old patient who reports that he had difficulty maintaining an erection twice last week d. A 68-yr-old patient who has pink urine after a transurethral resection of the prostate (TURP) 3 days ago b. A 58-yr-old patient who has a painful erection that has lasted more than 6 hours Which assessment information collected by the nurse may present a contraindication to testosterone replacement therapy (TRT)? a. The patient has noticed a decrease in energy level for a few years. b. The patient's symptoms have increased steadily over the past few years. c. The patient has been using sildenafil (Viagra) several times every week. d. The patient has had a gradual decrease in the force of his urinary stream. d. The patient has had a gradual decrease in the force of his urinary stream. A patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance. Which action would the nurse plan to take? a. Vaccinate the patient with sipuleucel-T (Provenge). b. Provide the patient with information about cryotherapy. c. Teach the patient about the placement of intraurethral stents. d. Schedule the patient for annual prostate-specific antigen testing. d. Schedule the patient for annual prostate-specific antigen testing. The health care provider prescribes the following interventions for a patient with acute prostatitis caused by Escherichia coli. Which intervention would the nurse question? a. Give trimethoprim/sulfamethoxazole 1 tablet daily for 28 days. b. Administer ibuprofen 400 mg every 8 hours as needed for pain. c. Instruct patient to avoid sexual intercourse until treatment is complete. d. Catheterize the patient as needed if symptoms of urinary retention develop. d. Catheterize the patient as needed if symptoms of urinary retention develop. Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first? a. A 22-yr-old patient who has noticed a firm, nontender lump on his scrotum b. A 35-yr-old patient who is concerned that his scrotum "feels like a bag of worms" c. A 40-yr-old patient who has pelvic pain while being treated for chronic prostatitis d. A 70-yr-old patient who is reporting frequent urinary dribbling after a prostatectomy a. A 22-yr-old patient who has noticed a firm, nontender lump on his scrotum After reviewing the electronic medical record shown in the accompanying figure for a patient who had transurethral resection of the prostate the previous day, which information requires the most rapid action by the nurse? a. Elevated temperature and pulse b. Bladder spasms and urine output c. Respiratory rate and lung crackles d. No prescription for antihypertensive drugs b. Bladder spasms and urine output Which topic would the nurse plan to teach a 57-year-old man who is scheduled for an annual physical examination? a. Increased risk for testicular cancer b. Possible changes in erectile function c. Normal decreases in testosterone level d. Prostate-specific antigen (PSA) testing d. Prostate-specific antigen (PSA) testing Chapter 59 NCLEX Male Reproductive Which is the American Cancer Society's recommendation for the early detection of cancer of the prostate? 1. A yearly PSA level and digital rectal exam (DRE) beginning at age 50. 2. A biannual rectal examination beginning at age 40. 3. A semiannual alkaline phosphatase level beginning at age 45. 4. A yearly urinalysis to determine the presence of prostatic fluid. The client is diagnosed with early cancer of the prostate. Which assessment data would the client report? 1. Urinary urgency and frequency. 2. Retrograde ejaculation during intercourse. 3. Low back and hip pain. 4. No problems have been noticed The 80-year-old male client has been diagnosed with cancer of the prostate. Which treatment should the nurse discuss with the client? 1. Radiation therapy every day for 4 weeks. 2. Radical prostatectomy with lymph node dissection. 3. Gonadotropin-releasing hormone agonists (GnRH). 4. Penile implants to maintain sexual functioning. The nurse writes a client problem of urinary retention for a client diagnosed with stage IV cancer of the prostate. Which intervention should the nurse implement first? 1. Catheterize the client to determine the amount of residual. 2. Encourage the client to assume a normal position for urinating. 3. Teach the client to use the Valsalva maneuver to empty the bladder. 4. Determine the client's normal voiding pattern. The client has undergone a bilateral orchiectomy for cancer of the prostate. Which intervention should the nurse implement? 1. Support the scrotal sac with a towel and apply ice. 2. Administer testosterone replacement hormone orally. 3. Encourage the client to place sperm in a sperm bank. 4. Have the client talk to another man with ejaculation dysfunction 3. "Well, there is nothing you can do about that behavior now." 4. "Have you told the HCP and been checked for an HIV infection?" The nurse is preparing the care plan for a 45-year-old client after a radical prostatectomy. Which psychosocial and physiological problem should be included in the plan? 1. Altered coping. 2. High risk for hemorrhage. 3. Sexual impotence. 4. Risk for electrolyte imbalance. The school nurse is preparing a class on testicular cancer for male high school seniors. Which information regarding testicular self-examination should the nurse include? 1. Perform the examination in a cool room under a fan. 2. Any lump should be examined by an HCP as soon as possible. 3. Discuss having a second person confirm a negative result. 4. The procedure will cause mild discomfort if done correctly. The nurse enters the room of a 24-year-old client diagnosed with testicular cancer. The fiancée of the client asks the nurse, "Will we be able to have children?" Which is the nurse's best response? 1. "Your fiancée will be able to father children like always." 2. "You will have to adopt children because he will be sterile." 3. "You and he should consider sperm banking before treatment." 4. "Have you discussed this with your fiancée? I can't discuss this with you." The client diagnosed with testicular cancer is scheduled for a unilateral orchiectomy. Which information is important to teach regarding sexual functioning? 1. The client will have ejaculation difficulties after the surgery. 2. The client will be prescribed male hormones following the surgery. 3. The client may need to have a penile implant to be able to have intercourse. 4. Libido and orgasm usually are unimpaired after this surgery. Which client has the highest risk for developing cancer of the testicles? 1. The client diagnosed with epididymitis. 2. The client born with cryptorchidism. 3. The client diagnosed with an enlarged prostate. 4. The client diagnosed with hypospadias. The nurse is caring for a client 8 hours postoperative unilateral orchiectomy for cancer of the testes. Which interventions should the nurse implement? Select all that apply. 1. Provide an athletic supporter before ambulating. 2. Encourage the client to delay the use of pain medications. 3. Place the client on a clear liquid diet for the first 48 hours. 4. Monitor the PT/INR levels and have vitamin K ready. 5. Use ice packs to the scrotum and around the incision. The RN and an UAP are caring for clients on a genitourinary floor. Which nursing task can be delegated to the UAP? 1. Increase the drip rate on a continuous bladder irrigation set. 2. Check the suprapubic catheter insertion site for infection. 3. Encourage the 2-hour postoperative client to turn and cough. 4. Document the amount of red drainage in the catheter. The nurse is caring for a client diagnosed with epididymitis secondary to a chlamydia infection. Which discharge instruction should the nurse discuss? 1. The sexual partner must be prescribed antibiotics. Exam 3 Questions the client who has acute myelogenous leukemia [ aml] asks the nurse a whether the planned chemotherapy will be worth undergoing. Which response by the nurse is appropriate? a. "If you do not want to have chemotherapy, other treatment options include stem cell transplantation. b. "The side effects of chemotherapy are difficult, but AML frequently goes into remission with chemotherapy." c. "The decision about treatment is one that you and the doctor need to make rather than asking what I would do." d. "You don't need to make a decision about treatment right now because leukemias in adults tend to progress quite slowly." b. "The side effects of chemotherapy are difficult, but AML frequently goes into remission with chemotherapy." The client with leukemia is concerned about why he needs to avoid crowds and people with colds when his white blood cell count is so high. which is the nurse's best response? a) "Even though you have a lot of white blood cells, they are immature and not able to fight infection" b) "The number of white blood cells is falsely high because of the severe dehydration that accompanies leukemia". c) "It is the platelets, not the white blood cells, that protect you from infection". d) "Your white blood cells have been destroyed by chemotherapy and are now nonfunctional". a) "Even though you have a lot of white blood cells, they are immature and not able to fight infection"