cancer adaptive quiz
A client who is receiving chemotherapy for lung cancer has nausea and vomiting because of the therapy. The client wants to know if it is true that smoking marijuana will help. What is the nurse's best response? a-"Marijuana is not proven to be effective in preventing chemotherapy-induced nausea and vomiting." b-"Tetrahydrocannabinol is an ingredient in marijuana that decreases nausea and vomiting in some people." c-"Smoking marijuana is not legal in any state." d-"Marijuana is effective for nausea and vomiting if it is injected."
b
A client with cancer of the lung says to the nurse, "If I could just be free of pain for a few days, I might be able to eat more and regain strength." Which stage of grieving does the nurse conclude the client is in? a- Frustration b- Bargaining c- Depression d-Rationalization
b
A client with cancer of the prostate requests the urinal at frequent intervals but either does not void or voids in very small amounts. What does the nurse conclude is most likely the causative factor? a-Edema b-Retention c-Dysuria d- Suppression
b
A nurse is administering erythropoietin three times a week to a client receiving chemotherapy for cancer. Which client response is considered most significant? a- Increase in Kaposi sarcoma lesions b- Elevated hematocrit level c- Elevated liver enzymes d- Increase in the white blood cell (WBC) count
b
A spouse spends most of the day with a client who is receiving chemotherapy but inoperable cancer. The spouse asks the nurse, "What can I do to help"? How can the nurse support the client's spouse? a- Instruct the spouse about the action of the medications. b- Assist the couple to maintain open communication. c- Meet privately with the spouse to explore personal feelings. d- Offer the couple a description of the disease process.
b
The nurse is caring for a client undergoing chemotherapy for cancer treatment. The client's laboratory results indicate bone marrow suppression. What should the nurse encourage the client to do? a- Sleep with the head of the bed slightly elevated b- Use an electric razor when shaving c- Increase activity level by ambulating frequently d- Drink citrus juices frequently for nourishment
b
A client has a colostomy after surgery for cancer of the colon. What postoperative nursing intervention maximizes skin integrity? a- Allow one half inch between the stoma and the appliance b- Help the client to remove the appliance on the first postoperative day c- Apply stoma adhesive around the stoma and then attach the appliance d- Empty the colostomy bag when it is three fourths full
c
A client who is to receive radiation for cancer says to the nurse, " My family and friends say that I will get a radiation burn." What is the best response by the nurse? a- "It will be no worse than a sunburn." b- "Daily application of an emollient will prevent the burn." c- "A localized skin reaction usually occurs." d- "They may be misinformed."
c
A client who was just admitted to the hospital with metastatic cancer has temperature of 100.4 F, a distended abdomen, and abdominal pain. The client asks the nurse, "Do you think that I'm going to have surgery?" a- "Some people with your problem do have surgery." b- "I don't know about any surgery. You'll have to ask your health care provider." c- "You seem concerned about having surgery." d- "I'll find out for you. Your record will show if surgery is scheduled."
c
A client with cancer of the prostate requests the urinal at frequent intervals but either does not void or voids in very small amounts. What does the nurse conclude is most likely the causative factor? a- Edema b- Suppression c- Retention d- Dysuria
c
A client with the diagnosis of breast cancer is scheduled to receive radiation therapy to the affected area. The nurse teaches the client about how to care for the area that will be irradiated. The nurse determines that further teaching is necessary when the client states that to avoid skin irritation and breakdown the client will do what? a-Wear soft clothing over the upper body b-Protect the skin from sources of heat c-Use an oatmeal-based lotion after each treatment d-Leave the skin markings intact
c
A farmer seeks medical care for a large crusty patch of skin on the cheek. The client states that even after using different remedies, it still bleeds easily and has not gotten better. From the client's history, the nurse suspects skin cancer because the major precipitating factor associated with skin cancer is what? a-Self-treatment of lesions b-Location of the lesion c-Exposure to radiation d-Contact with soil contaminants
c
A nurse is planning a community health program about screening for cancer. Which information recommended by the American Cancer Society (ACS) should the nurse include? a-Digital rectal exams and Prostate-Specific Antigen (PSA) testing should be done yearly after age 40 for men. b-Breast self-examination should be performed monthly beginning at age 30 years. c-Fecal occult blood testing should be performed yearly beginning at age 50 years. d-Mammography should be performed annually after age 35 years for women.
c
A nurse is teaching a group of adults about the signs and symptoms of colorectal cancer. What is the most common clinical manifestation that the nurse should include in the teaching program? a-Abdominal pain b-Alteration in caliber of stools c-Change in bowel habits d-Rectal bleeding
c
Before discharge, a client who had a colostomy for colorectal cancer questions the nurse about resuming activity. What should the nurse teach the client about activity? a-"After surgery, changes in activities must be made to accommodate for the physiological changes caused by the operation." b- "Activities of daily living should be resumed as quickly as possible so you avoid being depressed." c-"With guidance, a near-normal lifestyle, including complete sexual function, is possible." d-"Most sports activities, except for swimming, can be resumed based on your overall physical condition."
c
The nurse reviews the medical records of four male clients and concludes that which client is at highest risk of developing prostate cancer? a- An asian 55-year-old b- A white 45-year-old c- A black 55-year-old d- A hispanic 45-year-old
c
A nurse is reviewing the health history and laboratory results of a school-aged child admitted to the pediatric unit with acute nonlymphoid leukemia (acute myeloid leukemia). What clinical findings does the nurse expect? Select all that apply. a-Few stem cells b-Oliguria c-Listlessness d-Difficulty swallowing e-Bone marrow depression
c,e
A client who was admitted with a diagnosis of acute lymphoblastic leukemia is receiving chemotherapy. Which assessment finding should alert the nurse to the possible development of the life threatening response of thrombocytopenia? Select all that apply. a-Hematuria b-Headache c-Fever d-Diarrhea e-Ecchymosis
a,e
A client has a permanent sigmoid colostomy as a result of cancer of the rectum. The primary health care provider prescribes daily colostomy irrigations. What does the nurse explain that the primary purpose of these irrigations is? a- To prevent straining at passage of stool b- To establish a regular elimination schedule c- To decrease the amount of flatus in the bowel d- To limit the amount of fluid lost from the intestine
b
A client newly diagnosed with cancer of the pancreas is scheduled for surgery. The client says to the nurse, "Wouldn't I be better off with some other treatment instead of surgery?" What is the nurse's best response? a- "Surgery is the recommended approach. Why don't you discuss this further with the health care provider?" b- "Maybe you will be more confident with a second opinion. I think you need a referral to another health care provider." c- "If I were you, I would explore other acceptable treatments for your cancer." d- "With your disease your prognosis will improve if you follow the suggestion to have the recommended surgery."
a
A client is admitted to the hospital with a diagnosis of a large cancerous tumor of the sigmoid colon, and surgery for a colon resection is scheduled. What clinical finding does the nurse expect when completing this client's nursing admission history and physical? a- Dehydration b- Rectal bleeding c- Ribbon-shaped stool d- Diarrhea
b
A client with the diagnosis of breast cancer is scheduled to receive radiation therapy to the affected area. The nurse teaches the client about how to care for the area that will be irradiated. The nurse determines that further teaching is necessary when the client states that to avoid skin irritation and breakdown the client will do what? a- Use an oatmeal-based lotion after each treatment b-Protect the skin from sources of heat c-Wear soft clothing over the upper body d- Leave the skin markings intact
a
After surgery for cancer, a client is to receive chemotherapy. When teaching the client about side effects of chemotherapy, the nurse emphasizes what about the occurrence of alopecia? a-It is not permanent b-It is sometimes preventable c-It is usually rare d-It is frequently prolonged
a
Which diagnostic test is beneficial in identifying prostate cancer in men? a- Ultrasonography b- Endometrial biopsy c- Radiographic examination d- Mammography
a
A client is diagnosed as having cancer of the breast and is admitted to the hospital for a lumpectomy to be followed by radiation. While being admitted to ambulatory surgery by the nurse, the client has tears in her eyes and her chin is quivering. In a shaky voice the client says, "I can't believe this is happening." What is the nurse's best response? a- "You can't believe this is happening?" b- "This must be a very scary time for you." c- "Do you have any questions at this time?" d- "Cancer of the breast has a high cure rate."
b
A client is scheduled to begin chemotherapy two weeks after the client had surgery for colon cancer. The nurse explains to the client that the delay in instituting drug therapy is planned because the chemotherapy does what? a- Increases edema in areas distal to the incision by blocking lymph channels with destroyed lymphocytes b- Interferes with cell growth and delays wound healing c- Causes vomiting, which endangers the integrity of the incisional area d- Decreases red blood cell production and the resultant anemia will add to postoperative fatigue
b
A client is admitted to the hospital with jaundice. After numerous diagnostic tests, the healthcare provider makes the diagnosis of cancer of the pancreas. What does the nurse conclude is the most likely cause of the client's jaundice? a- Impaired liver function, resulting in incomplete bilirubin metabolism b- Excessive serum bilirubin caused by red blood cell destruction c- Obstruction of the common bile duct by the pancreatic neoplasm d- Necrosis of the parenchyma caused by the neoplasm
c
A client is admitted with a lesion in the descending colon. Which factor in the client's history is unrelated to a predisposition to cancer? a-Colitis b-Diverticulitis c-Hemorrhoids d-Constipation
c
A client is to receive metoclopramide intravenously 30 minutes before initiating chemotherapy for cancer of the colon. The nurse explains that metoclopramide is given for what purpose? a-Increase absorption of the chemotherapeutic medication b-Stimulate production of gastrointestinal secretions c-Enhance relaxation of the upper gastrointestinal tract d-Prolong excretion of the chemotherapeutic medication
c
A 66-year-old woman who has a history of a 30-pound weight loss in three months, as well as periods of constipation and diarrhea, is diagnosed with cancer of the colon. What should the nurse incorporate into the client's teaching plan about malignant tumors of the colon and rectum? a- they are easily detected b- they are among the third most common causes of cancer in women c- they are usually localized d- they are found more frequently in women then in men
d
A client has a basal cell epithelioma that is scheduled to be removed. The client expresses concerns that the cancer has spread. What is the best response by the nurse? a-"I can understand how you must feel." b- "You are a low surgical risk." c- "The health care provider probably caught it just in time." d- "Basal cell tumors usually do not spread."
d
A client who is receiving methotrexate for acute lymphocytic leukemia (ALL) develops a temperature of 101F. The nurse notifies the health care provider. Aspirin 650 mg every four hours as needed for temperature equal to or greater than 101 F is prescribed. What should the nurse do regarding this prescription? a- Ask if the frequency should be every six hours instead. b- Request a prescription for an antacid. c- Express concern about the dosage prescribed. d- Express concern about the type of antipyretic prescribed.
d
A client with cancer of the lung says to the nurse, "If I could just be free of pain for a few days, I might be able to eat more and regain strength." Which stage of grieving does the nurse conclude the client is in? a-Frustration b-Rationalization c-Depression d-Bargaining
d
A client with small-cell lung cancer is receiving chemotherapy. A complete blood count is prescribed before each round of chemotherapy. What is the component of the complete blood count that the nurse is concerned about most? a-Platelets b-Red blood cells (RBCs) c-Hematocrit d-White blood cells (WBCs)
d
During admission a client appears anxious and says to the nurse, "The doctor told me I have lung cancer. My father died from cancer. I wish I had never smoked." What is the nurse's best response? a- "There have been advances in lung cancer therapy." b- "You are feeling guilty about your smoking." c- "Trust your health care provider, who is very competent in treating cancer." d- "You are concerned about your diagnosis."
d