Cancer

Which meal option is appropriate for the patient with reduced appetite secondary to cancer treatment? A. Oatmeal, milk and strawberries. B. Baked chicken breast, peas and cottage cheese. C. Steak, baked potatoes and beans. D. Peanut butter and jam sandwich.

B

A nurse is assessing a female who is receiving her second administration of chemotherapy for breast cancer. When obtaining this patient's health history, what is the most important information for the nurse to obtain? A. Has your hair been falling out in clumps? B. Have you had nausea or vomiting? C. Have you been sleeping at night? D. Do you have your usual energy level?

B

A patient with breast cancer who is undergoing chemotherapy informs the nurse that she takes herbal supplements to strengthen her immune system. What action should the nurse take based on this information? A. Tell the patient that herbs can be dangerous, especially when receiving chemotherapy. B. Ask the patient if her oncologist is aware of the herbs that she is taking. C. Tell the patient that she will require blood test to check for liver damage. D. Inform the patient that there is no research evidence on the effectiveness of herbal supplements.

B

A patient with lung cancer is found to have a large pericardial effusion on a 2D echocardiogram and is scheduled for pericardiocentesis. How should the nurse explain this procedure to the patient? A. "An incision is made over your breast bone and a chest tube is inserted to drain the fluid out." B. "A syringe with a needle is inserted through the bottom of the chest wall to drain fluid from the sac around your heart." C. "Through an incision over the left side of your chest, a portion of the sac around your heart is cut out." D. "A large needle is inserted from above the heart and into the sac around your heart to drain the fluid out."

B

A nurse is caring for a cancer patient with peripheral neuropathy of the lower extremities. What educational information should the nurse provide to the patient with peripheral neuropathy? Select all that apply. A. Apply a heating pad to the painful area. B. Take Pregabalin (Lyrica) as prescribed. C. Use a non-slip matt in the bathroom. D. Check your feet daily for any skin breakdown.

B, C, D

A patient is receiving monthly doses of chemotherapy for treatment of stage 3 colon cancer. The nurse should report which of the following laboratory results to the oncologist before the next dose of chemotherapy is administered? Select all that apply. A. Hemoglobin of 14.5 mg/dl. B. Platelet count of 40,000/mm3. C. BUN level of 12 mg/dl. D. Temperature of 38.4 C (101.2 F). E. White blood cell count of 2.3 mg/dl. F. Urine specific gravity of 1.020.

B, D, E

What recommendation can the nurse provide to the patient who is experiencing diarrhea secondary to radiation of the abdomen? A. Drink viscous lidocaine to reduce inflammation of the intestines. B. Consume plenty of fresh fruits and vegetables. C. Do not eat oatmeal. D. Avoid sugar free candy.

D

A patient receiving radiation to the head and neck is experiencing stomatitis. The nurse should recommend: A. Evaluation by a dentist. B. Alcohol-based mouthwash rinses. C. Rinse mouth with salt and water. D. Vigorous brushing of the teeth after each meal.

C

A patient with leukemia presents for a second session of chemotherapy and complains of severe abdominal cramps and muscle weakness. Blood tests are drawn immediately and reveal the following results: Ca 6.0 mg/dl, Phos 6.0 mg/dl, K 5.8 mEq, Cr. 2.5 mg/dl and GFR of 40 ml/min/1.73 m2. The nurse anticipates that the patient developed which of the following conditions? A. Renal failure. B. Chemotherapy induced enteritis. C. Tumor lysis syndrome. D. Malnutrition.

C

The nurse is caring for a patient who is receiving external beam radiation therapy for treatment of lung cancer. The nurse should assess the client for which of the following? A. Diarrhea. B. Improved energy level. C. Dysphagia. D. Normal white blood cell count.

C