Cancer

The nurse teaches a patient with cancer of the liver about high-protein, high-calorie diet choices. Which shack choice by the patient indicates that the teaching has been effective? Lime sherbet blueberry yogurt Cream cheese bagel Fresh strawberries and bananas

Blueberry yogurt

The nurse is caring for a patient with colon cancer who is scheduled for external radiation therapy to the abdomen. Which information obtained by the nurse would indicate a need for patient teaching? The patient swims a mile 3 days a week The patient snacks frequently during the day The patient showers evervdav with a mild soan The patient has a history of dental caries with amalgam fillings

The patient swims a mile 3 days a week

A patient has been assigned the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers. Which nursing action will be most effective in improving oral intake? Offer the patient frequent small snacks between meals. Assist the patient to choose favorite foods from the menu. Provide teaching about the importance of nutritional intake Apply the ordered anesthetic gel to oral lesions before meals.

Apply the ordered anesthetic gel to oral lesions before meals.

The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should monitor for which adverse ettect? Nausea Alopecia Mucositis Hematuria

Hematuria

External-beam radiation is planned for a patient with cervical cancer. What instructions should the nurse give to the patient to prevent complications from the effects of the radiation? Test all stools for the presence of blood Maintain a high-residue, high-tiber diet Clean the perianal area carefully after every bowel movement. Inspect the mouth and throat dailv for the appearance of thrush

Clean the perianal area carefully after every bowel movement.

A patient with Hodgkins lymphoma who is undergoing external radiation therapy tells the nurse, I am so tired I can hardly get out of bed in the morning. Which intervention should the nurse add to the plan of care? Minimize activity until the treatment is completed. Establish time to take a short walk almost every day Consult with a psychiatrist for treatment of depression Arrange for delivery of a hospital bed to the patients home

Establish time to take a short walk almost every day

A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area.The nurse teaches the patient about management of the skin reaction. Which statement, if made by the patient, indicates the teaching was effective? I can buy some aloe vera gel to use on the area will expose the treatment area to a sun lamp daily. I can use ice packs to relieve itching in the treatment area. wil scrub the area with warm water to remove the scales.

I can buy some aloe vera gel to use on the area

The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer. Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider? Poor oral intake Frequent loose stools Complaints of nausea and vomiting Increase in carcinoembryonic antigen (CEA)

Increase in carcinoembryonic (CEA) An increase in CEA indicates that the chemotherapy is not ettective for the patients cancer and mav need to be moditied. The other patient findings are common adverse effects of chemotherarv. The nurse mav need to address these. but they would not necessarily indicate a need for a change in merapy

During the teaching session for a patient who has a new diagnosis of acute leukemia the patient is restless and is lOoKIng away, never making eye contact. Anter teaching about the complications associated Wit спетоегару, te padent asks the nurse to repeat all of the mformation. Based on this assessment, Which nursing diagnosis is most appropriate for the patient? Risk for inettective adherence to treatment related to denial or need for chemoterapy Acute contusion related to infiltration of leukemia cells into the central nervous system Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis Deticient knowledge: chemotherapy related to a lack of interest in learning about treatment

Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis

The nurse should include which food choice when providing dietary teaching for a patient scheduled to receive external beam radiation for abdominal cancer? Fresh fruit salad Roasted chicken Whole wheat toast Cream of potato sour

Roasted chicken

The nurse administers an I vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take? Infuse the medication over a short period of time Stop the infusion if swelling is observed at the site. Administer the chemotherapy through a small bore catheter Hold the medication unless a central venous line is available.

Stop the infusion if swelling is observed at the site.

Which action should the nurse take when caring for a patient who is receiving chemotherapy and complains of problems with concentration. Teach the patient to rest the brain by avoiding new activities Teach that chemo-brain is a short-term effect of chemotherapy. Report patient symptoms immediately to the health care provider. Suggest use of a daily planner and encourage adequate rest and sleep

Suggest use of a daily planner and encourage adequate rest and sleep

A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observaton by the nurse would maicate a need for furtner teaching. The patient ambulates several times a dav in the room. The patients visitors bring in some fresh peaches from home. The patient cleans with a warm washcloth after having a stool. The patient uses soap and shampoo to shower every other day

The patients visitors bring in some fresh peaches from home

When caring for a patient who is pancytopenic, which action by unlicensed assistive personnel (UP) indicates a need for the nurse to intervene? UAP assists the patient to use dental floss after eating The UAP adds baking soda to the patients saline oral rinses. The UAP puts fluoride toothpaste on the patients toothbrush The UAP has the patient rinse after meals with a saline solution.

UAP assists the patient to use dental floss after eating Use of dental floss is avoided in patients with pancytopenia because of the risk for infection and bleeding. The other actions are appropriate for oral care of a pancytopenic patient.

The nurse reviews the laboratory results of a patient who is receiving chemotherapy. Which laborators result is most important to report to the health care provider? Hematocrit of 30% Platelets of 95,000/L Hemoglobin of 10 g/L White blood cell (WBC) count of 2700/L

White blood cell (WBC) count of 2700/L

A chemotherapy drug that causes alopecia is prescribed for a patient. Which action should the nurse take to maintain the patient's self-esteem? a. Tell the patient to limit social contacts until regrowth of the hair occurs. b. Encourage the patient to purchase a wig or hat and wear it once hair loss begins. c. Teach the patient to gently wash hair with a mild shampoo to minimize hair loss. d. Inform the patient that hair usually grows back once the chemotherapy is complete.

b. Encourage the patient to purchase a wig or hat and wear it once hair loss begins.

A patient develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan (select all that apply)? Cook food thoroughly before eating Choose low fiber, low residue foods Avoid public transportation such as buses Use rectal suppositories if needed for constipation. Talk to the oncologist before having any dental work done

Cook food thoroughly before eating Avoid public transportation such as buses Talk to the oncologist before having any dental work done

A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. Which action, if taken by the nurse, is most appropriate? a. Have the patient eat large meals when nausea is not present. b. Offer dry crackers and carbonated fluids during chemotherapy. c. Administer prescribed antiemetics 1 hour before the treatments. d. Give the patient two ounces of a citrus fruit beverage during treatments.

c. Administer prescribed antiemetics 1 hour before the treatments.

A patient with cancer has a nursing diagnosis of imbalanced nutrition: less than body requirements related to altered taste sensation. Which nursing action is most appropriate? a. Add strained baby meats to foods such as casseroles. b. Teach the patient about foods that are high in nutrition. c. Avoid giving the patient foods that are strongly disliked. d. Add extra spice to enhance the flavor of foods that are served.

c. Avoid giving the patient foods that are strongly disliked.

A patient with leukemia is considering whether to have hematopoietic stem cell transplantation (HSCT). The nurse will include which information in the patient's teaching plan? a. Transplant of the donated cells is painful because of the nerves in the tissue lining the bone. b. Donor bone marrow cells are transplanted through an incision into the sternum or hip bone. c. The transplant procedure takes place in a sterile operating room to minimize the risk for infection. d. Hospitalization will be required for several weeks after the stem cell transplant procedure is performed.

d. Hospitalization will be required for several weeks after the stem cell transplant procedure is performed.

A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse give to this patient? a. Remove food debris from the teeth and oral mucosa with a stiff toothbrush. b. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth. c. Gargle and rinse the mouth several times a day with an antiseptic mouthwash. d. Rinse the mouth before and after each meal and at bedtime with a saline solution.

d. Rinse the mouth before and after each meal and at bedtime with a saline solution.