management of patients with oncologic disorders

which statement by client undergoing external radiation therapy indicates need for further teaching?

"I'm worried i'll expose my family to radiation":Internal radiation, not external radiation, poses a risk to the client's family. The client requires no further teaching if he states that he should wash his skin with mild soap and water, wear protective clothing when outside, and avoid using a heating pad.

The clinic nurse is caring for a client who has just been diagnosed with a tumor. The client says to the nurse "The doctor says my tumor is benign. What does that mean?" What is the nurse's best response?

"benign tumors don't usually cause death":Benign tumors remain at their site of development. They may grow large, but their growth rate is slower than that of malignant tumors. They usually do not cause death unless their location impairs the function of a vital organ, such as the brain.

After a Bone Marrow Transplant, the client should be monitored for at least

100 days:fter a BMT, the nurse closely monitors the client for at least 100 days or more after the procedure because complications related to the transplant can occur 100 days or more as post procedure infections are one common complication that may lead to sepsis and transplant failure.

a client has been receiving chemo to treat cancer. which assessment finding suggests that the client has developed stomatitis?

Red, open sores on oral mucosa: The tissue-destructive effects of cancer chemotherapy typically cause stomatitis, resulting in ulcers on the oral mucosa that appear as red, open sores, and swelling.

A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis is appropriate for this client?

anticipatory grieving: Anticipatory grieving is an appropriate nursing diagnosis for this client because few clients with gallbladder cancer live more than 1 year after diagnosis.

the nurse is providing teaching for a client undergoing chemotherapy. what dietary modifications should be advised?

avoid spicy foods:The nurse advises a client undergoing chemotherapy to avoid hot and very cold liquids and spicy and fatty foods. The nurse also encourages the client to have small meals and appropriate fluid intake.

the nurse is evaluating the clients risk for cancer and recommends changes when the client states she?

eats red meat everyday:Dietary substances such as nitrate-containing, nitrite-containing, and red meats appear to increase the risk of cancer. Exercising 30 minutes on 5 days or more is recommended for adults. Measures are taken to protect those people who work around radiation. It is OK to drink 1 glass of wine per day.

the nurse working on a bone marrow unit knows a priority to monitor for for a pt who just had a BMT is?

monitor closely to prevent infection:Until transplanted bone marrow begins to produce blood cells, these clients have no physiologic means to fight infection, which makes them very prone to infection. They are at high risk for dying from sepsis and bleeding before engraftment. Therefore, a nurse must closely monitor clients and take measures to prevent infection. Monitoring client's toilet patterns, physical condition, and heart rate does not prevent the possibility of the client getting an infection.

according to TNM classification, T0 means there is?

no evidence of primary tumor:T0 means that there is no evidence of primary tumor. N0 means that there is no regional lymph node metastasis. M0 means that there is no distant metastasis. M1 means that there is distant metastasis.

When the client complains of increased fatigue following radiotherapy, the nurse knows this is most likely to be related to which factor?

radiation can result in myelosuppression:Fatigue results from anemia associated with myelosuppression and decreased RBC production

a nurse is caring for a client receiving chemo. which assessment places the client at the greatest risk for infection?

stage 3 pressure ulcer on the left heel:A stage 3 pressure ulcer is a break in the skin's protective barrier, which could lead to infection in a client who is receiving chemotherapy.

a client with a brain tumor is undergoing radiation and chemotherapy for treatment. the client has reported swelling in gums, tongue, and lips. what is the cause?

stomatitis:The symptoms of swelling in gums, tongue, and lips indicate stomatitis. This usually occurs 5 to 10 days after the administration of certain chemotherapeutic agents or radiation therapy to the head and neck.

The nurse is invited to present a teaching program to parents of school-age children. Which topic would be of greatest value for decreasing cancer risks?

sun safety and use of sunscreen: \\\

the nurse evaluates teaching as effective when a female client states that she will?

use sunscreen outdoors:Use of sunscreens play a role in the amount of exposure to ultraviolet light. Even decreasing the use of tobacco still exposes a person to risk of cancer. The American Cancer Society recommends adults to engage in at least 30 minutes of moderate to vigorous physical activity on 5 or more days each week. It is recommended to obtain a cancer history from at least three generations.

which of the following would be inconsistent as common side effect of chemotherapy?

weight gain:Common side effects seen with chemotherapy include myelosuppression, alopecia, nausea and vomiting, anorexia, and fatigue.