NRSG 2300 Unit 8

A client with leukemia has developed a cough and increased fatigue. What is the PRIMARY nursing intervention? A. Place a cooling blanket on the client B. Administer an antitussive C. Evaluate the client for potential infection D. Medicate the client to relieve pain

C. Evaluate the client for potential infection

Breast cancers are usually found in which area of the breast? A. Posterior B. Upper outer quadrant C. Lower inner quadrant D. Middle

B. Upper outer quadrant

Which nursing interventions related to a client with breast cancer are appropriate for a nurse working in a community-based setting and a hospital-based nurse? (select all that apply) A Promotion of a positive body image B. Prevention of social isolation C. Incision care D. Intravenous (IV) therapy E. Patient education

A Promotion of a positive body image C. Incision care D. Intravenous (IV) therapy E. Patient education

Which options are available to women who have an increased risk of developing breast cancer? (Select all that apply) A. Annual mammogram and MRI B. Preventive radiation C. Chemoprevention with tamoxifen D. Bilateral prophylactic mastectomy

A. Annual mammogram and MRI C. Chemoprevention with tamoxifen D. Bilateral prophylactic mastectomy

Cancer has many characteristics. What is one of the most discouraging characteristics of cancer? A. Slow growth B. Metastasis C. Carcinogenesis D. Large size tumors

B. Metastasis

50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse? A. how does your family feel about this decision? B. Your surgeon has performed this surgery many times C. What concerns you most about having surgery? D. This surgery can cure you of cancer

C. What concerns you most about having surgery?

Which of the following would the nurse expect to be done to assess the size of the prostate? A. Digital rectal examination B. Pelvic examination C. Bladder percussion D. Transillumination

A. Digital rectal examination

The health care provider recommends that parents have their daughter vaccinated with HPV vaccine. What is this vaccine for? A. Help prevent cervical cancer B. Help prevent breast cancer C. Help prevent leukemia D. Help prevent lung cancer

A. Help prevent cervical cancer

An older client underwent a lumpectomy for a breast lesion that was determined to be malignant. Which factors increase the risk for breast cancer? (Select all that apply) A. Increased age B. Daily alcohol intake C. Obesity D. Silicone breast implants E. Nulliparity

A. Increased age B. Daily alcohol intake C. Obesity E. Nulliparity

Which nursing intervention(s) are related to a client with breast cancer? (Select all that apply) A. Management of complications B. Relieving fear C. Prevention of social isolation D. Promotion of positive body image E. Client education and preparation for treatment

A. Management of complications B. Relieving fear D. Promotion of positive body image E. Client education and preparation for treatment

A client seeks medical attention for a painless lump located in the upper area of the right breast. Which additional finding indicates to the nurse that the client has advanced breast disease? (Select all that apply) A. Tissue dimpling B. Breast tenderness with menstruation C. Occasional breast pain D. Unequal breast size E. Nipple retraction

A. Tissue dimpling E. Nipple retraction

Which nursing intervention should be incorporated into the plan of care to manage the delayed clotting process due to thrombocytopenia in a client with leukemia? A. Implementing neutropenic precautions B. Applying prolonged pressure to needle sites or other sources of external bleeding C. Monitoring temperature at least once per shift D. Eliminating direct contact with others who are infectious

B. Applying prolonged pressure to needle sites or other sources of external bleeding

Which laboratory test results indicate to the nurse that the client is experiencing symptoms of acute lymphocytic leukemia (ALL)? (Select all that apply) A. Blastocyst count 94 B. Granulocyte count 0.8 C. Platelet count of 20,000 D. Erythrocyte count 2.5 E. Hemoglobin 16

B. Granulocyte count 0.8 C. Platelet count of 20,000 D. Erythrocyte count 2.5

A client with CLL wants to have treatment for the condition. Which medication will the nurse question for this client? A. Vincristine B. Heparin C. Dexamethasone D. Ipilimumab

B. Heparin

A nurse is instructing a premenopausal client about breast self-examination. The nurse should tell the client to do their self-examination: A. On the same day of each month B. Immediately after her menses C. On the first day of the menstrual cycle D. At the end of their menstrual cycle

B. Immediately after her menses

The nurse is caring for a client with the diagnosis of colon cancer with metastasis to the liver. Which statement made by the client indicates an understanding of the diagnosis? A. How could I be so unlucky to get cancer twice B. My cancer has spread to my liver C. Once the colon tumor is removed, I will be fine D. I will be happy once all the cancer is cut out

B. My cancer has spread to my liver

A client diagnosed with leukemia will begin chemotherapy. What classification of medication would the nurse plan to administer to manage the most common adverse effect of chemotherapy? A. A tumor antibiotic B. An antimetabolite C. An antiemetic D. An anticoagulant

C. An antiemetic

A nurse is caring for a 29-year-old female client, who was diagnosed with acute lymphocytic leukemia. The client is preparing for an allogeneic bone marrow transplant. Which statement by the client demonstrates she understands the informed consent she gave about the diagnosis and treatment? A. I always had a good appetite. Even with chemo I shouldn't have to make any changes to my diet B. I should be able to finally start a family after I'm finished with the chemo C. I'll only need chemotherapy treatment before receiving my bone marrow transplant D. I'll have to remain in the hospital for about 3 months after my transplant

C. I'll only need chemotherapy treatment before receiving my bone marrow transplant

A nurse is caring for a client with prostate cancer and assesses bleeding gums and hematuria. What serum indicator should the nurse relate the bleeding? A. Neutrophil count of 40% B. Reticulocyte count of 1% C. Platelet count of 60,000/mm^3 D. Lymphocyte count of 30%

C. Platelet count of 60,000/mm^3

A suspicious breast lump is noted on a mammogram. The client asks the nurse which diagnostic test confirms if the lump is cancerous or benign. Which response by the nurse is most correct? A. An ultrasound B. A clinical breast exam C. A magnetic resonance imaging (MRI) D. A biopsy

D. A biopsy

The client is scheduled for a biopsy for suspected cancer of the prostate. The nurse recognizes the purpose of this procedure is: A. Palliative B. Reparative C. Curative D. Diagnostic

D. Diagnostic

A patient with AML has a neutrophil count that persists at less than 100/mm^3. What should the nurse cautiously monitor this patient for? A. Abdominal cramps B. Hypotension C. Seizure activity D. Infection

D. Infection

A nurse is caring for a client who has a diagnosis of acute myelocytic leukemia (AML). Assessment of which factor MOST directly addresses the most common cause of death among clients with leukemia? A. Nutritional status B. Electrolyte levels C. Liver function D. Infection status

D. Infection status

A client is not dealing well with the diagnosis of cancer. She feels she is "so alone." Which intervention would be most appropriate for this client? A. Refer the client to hospice as she will need future care B. Educate the client on the availability of support groups for clients with cancer C. Teach the client relaxation techniques to deal with the future of cancer D. Offer advice on how to deal with the stress of cancer

B. Educate the client on the availability of support groups for clients with cancer

The nurse is assessing a 73-year-old client who was diagnosed with metastatic prostate cancer. The nurse notes that the client is exhibiting signs of loss, grief, and intense sadness. Based on this assessment data, the nurse will document that the client is most likely in what stage of death and dying? A. Depression B. Denial C. Acceptance D. Anger

A. Depression

The nurse at a genetics clinic is reviewing the health and genetic history of a woman whose mother died of breast cancer. Which of the following is the most important factor documented in the client's genetic history? A. Three generations of information about the family B. Health problems present in the woman's children C. Current medications taken D. Immunizations received for the past three generations

A. Three generations of information about the family

A client with the diagnosis of ovarian cancer confides in the nurse that they practice holistic medicine. The client believes a cure exists through a macrobiotic diet, rather than what surgery or medical treatment can achieve. Which statement by the nurse is most appropriate? A. We can talk to your provider about adding this diet as a complementary therapy B. Alternative treatments do not have good outcomes for this type of cancer C. You should listen to your provider, who is the expert on this condition D. I wouldn't bet my life on a diet treatment plan

A. We can talk to your provider about adding this diet as a complementary therapy

Which group of clients is at high risk of developing breast cancer? A. Women who are obese B. Women who have sex with multiple partners C. Women who consume a low-fat, low-calorie diet D. Women who do not consume alcohol

A. Women who are obese

The nurse is evaluating bloodwork results of a client with cancer who is receiving chemotherapy. The client's platelet count is 60,000/mm^3. Which is an appropriate nursing action? A. Providing a razor so the client can shave B. Avoiding the use of products containing aspirin C. Providing commercial mouthwash to the client D. Taking the client's temperature rectally

B. Avoiding the use of products containing aspirin

Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis? A. Undertake pelvic floor retraining B. Have regular PSA levels tested and repeat lymph node biopsies C. Avoid sexual intercourse for at least 2 years D. Avoid strenuous exercises, especially lifting

B. Have regular PSA levels tested and repeat lymph node biopsies

A client diagnosed with acute myeloid leukemia has just been admitted To the oncology unit. When writing this client's care plan, which potential complication should the nurse address? A. Arteritis B. Hemorrhage C. Pancreatitis D. Liver dysfunction

B. Hemorrhage

An elderly client is hospitalized for treatment related to leukemia. Family members want to visit with a toddler who has a cold. It would be best for the nurse to: A. Allow the toddler to remain in the room if a family member wipes the toddler's nose B. Instruct the family to remove the toddler from the room for the protection of the client C. Inform the family to either wash their hands or use the hand sanitizer D. Ask the family to leave the client's room

B. Instruct the family to remove the toddler from the room for the protection of the client

Which is the primary preventable cause of skin cancer? A. Fair skin B. Excess melanin C. Exposure to UV radiation D. Skin disease

C. Exposure to UV radiation

While completing an admission assessment, the client reports a family history of breast cancer among a maternal grandmother, aunt, and sister. The nurse that these cancers are MOST likely associated with what etiology? A. Exposure to chemicals and spermicides B. Increased tumor suppressor genes C. Inherited gene mutation D. Smoking and tobacco use

C. Inherited gene mutation

A client recovering from the removal of a gastric tumor asks why radiation therapy is needed. Which response will the nurse provide? A. It is to heal the wound faster B. It is to prevent the development of a wound infection C. It is to kill any remaining cancer cells D. It is to reduce your need for medication

C. It is to kill any remaining cancer cells

A patient has been taught how to perform breast self-examination. After standing in front of a mirror and checking both breasts for anything unusual, which of the following would the patient do next? A. Lay down and examine both breasts again B. Bend at the waist with hands on hips C. Place hands behind their head D. Lift one arm and examine that breast

C. Place hands behind their head

The nurse recognizes the clinical assessment of a patient with acute myeloid leukemia (AML) includes observing for signs of infection early. What nursing action will most likely help prevent infection? A. Encourage increased fluid consumption B. Maintain contact precautions C. Practice vigilant handwashing D. Monitor the client's temperature every shift

C. Practice vigilant handwashing

A client asks the nurse what PSA is. The nurse should reply that it stands for: A. Protein serum antigen, which is used to determine protein levels B. Papanicolaou-specific antigen, which is used to screen for cervical cancer C. Pneumococcal strep antigen, which is a bacteria that causes pneumonia D. Prostate-specific antigen, which is used to screen for prostate cancer

D. Prostate-specific antigen, which is used to screen for prostate cancer

A nursing student is caring for a client diagnosed with acute myeloid leukemia who is preparing to undergo induction therapy. In preparing a plan of care for this client, the student should assign the highest priority to which of the following? A. Risk for spiritual distress B. Activity intolerance C. Acute confusion D. Risk for infection

D. Risk for infection

A nurse is providing teaching to a client who will undergo chemotherapy and radiation prior to hematopoietic stem cell transplantation (HSCT) for acute myeloid leukemia (AML). What statement will the nurse use to describe the purpose of the chemotherapy and radiation? A. These therapies decrease your immune system to decrease the risk of allergic reation B. These therapies destroy the bone marrow in an effort to shrink it and decrease your pain C. These therapies shrink your tumor to ensure the stem cell transplant is more effective D. These therapies destroy the ability of your body to produce blood cells inside your bone marrow

D. These therapies destroy the ability of your body to produce blood cells inside your bone marrow

The nurse is providing shift report related to a client newly received back to the unit from the post anesthesia care unit (PACU). The nurse is stating that the client had breast tissue removed with 7 of 14 lymph nodes, the lining of the chest muscles and pectoralis major and minor muscles removed. The oncoming nurse documents which procedure completed? A. A radical mastectomy B. A modified radical mastectomy C. A segmental mastectomy D. A total mastectomy

A. A radical mastectomy

A client is undergoing chemotherapy treatment for prostate cancer and has lost considerable weight due to nausea and vomiting. Which nursing intervention is appropriate for the client? A. Adjusting the client's meal plan before and after chemotherapy B. Administering beta-blockers as ordered by the physician C. Decreasing dietary fluids 2 days before chemotherapy D. Increasing fresh fruits in the client's diet

A. Adjusting the client's meal plan before and after chemotherapy

After a breast biopsy, a client is diagnosed with lobular carcinoma in situ. Which information about treatment will the nurse prepare for this client? (Select all that apply) A. Chemoprevention strategies B. Radical mastectomy C. Application of heat to the area D. Frequency of mammograms E. Use of antibiotics

A. Chemoprevention strategies D. Frequency of mammograms

A patient with an advanced laryngeal tumor is to have radiation therapy. The patient tells the nurse, "If I am going to have radiation, I won't need surgery." What is the best response by the nurse? A. You really don't have to have radiation but you won't have to have such invasive surgery if you have the radiation first B. Radiation is used to shrink the tumor size and is an adjunct to surgery C. All patients have to have radiation before they have surgery. It is protocol D. That is correct. The radiation will eradicate the tumor and you won't have to have further treatment

B. Radiation is used to shrink the tumor size and is an adjunct to surgery

Consuming a diet high in which of the following has been found to increase the risk for prostate cancer? A. Whole grains B. Red meats C. Carbohydrates D. Green leafy vegetables

B. Red meats

The public health nurse is presenting a health promotion class to a group at a local community center. Which invention most directly addresses the leading cause of cancer deaths in North America? A. Monthly self-breast exams B. Smoking cessation C. Monthly testicular exams D. Annual colonoscopies

B. Smoking cessation

A client with cancer has just been told that the disease is now terminal. The client tearfully states, "I can't believe I am going to die. Why me?" What is the nurse's BEST response to elicit more information from the client? A. You have lived a long life B. Tell me more about how you feel about this news C. Life can be so unfair D. I know how you are feeling

B. Tell me more about how you feel about this news

Which of the following is the single largest preventable cause of cancer? A. Pesticides B. Tobacco C. Arsenic D. Asbestos

B. Tobacco

A nurse is caring for a client who has been diagnosed with leukemia. The nurse's most recent assessment reveals the presence of ecchymoses on the client's sacral area and petechiae on the forearms. In addition to informing the client's primary care provider, the nurse should perform what action? A. Initiate measures to prevent venous thromboembolism B. Ambulate the client to promote circulatory function C. Place the client on protective isolation D. Check the client's most recent platelet level

D. Check the client's most recent platelet level

A nurse is teaching a community class about how to decrease the risk of cancer. Which food should the nurse recommend? A. Low-fat hot dogs B. Smoked ham C. Medium-rare steak D. Oranges

D. Oranges

A client receiving treatment for leukemia is experiencing stomatitis. Which interventions will the nurse implement to improve the client's nutritional status? (Select all that apply) A. Provide mouth care before and after meals B. Provide foods that are hot in temperature C. Administer pain medication before meals D. Encourage small frequent meals E. Suggest foods that are soft in texture

A. Provide mouth care before and after meals C. Administer pain medication before meals D. Encourage small frequent meals E. Suggest foods that are soft in texture