oncology

what should the nurse teach the client regarding methods for improving nutritional needs to maintain weight in a client diagnosed with cancer and has been losing weight? select all: 1. add butter to foodssleep with hear o 2. spread peanut butter on toast 3. add powdered creamer to milkshake 4. use biscuits to make sandwiches 5. eat cesear salads once per day 6. put honey on top of hot cereal

1,2,3,4,6- all those adds more calories and protein 5. that doesnt have a lot of calories and protein

what discharge instructions should the nurse include for a client following a transsphenoidal hypophysectomy? select all: 1. sleep with head of bed at 35 degrees 2. notify the primary healthcare provider for an increased urinary output 3. oral care should be performed with a sponge until the incision heals 4. nasal packing will need to be removed in 48 hours 5. use a humidifier in the room 6. avoid bending below the level of the heart for two weeks

1,2,3,5,6- is a surgery to remove pituitary mass; sleeping with HOB elevated will promote drainage of CSF, increased UO may indicate DI, incision site is just above the gumline so dont brush front teeth, humidified air to prevent drying nasal passages, and lowering body can cause headaches and dizziness 4. no nasal packing so no

the nurse recognizes which manifestation as a sign/symptom of hodgkin's lymphoma? select all: 1. drenching night sweats 2. dry, itchy skin 3. painless lymph nodes in the neck 4. weight loss of 2 kg in 1 week 5. pale skin 6. enlarged spleen

1,2,3,5,6- those are all s/s of the cancer, lowers RBC count 4. thats not a large amount of weight loss that is common in many types of cancers so no

which risk factor(s) should the nurse include when planning to educate a group of women about breast cancer? select all: 1. combination hormone therapy 2. drinking one glass of wine daily 3. nulliparity 4. menarche at age 10 5. increasing age

1,3,4,5- postmenopausal combination therapy increases risk (estrogen-only hormone replacement therapy may lower it), no pregnancies is risk factor 2. low to moderate consumption of alcohol may lower risk, no more than moderate

when preparing the client for testing to confirm a diagnosis of cancer, which tests should a nurse anticipate for a client with a severe cough and is suspected of having lung cancer? select all: 1. chest x-ray 2. arterial blood gas 3. bronchoscopy 4. computed tomography (CT) 5. pulmonary function test

1,3,4- are evidence-based tests used due to efficacy of tests smh 2. only measures the quantity of oxygen and acid-base status 5. used to diagnose obstructive lung disease like emphysema

what does the nurse determine is the MOST important information to gather during the initial screening when conducting an initial admission history on a client who is reporting bone pain secondary to cancer with metastasis to the bone? 1. the physical assessment of the client 2. the hemoglobin and hematocrit levels 3. the amount of pain medication the client is receiving 4. the client's description of the pain

4. pain is subjective since based on the client's perception and is the chief complaint of client duh! smh 1. doesnt address pain 2. that is not that important at the moment 3. is important but not as important right now since want to talk more about the actual pain