oncology NCLEX 25

The nurse reinforces the teaching plan for a client with a family history of breast cancer. Which teaching point would be included?

Measures to prevent and screen for cancer

The nurse is reinforcing instructions to a group of female clients about breast self-examination (BSE). When would the nurse instruct the pre-menopausal client to perform this examination?

One week after menstruation begins

A client is receiving chemotherapy that carries a risk of phototoxicity as an adverse effect. Which finding indicates that the client experienced this side effect?

Erythema

A cervical radiation implant is placed in the client for treatment of cervical cancer. Which intervention would the nurse most likely expect to note in the primary health care provider's prescriptions?

Place an indwelling urinary catheter

The nurse is reinforcing instructions to a client on performing a testicular self-examination (TSE). Which instructions would the nurse provide to the client? Select all that apply.

The best time for the examination is after a shower Set up a schedule of performing TSE on the same day each month.

The nurse is collecting data from a client with a history of bladder cancer. Which signs/symptoms would the nurse expect the client to report? Select all that apply.

Dysuria Hematuria Urgency of urination Frequency of urination

The nurse is assisting in caring for a client with an inoperable lung tumor and helps develop a plan of care by addressing complications related to the disorder. The nurse includes monitoring for the early signs of vena cava syndrome in the plan. Which early sign of this oncological emergency would the nurse include monitoring for in the plan of care?

Edema of the face and eyes

A client with ovarian cancer is scheduled to receive chemotherapy with cisplatin. The nurse assisting in caring for the client reviews the plan of care, expecting to note which interventions? Select all that apply.

Encourage fluids Monitor serum blood urea nitrogen (BUN) and creatinine levels.

The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which signs and symptoms of the client are associated with Hodgkin's disease? Select all that apply.

Fatigue Weakness Night sweats Enlarged lymph nodes

The nurse is teaching a local women's church group about the risks of cervical cancer. The nurse determines that there is a need for further teaching if a group member states that which is a risk factor?

Intercourse with a circumcised male

The nurse is reinforcing instructions to a community group regarding the risks and causes of bladder cancer. The nurse determines that there is a need for further teaching if a member of the community group makes which statement regarding this type of cancer?

It most often occurs in women

A nursing student is assisting in caring for a client with a lung tumor; the client will be having a pneumonectomy. The nursing instructor reviews the postoperative plan of care developed by the student and suggests deleting which item from the plan?

Monitoring the closed chest tube drainage system

The client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. Which is the immediate nursing action?

Pick up the implant with long-handled forceps and place into a lead container.

The nurse determines that a client with which history is most at risk for endometrial cancer?

Estrogen replacement therapy

The nurse is caring for a client with metastatic lung cancer. The client was medicated 2 hours ago and now reports a new and sudden sharp pain in the back. The nurse appropriately interprets this finding as possible spinal cord compression. Which would the nurse do next?

Ask the client about numbness and tingling in all the extremities.

A client is diagnosed as having a bowel tumor, and several diagnostic tests are prescribed. The nurse reinforces instructions to the client and includes information that which test will confirm the diagnosis of malignancy?

Biopsy of the tumor

A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing which?

The development of a vesicovaginal fistula

The nurse is obtaining data from a client admitted with a diagnosis of bladder cancer. Which question would the nurse ask the client to determine if the client experienced the most common symptom associated with this type of cancer?

"Do you notice any blood in the urine?"

A gastrectomy is performed on a client with gastric cancer. In the immediate postoperative period, the nurse notes bloody drainage from the nasogastric (NG) tube. Which action would the nurse take?

Continue to monitor the drainage.

The nurse is reviewing the record of a client admitted to the hospital for treatment of bladder cancer. Which risk factor related to this type of cancer would the nurse likely note in the client's record?

Drinks coffee and smokes cigarettes

When inspecting the stoma of a client following an ureterostomy 6 hours ago, the nurse notes that the stoma appears pale in color. Which interpretation does the nurse make based on this finding?

The vascular supply to the stoma is insufficient.

A client with liver cancer who is receiving chemotherapy tells the nurse that some foods on the meal tray taste bitter, especially meats. The nurse would instruct the client to eat which foods instead of meat? Select all that apply.

Yogurt Custard

A client has just been told by the primary health care provider about her diagnosis of breast cancer. The client responds, "Oh no, does this mean I'm going to die?" The nurse interprets which response as the client's initial reaction?

Fear

The nurse discusses the risk factors associated with gastric cancer as part of a health promotion program. The nurse determines that there is a need for further teaching if a member attending the program states that which factor is a risk?

High meat and carbohydrate consumption

The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse note as a result of the massive cell destruction that occurred from the chemotherapy?

Increased uric acid level