Peds Cancer

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

The client developed a tolerance to the medication

A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the report to the provider ?

WBC 2300/mm3

A nurse is caring for child on oncology unit. Child's parents are asking nurse about cancer diagnosis. Which of following information should nurse provide to parents about most common RENAL and INTRA-ABDOMINAL tumor in children?

Wilms' tumor

a nurse is caring for a client receiving external radiation to the neck for cancer of the larynx; during a pre treatment exam, the nurse explains to the client that hte most likely side effect would be

dysphagia

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

"Eating a high fiber diet will reduce my risk for developing skin cancer"

To prevent protein energy malnutrition the following foods should be included (select all that apply)

Cottage cheese, Milkshakes, Tunafish, Ham and egg omelet

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements by the client indicates they understand this type of treatment?

"I am hoping this will limit my discomfort."

A nurse is leading a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?

"Let's discuss what you mean when you say that you cannot ever return to work."

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following client responses is an indication the client is in the denial phase of the grief process?

"The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication."

A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment . Which of the following responses should the nurse make?

"What is it about the adverse effects that concern you?"

A nurse is teaching a patient about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? Select all that apply.

A nonhealing sore Change in bowel pattern Change in moles Nagging cough

A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent CBC is shown below. It is important for the nurse to consider which of the following for the client? WBC - 1,400/mm3 RBC - 4.3 x 10^12/L Hgb - 12.1 g/dL Hct - 36.5% Platelets - 170,000/mm3 Albumin - 4.5 g/dL

The client has an increased risk of infection.

A nurse is planning care for a client who has terminal cancer and has a prescription for morphine. Which of the following interventions should the nurse include in the plan of care?

Instruct the client to actively cough to prevent buildup of secretions in the airway

A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the clients plan of care?

Fresh flowers and potted plants in the room

A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should then nurse monitor?

Headache

A nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. The nurse should include that which of the following is an adverse effect of this medication?

Hot flashes

A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?

Administer an antiemetic prior to the procedure.

A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning the infusion, the nurse versifies the clients current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary?

An excess amount of doxorubicin can lead to cardiomyopathy

A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?

Check the results of the client's most recent CBC.

A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Check the value of the client's current platelet count

a nurse is caring for a client who has just been diagnosed with cancer of the colon. the nurse several questions about what the provider might be planning to do. which of the following responses should the nurse make?

Encourage the client to write down questions to ask the provider