Prep U: Chapter 12
How the tumor tends to grow and the cell type
A client diagnosed with cancer has the tumor staged and graded based on what?
It interferes with DNA replication and RNA transcription.
A client is receiving the cell cycle-nonspecific alkylating agent thiotepa (Thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of chemotherapy regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its therapeutic effects?
Stomatitis
A client with a brain tumor is undergoing radiation and chemotherapy for treatment of cancer. The client has recently reported swelling in the gums, tongue, and lips. Which is the most likely cause of these symptoms?
leukopenia.
A decrease in circulating white blood cells is
It lowers serum and uric acid levels.
A nurse is teaching a client about the rationale for administering allopurinol with chemotherapy. Which example would be the best teaching by the nurse?
Oranges
A nurse is teaching a community class about how to decrease the risk of cancer. Which food should the nurse recommend?
Encourage fluid intake, if possible, to dilute the urine.
A side-effect of chemotherapy is renal damage. To prevent this, the nurse should:
"Benign tumors don't usually cause death."
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?
Avoid spicy and fatty foods.
The nurse is providing client teaching for a client undergoing chemotherapy. What dietary modifications should the nurse advise?
graft-versus-host disease.
The nurse is working with a client who has had an allo-hematopoietic stem cell transplant (HSCT). The nurse notices a diffuse rash and diarrhea. The nurse contacts the physician to report that the client has symptoms of
Monitor the client closely to prevent infection.
The nurse working on a bone marrow unit knows that it is a priority to monitor which of the following in a client who has just undergone a stem cell transplant?
Malignancy
Which is a growth-based classification of tumors?
"I'm worried I'll expose my family members to radiation."
Which statement by a client undergoing external radiation therapy indicates the need for further teaching?
Autologous
Which type of vaccine uses the client's own cancer cells, which are killed and prepared for injection back into the client?
No evidence of primary tumor
According to the tumor-node-metastasis (TNM) classification system, T0 means there is