Saunders Oncology

The nurse reinforces instructions to the client about breast self-examination (BSE). The nurse instructs the client to lie down and examine the left breast. Which is the correct area for placing a pillow when examining the left breast?

Under the left shoulder

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

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 provides skin care instructions to the client who is receiving external radiation therapy. Which statement by the client indicates the need for further teaching? Select all that apply.

i will limit sun exposure to 1 hour daily i will apply moisturizer with a cotton tipped applicator for itching

The nurse is reviewing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory finding is indicative of the massive cell destruction that occurs with the chemotherapy?

increased uric acid level

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 developing a teaching plan for a client following a radical mastectomy and includes measures that will assist in preventing lymphedema of the affected arm. The nurse would include which interventions when reviewing instructions with the client to prevent this complication? Select all that apply.

Elevate the affected arm on a pillow higher than the heart. Instruct the client to perform simple arm exercises in the affected arm daily. Inspect the arm daily and notify the primary health care provider of redness or swelling.

The nurse is assisting in providing a session to community members about the risks associated with laryngeal cancer. A client indicates an understanding of the risks by listing which factors? Select all that apply.

2.Smoking cigarettes or cigars 3.Drinking alcohol, especially daily 4.Working in a dusty environment 5.Persistent exposure to chemicals in the air 6.Following a diet low in protein and vitamins

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

The nurse is monitoring a client on chemotherapy for signs and symptoms related to tumor lysis syndrome. The nurse understands that which is an early sign of this oncological emergency?

Elevated potassium

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 and creatinine levels

The nurse is reinforcing client education regarding symptoms of testicular cancer. The nurse encourages the client to report which symptoms as being associated with testicular cancer? Select all that apply.

A grainy mass palpated in a testicle, An enlargement of one of the testes

The nurse is reinforcing instructions to a group of adults about the seven warning signs of cancer. The nurse determines that a member of the group needs further teaching if the member states which sign/symptom is a warning sign?

Absence or decreased frequency of menses

The nurse is orienting a new nurse to the care of a client who has an internal radiation implant. Which statement by the new nurse demonstrates the need for further teaching?

After visiting hours, the client may be put in a wheel chair and taken out of the room.

A client receiving chemotherapy asks the nurse, "What will I do when my hair starts to fall out?" Which action by the nurse is therapeutic?

Assist her to express feelings.

The nurse reviews the care plan of a client with cancer and notes that the client has a problem with adequate food intake related to side effects of therapy. In order to enhance appetite and nutrition, the nurse would offer which advice to the client?

Avoid strong-smelling foods

The nurse working in an obstetrical-gynecological primary health care provider's office is instructing a small group of premenopausal female clients about breast self-examination (BSE). Which instruction would the nurse reinforce as the first step to begin the BSE?

BSE begins with inspection of the breast standing before a mirror.

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

The nurse is assisting with developing a plan of care for the client with multiple myeloma. Which nursing intervention would be included to prevent renal failure for this client? Select all that apply.

Encourage fluids Monitoring serum calcium and Uric acid levels

The nurse is caring for a client with cancer receiving chemotherapy who has developed stomatitis. The nurse plans to give mouth care by using oral care agents and devices that meet which additional criterion?

Care will be based on the severity of stomatitis

Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse assists in planning care, knowing that which is the primary action of this medication?

Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors.

The nurse is assisting in the care of a client diagnosed with multiple myeloma who has been prescribed an intravenous solution of 0.9% normal saline at 125 mL per hour. Which finding would indicate a positive response to this treatment?

Creatinine of 1 mg/dL

The nurse is reinforcing instructions to a group of high school males in a health class about how to perform a testicular self-examination (TSE). The nurse would make which statement?

Do the examination after a warm bath or shower."

The nurse is collecting data from a client suspected of having ovarian cancer. Which question would the nurse ask the client to elicit information specifically related to this disorder?

Does your abdomen feel as though it is swollen?"

The nurse is reviewing the medical history of a client admitted to the hospital with a diagnosis of colorectal cancer. The nurse understands that which information documented in the medical history are risk factors of this type of cancer? Select all that apply.

Family history of colon cancer A history of inflammatory bowel disease Regular consumption of red or processed meats Regular consumption of a diet high in fats and carbohydrates

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 reviewing the record of a client with a diagnosis of cervical cancer. Which would the nurse expect to note in the client's record related to a risk factor associated with this type of cancer?

History of human papillomavirus infection

The nurse is reviewing the laboratory results of a client who has been diagnosed with multiple myeloma. Which finding would the nurse expect to note with this diagnosis?

Increased calcium level

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 levels

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

The nurse is reinforcing instructions to the client on how to maintain optimal skin integrity during external radiation therapy. The nurse determines that there is a need for further teaching if the client states plans to do which action?

Keep at least 6 feet away from pregnant women especially in the first 3 months.

A client is receiving radiation therapy to the brain because of a diagnosis of a brain tumor. Which sign/symptom of the client is noted to be a positive outcome of the radiation therapy?

Less severe headache

A client who has been diagnosed with multiple myeloma asks the nurse about the diagnosis. The nurse bases the response on which characteristic of the disorder?

Malignant proliferation of plasma cells and tumors within the bone

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 reviewing the laboratory results of a client who is receiving chemotherapy and notes that the platelet count is 10,000 mm3 (10 × 109/L). On the basis of this laboratory value, the nurse would perform which interventions? Select all that apply.

Monitor stools for occult blood Instruct the client not to bend over at the waist or lift Instruct the client to blow nose very gently without blocking either nostril

A client with cancer is receiving chemotherapy and develops thrombocytopenia. Which intervention is a priority in the nursing plan of care?

Monitor the client for bleeding

A nursing instructor asks a nursing student about the characteristics of Hodgkin's disease. The instructor determines that the student needs additional study if the student states that which is an associated characteristic?

Occurs most often in older adults

A client with cancer has undergone a total abdominal hysterectomy and has an indwelling Foley catheter in place. The nurse would expect to note which types of urinary drainage immediately following this surgery? Select all that apply.

Pale Light amber

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 would monitor for which laboratory result as indicating an adverse reaction in the client who is receiving chemotherapy?

Platelet count 20,000 mm3

The nurse is caring for a client with an internal radiation implant. The nurse would observe which principles? Select all that apply.

Pregnant women are not allowed into the client's room. Wear a lead apron while delivering bedside care to the client.

The nurse is performing oral care for a newly admitted client who is undergoing chemotherapy for thyroid cancer. The nurse would take which actions while performing oral care? Select all that apply.

Provide a soft toothbrush. Check oral mucous membranes. Check for missing teeth and cavities.

The nurse is assisting in caring for a client receiving chemotherapy. On review of the morning laboratory results, the nurse notes that the white blood cell count is extremely low, and the client is immediately placed on neutropenic precautions. The client's breakfast tray arrives, and the nurse inspects the meal and prepares to bring the tray into the client's room. Which action would the nurse take before bringing the meal to the client?

Remove the fresh orange from the breakfast tray.

The nurse is assisting with creating a plan of care for a client with pancytopenia as a result of chemotherapy. The nurse would suggest including which in the plan of care? Select all that apply.

Restricting fresh fruits and vegetables in the diet Applying a face mask to the client if outside the client room

The nurse is caring for a client in the oncology unit who has developed stomatitis during chemotherapy. The nurse would plan which measure to treat this complication?

Rinse the mouth with dilute baking soda or saline solution.

The nurse reviews the laboratory results for a client diagnosed with leukemia who is receiving chemotherapy. The nurse notes that the white blood cell (WBC) count is 2000 mm3. The nurse identifies the finding as indicative of which?

Signifying leukopenia

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.

The nurse is assisting with conducting a health-promotion program at a local school. The nurse determines that there is a need for further teaching if a student identifies which risk factors associated with cancer? Select all that apply.

low fat high fiber diet maintain normal weight

The licensed practical nurse (LPN) is assisting the registered nurse (RN) to create a teaching plan for the client receiving an antineoplastic medication. The LPN expects which information to be included? Select all that apply.

rinse the mouth after meals and use a soft toothbrush maintain oral hygiene and inspect mouth for sores daily consult with HCP before receiving immunizations