265 exam 2 set 1

The nurse plans to teach a client who is receiving radiation therapy how to care for the skin at the radiation site. What should the nurse tell the client? "Apply a heating pad to the area to relieve pain." "You may use deodorant soap if you wish to cleanse the area." "Put baby oil on the area after each treatment to keep it from getting dry." "Keep the area covered when you go outdoors."

"Keep the area covered when you go outdoors."

Which is an accurate statement regarding cancer of the esophagus? It is three times more common in women than men in the United States. It is seen more frequently in Caucasian Americans than in African Americans. It usually occurs in the fourth decade of life. Chronic irritation of the esophagus is a known risk factor.

Chronic irritation of the esophagus is a known risk factor

A nurse who works in an oncology clinic is assessing a client who has arrived for a 2-month follow-up appointment following chemotherapy. The nurse notes that the client's skin appears yellow. Which blood tests should be done to further explore this clinical sign? Complete blood count (CBC) Liver function tests (LFTs) Platelet count Blood urea nitrogen and creatinine

Liver function tests (LFTs)

client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis? White, cottage cheese-like patches on the tongue Yellow tooth discoloration Red, open sores on the oral mucosa Rust-colored sputum

Red, open sores on the oral mucosa

A client with cancer of the tongue has had a radical neck dissection. What nursing assessment should the nurse prioritize? Presence of acute pain and anxiety Tissue integrity and color of the operative site Respiratory status and airway clearance Self-esteem and body image

Respiratory status and airway clearance

A middle-age client who is receiving radiation therapy tells the nurse that they feel inadequate as a spouse and parent because they can no longer carry out their usual duties with the same energy as before. What recommendations should the nurse make to help the client cope with this situation? Suggest they reassign all household chores to other members of the family. Suggest prioritizing activities and asking for help from friends and family. Ignore the household chores during the crisis period. Avoid worrying so much because it is normal to be tired during this phase of the therapy.

Suggest prioritizing activities and asking for help from friends and family.

To combat the most common adverse effects of chemotherapy, a nurse should administer an: antiemetic antimetabolite antibiotic

antiemetic

1. A nurse is assigned to triage the care of four clients. Which client should the nurse assess first? client with a sore throat who now has a muffled voice and is drooling client with a "scratchy throat" and a positive rapid strep antigen test client with throat cancer who has severe fatigue following radiation therapy client with a history of a total laryngectomy whose stoma is red and inflamed

client with a sore throat who now has a muffled voice and is drooling

1. After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/µl. What term should the nurse use to describe this low platelet count? anemia leukopenia thrombocytopenia neutropenia

thrombocytopenia

A client in the final stages of terminal cancer tells the nurse: "I wish I could just be allowed to die. I'm tired of fighting this illness. I have lived a good life. I continue my chemotherapy and radiation treatments only because my family wants me to." What is the nurse's best response? "Would you like to talk with a psychologist about your thoughts and feelings?" "Would you like to talk with your minister about the significance of death?" "Would you like to meet with your family and your health care provider about this matter?" "I'll contact the health care provider to cancel your treatments."

"Would you like to meet with your family and your health care provider about this matter?"