cancer questions
A patient has a moisture-retentive dressing for the treatment of a sacral decubitus ulcer. How long should the nurse leave the dressing in place before replacing it? a) 12 to 24 hours b) 24 to 36 hours c) 8 hours d) 4 to 6 hours
12 to 24 hours Explanation: Depending on the product used and the type of dermatologic conditions encountered, most moisture-retentive dressings may remain in place from 12 to 24 hours.
The nurse is caring for a client with questionable lice infestation. The nurse is using a bright light focused on an area of the head to confirm the presence of lice. In which manner is it easiest to differentiate nits from dandruff? a) Nits are difficult to move from hair shafts. b) Dandruff is throughout the hair. c) Dandruff looks white and flakey. d) Nits are located near the scalp
a) Nits are difficult to move from hair shafts.
A patient is scheduled for Mohs' microscopic surgery for removal of a skin cancer lesion on his forehead. The nurse knows to prepare the patient by explaining that this type of surgery requires:
Removal of the tumor, layer by layer.
With repeated reactions of contact dermatitis, which of the following can occur?
Secondary bacterial infection
While in a skilled nursing facility, a client contracts scabies, which is diagnosed the day after discharge. The client is living at her daughter's home with six other people. During her visit to the clinic, the client asks a staff nurse, "What should my family do?" The most accurate response from the nurse is: a) "Just be careful not to share linens and towels with family members." b) "All family members need to be treated." c) "After you're treated, family members won't be at risk for contracting scabies." d) "If someone develops symptoms, tell him to see a physician right away."
"All family members need to be treated."
The client has finished the first round of chemotherapy. Which statement made by the client indicates a need for further teaching by the nurse?
"I can continue taking my vitamins and herbs because they make me feel better."
A client is recovering from a craniotomy with tumor debulking. Which comment by the client indicates to the nurse a correct understanding of what the surgery entailed?
"I guess the doctor could not remove the entire tumor."
Which of the following would be inconsistent as a common side effect of chemo
Weight gain common sides effects seen are myelosuppression, alopecia n/v anorexia and fatigue
A physician orders an emollient for a client with pruritus of recent onset. The client asks why the emollient should be applied immediately after a bath or shower. How should the nurse respond? a) "To prevent skin inflammation." b) "To make the skin feel soft." c) "To prevent evaporation of water from the hydrated epidermis." d) "To minimize cracking of the dermis."
"To prevent evaporation of water from the hydrated epidermis."
While doing a health history, a client tells you that her mother, her grandmother, and her sister died of breast cancer. The client wants to know what she can do to keep from getting cancer. What would be your best response?
"You can't prevent cancer, but you can have your blood analyzed for tumor markers to see what your risk level is."
The nurse is assessing a 75-year-old woman who had a total hysterectomy when she was 30 years old and normal Pap test results for the past 10 years. The client asks about continuing the Pap test. The nurse states
"You may choose to discontinue this test." Explanation: The American Cancer Society recommendations for women 70 years or older, who have had normal Pap tests for 10 years, and who have had a total hysterectomy may choose to stop cervical cancer screening as in a Pap test
A nurse is developing a care plan for bone marrow suppression, the major dose-limiting adverse reaction to floxuridine (FUDR). How long after drug administration does bone marrow suppression become noticeable?
7-14 days
The client is scheduled for a breast lump excision and sentinel node biopsy. What should the nurse know in planning care for the client with a negative biopsy report?
A wide excision of lump will be performed.
Following surgery for adenocarcinoma, the client learns the tumor stage is T3,N1,M0. What treatment mode will the nurse anticipate?
Adjuvant therapy is likely.
The nurse is caring for a patient with extensive bullous lesions on the trunk and back. Prior to initiating skin care, what is a priority for the nurse to do? a) Administer analgesic pain medication. b) Wash the lesions vigorously. c) Apply cold compresses. d) Rupture the bullous lesions.
Administer analgesic pain medication.
Which cell of haematopoiesis is responsible for the production of red blood cells (RBCs) and platelets? a) Lymphoid stem cell b) Myeloid stem cell c) Neutrophil d) Monocyte
a) Lymphoid stem cell
After cancer chemotherapy, a client experiences nausea and vomiting. The nurse should assign highest priority to which intervention?
Administering metoclopramide and dexamethasone as ordered
When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?
Administering systemic antibiotics as ordered Impetigo is a contagious, superficial skin infection caused by Staphylococcus aureus
Which type of hematopoietic stem cell transplantation (HSCT) is characterized by cells from a donor other than the patient?
Allogeneic
5-Fluorouracil (5FU) is classified as which type of antineoplastic agent?
Antimetabolite
Which of the following classes of antineoplastic agents is cell cycle-specifi
Antimetabolites (5-FU)
The nurse is caring for a geriatric client with thin, chapped, itchy skin. Which nursing intervention should the nurse alter in the plan of care? a) Maintenance of foam pad on wheelchair b) Daily bathing with warm-hot water c) Applying lanolin ointment d) Use of a gait belt for ambulation
Applying lanolin ointment Explanation: Lanolin ointment is good to apply to dry skin because it helps moisturize.
A client is receiving chemotherapy for acute myeloid leukemia and has poor nutritional intake. The first action of the nurse is to a) Ask, "Are you experiencing nausea?" b) Provide mouth care before each meal. c) Provide nutritional supplements in addition to a diet that has a soft texture and moderate temperature. d) Caution the client to chew carefully after administration of the prescribed lidocaine (Xylocaine Viscous).
Ask, "Are you experiencing nausea?"
A client has been receiving chemotherapy. Upon assessing the client during morning rounds, the nurse notes the client is now bleeding from intravenous and venipuncture sites. Stool is positive for occult blood. The client is requesting to sit in a chair for a meal. The nurse implements the following interventions: (Select all that apply.)
Assess level of consciousness. • Check intake and output records. • Apply pressure to the bleeding sites.
Which of the following terms refers to a graft derived from one part of a patient's body and used on another part of that same patient's body?
Autograft
Which type of vaccine uses the patient's own cancer cells that are prepared for injection back into the patient?
Autologous
The nurse caring for a patient with repeated episodes of contact dermatitis is providing instruction to prevent future episodes. Which of the following should the nurse include? a) Wear gloves during the day. b) Use a fabric softener. c) Avoid cosmetics with fragrance. d) Wash skin in very hot water.
Avoid cosmetics with fragrance.
A patient is diagnosed with seborrheic dermatitis on the face and is prescribed a corticosteroid preparation for use. What should the nurse educate the patient about regarding use of the steroid on the face? a) Wash the face several times a day and reapply the medication. b) Avoid using the medication around the eyelids because it may cause cataracts and glaucoma. c) Use very warm water to clean the face prior to applying the medication. d) Scrape the scaly patches off prior to applying the medication
Avoid using the medication around the eyelids because it may cause cataracts and glaucoma.
A month following biopsy, a 75-year-old female client returns to the surgeon's office for a report on her diagnostic procedure to determine the cell composition of her abdominal neoplasm. Which of the following terms is significant to indicate the likelihood of the tumor spreading?
Benign
What are considered carcinogens?
Carcinogens include chemical agents, environmental factors, dietary substances, viruses, defective genes, and medically prescribed interventions.
A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion according to the TNM staging system as follows: TIS, N0, M0. What does this classification mean?
Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant metastasis
The nurse is working with community groups. At which of the following locations would the nurse anticipate a possible scabies outbreak?
College dormitory Outbreaks are common where large groups of people are confined or housed.
The nurse recommends which of the following types of therapeutic baths for its antipruritic action?
Colloidal (Aveeno, oatmeal)
The nurse is conducting a community education program using the American Cancer Society's colorectal screening and prevention guidelines. The nurse determines that the participants understand the teaching when they identify that people over the age of 50 should have which of the following screening tests every 10 years?
Colonoscopy
Which primary cancer treatment goal is prolonged survival and containment of cancer cell growth?
Control
Which of the following medication classifications may be used for contact dermatitis? a) Saline irrigations b) Corticosteroids c) Antifungals d) Antivirals
Corticosteroids
Based on the understanding of the effects of chemotherapy, the nurse would anticipate which of the following clinical findings in a client 2 weeks post therapy?
Ease of bruising
The nurse is caring for a client newly diagnosed with cancer. Which of the following therapies is used to treat something other than cancer?
Electroconvulsive therapy
A dermatologist recommends an over-the-counter suspension to relieve pruritus. The nurse advises the patient that the lotion should be applied:
Every 3 to 4 hours for sustained effectiveness.
A nurse is administering daunorubicin through a peripheral I.V. line when the client complains of burning at the insertion site. The nurse notes no blood return from the catheter and redness at the I.V. site. The client is most likely experiencing which complication?
Extravasation
The nurse is developing a plan of care for a patient with toxic epidermal necrolysis (TEN) or Stevens-Johnson syndrome. Which of the following should the nurse include? a) Limiting fluids b) Use of friction when repositioning patient c) Continuous current of warm air d) Frequent inspection of oral cavity
Frequent inspection of oral cavity
The nurse is developing a plan of care for a patient with toxic epidermal necrolysis (TEN) or Stevens-Johnson syndrome. Which of the following should the nurse include? a) Limiting fluids b) Continuous current of warm air c) Frequent inspection of oral cavity d) Use of friction when repositioning patient
Frequent inspection of oral cavity
Which grade of tumor is also known as a well-differentiated tumor?
Grade I
The nurse is working with a patient who has had an allohematopoietic stem cell transplant (HSCT) and notices a diffuse rash and diarrhea. The nurse contacts the physician to report that the patient has symptoms of which of the following?
Graft-versus-host disease
The classic lesions of impetigo are manifested as which of the following? a) Comedones in the facial area b) Honey crusted lesions on an erythematous base c) Patches of grouped vesicles on red and swollen skin d) Abscess of skin and subcutaneous tissue
Honey-crusted lesions on an erythematous base
Which of the following skin conditions is caused by staphylococci, streptococci, or multiple bacteria? a) Scabies b) Impetigo c) Pediculosis capitis d) Poison ivy
Impetigo
A client with a nagging cough makes an appointment to see the physician after reading that this symptom is one of the seven warning signs of cancer. What is another warning sign of cancer?
Indigestion is one of the seven warning signs of cancer. The other six are a change in bowel or bladder habits, a sore that does not heal, unusual bleeding or discharge, a thickening or lump in the breast or elsewhere, an obvious change in a wart or mole, and a nagging cough or hoarseness. Persistent nausea may signal stomach cancer but isn't one of the seven major warning signs. Rash and chronic ache or pain seldom indicate cancer. (less)
For a client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the care plan?
Inspecting the skin for petechiae once every shift
A patient is being evaluated for nodular cystic acne. What systemic pharmacologic agent may be prescribed for the treatment of this disorder? a) Benzoyl peroxide b) Retin-A c) Salicylic acid d) Isotretinoin (Accutane)
Isotretinoin (Accutane)
Which of the following is an oral retinoid used in the treatment of acne a) Estrogen b) Benzoyl peroxide c) Tetracycline d) Isotretinoin (Accutane)
Isotretinoin (Accutane)
Which of the following is a characteristic of a malignant tumor?
It gains access to the blood and lymphatic channels.
What does the nurse understand is the rationale for administering allopurinol for a patient receiving chemotherapy
It lowers serum and uric acid levels
The nurse is caring for a patient undergoing an incisional biopsy. Which of the following statements does the nurse understand is true about an incisional biopsy?
It removes a wedge of tissue for diagnosis.
Which of the following infecting agents is the cause of scabies?
Itch mite
The nurse assesses the patient and observes reddish-purple to dark blue macules, plaques and nodules. The nurse recognizes that these manifestations are associated with which of the following conditions?
Kaposi's sarcoma
Which of the following is a growth-based classification of tumors
Malignant
The nurse performs a breast exam on a client and finds a firm, non-moveable lump in the upper outer quadrant of the right breast that the client reports was not there 3 weeks ago. What does this finding suggest?
Malignant tumor
A nurse practitioner prescribes a therapeutic bath for a patient with an exacerbation of psoriasis. She tells the patient to make sure the bath area is well ventilated. Which of the following is the therapeutic bath solution prescribed by the nurse?
Medicated tars
In which phase of the cell cycle does cell division occur?
Mitosis
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 bone marrow transplant?
Monitor the client closely to prevent infection
When a patient takes vincristine, an antineoplastic agent that inhibits DNA and protein synthesis, the patient needs to be informed that he should report which of the following symptoms that would be an expected side-effect of motor neuropathy?
Muscle weakness Cramps and spasms in the legs Loss of balance and coordination
Which of the following advice should the nurse give a client with a furuncle to prevent the spread of the infection?
Never pick or squeeze a furuncle.
A 17-year-old high school student is being treated for acne vulgaris and significant time is spent in client education to develop strategies to try to decrease the severity of his outbreaks. What contributes to follicular irritation? a) Overproduction of sebum b) Stress c) Chocolate d) Potato chips
Overproduction of sebum
During which step of cellular carcinogenesis do cellular changes exhibit increased malignant behavior?
Progression
The nurse at the clinic explains to the patient that the surgeon will be removing a mole on the patient's back that has the potential to develop into cancer. The nurse informs the patient that this is what type of procedure?
Prophylactic
Photochemotherapy has been used as a treatment for which of the following skin disorders? a) Shingles b) Psoriasis c) Allergic dermatitis d) Rosacea
Psoriasis Explanation: Photochemotherapy is used for severe, disabling psoriasis that does not respond to other methods of treatments
When the client complains of increased fatigue following radiotherapy, the nurse knows this is most likely to be related to which factor?
Radiation can result in myelosuppression.
A patient visits a clinic for assessment of an inflammatory skin disorder. The nurse diagnoses the condition as psoriasis based on the appearance of the skin. Which of the following describes the dermatoses? a) Clear vesicles with a dusky base b) Red, raised patches of skin covered with silvery scales c) Flat, elongated scales, dark in color d) Clusters of pustules with irregular borders
Red, raised patches of skin covered with silvery scales
The oncologist advises a 32-year-old female client who had a lumpectomy 2 years previously to consider a mastectomy when her cancer reappears. This procedure would be considered which type of surgery?
Salvage surgeryis done when there is a local recurrence of cancer. Also called preventative surgery, prophylactic surgery may be done when there is a family history or genetic predisposition, ability to detect surgery at an early stage, and client acceptance of the postoperative outcome. Local excision is done when the tumor is removed along with a small margin of healthy tissue. The client's first lumpectomy is an example of local excision. This type of surgery helps to relieve uncomfortable symptoms or prolong life.
The nurse is instructing the parents of a child with head lice. Which of the following statements should the nurse include? a) Disinfect brushes and combs with bleach. b) Shampoo with piperonyl butoxide (RID). c) Shampoo with Kwell. d) Wash clothes in cold water.
Shampoo with piperonyl butoxide (RID).
A patient visits a health clinic with a skin lesion on her right forearm. The lesion is inflamed, swollen, and draining. The nurse practitioner knows the best choice of a treatment would be the application of which of the following?
Soothing lotion
A patient with brain tumor is undergoing radiation and chemotherapy for treatment of cancer. Of late, the patient is complaining of swelling in the gums, tongue, and lips. Which of the following is the most likely cause of these symptoms?
Stomatitis
Which of the following materials consists of a powder in water?
Suspension
Which oncologic emergency involves the failure in the negative feedback mechanism that normally regulates the release of antidiuretic hormone (ADH)?
Syndrome of inappropriate antidiuretic hormone release (SIADH)
A 36-year-old man is receiving three different chemotherapeutic agents for Hodgkin's disease. The nurse explains to the client that the three drugs are given over an extended period because:
The 3 drugs have a synergistic effect on the cancer cells with different mechanisms
A patient is scheduled for cryosurgery for cervical cancer and tells the nurse, "I am not exactly sure what the doctor is going to do." What is the best response by the nurse?
The physician is going to use liquid nitrogen to freeze the area."
A 36-year-old man is receiving three different chemotherapeutic agents for Hodgkin's disease. The nurse explains to the client that the three drugs are given over an extended period because:
The three drugs have a synergistic effect and act on the cancer cells with different mechanisms.
The physician is attending to a 72-year-old patient with a malignant brain tumor. The physician recommends immediate radiation therapy. Which of the following is a reason for the physician's recommendation?
To prevent the formation of new cancer cells
To treat a client with acne vulgaris, the physician is most likely to order which topical agent for nightly application?
Tretinoin (retinoic acid [Retin-A])
The client is diagnosed with a benign brain tumor. Which of the following features of a benign tumor is of most concern to the nurse?
Tumor pressure against normal tissues
Which of the following would be consistent with a benign neoplasm?
Usually progressive and slow
Which of the following advice should the nurse give a client with dermatitis until the etiology of the dermatitis is identified? a) Use hot water for bathing. b) Rub the skin vigorously to dry. c) Use wool, synthetics, and other dense fibers. d) Wear rubber gloves when in contact with soaps.
Wear rubber gloves when in contact with soaps.
The nurse is teaching the patient about consolidation. What statement should be included in the teaching plan? a) "Consolidation therapy is administered to reduce the chance of leukemia recurrence." b) "Consolidation of the lungs is an expected effect of induction therapy." c) "Consolidation occurs as a side effect of chemotherapy." d) "Consolidation is the term for when a patient does not tolerate chemotherapy."
a) "Consolidation therapy is administered to reduce the chance of leukemia recurrence."
The clinic nurse is caring for a client diagnosed with leukopenia. What does the nurse know this client has? a) A general reduction in all white blood cells b) A decrease in granulocytes c) Too many erythrocytes d) A general reduction in neutrophils and basophils
a) A general reduction in all white blood cells
The nurse is instructing the patient in how to apply a corticosteroid cream to lesions on the arm. What intervention can the nurse instruct the patient to do to increase the absorption of the medication? a) Apply an occlusive dressing over the site after application. b) Apply the medication every 2 hours. c) Make sure that the skin is slightly dehydrated so that the medication can absorb through the skin cracks. d) Apply a thick layer of cream over the lesions so that if some rubs off, there is more to absorb.
a) Apply an occlusive dressing over the site after application.
Which of the following nursing interventions should be incorporated into the plan of care to manage the delayed clotting process in a patient with leukemia? a) Apply prolonged pressure to needle sites or other sources of external bleeding. b) Implement neutropenic precautions. c) Eliminate direct contact with others who are infectious. d) Monitor temperature at least once per shift.
a) Apply prolonged pressure to needle sites or other sources of external bleeding.
A client is receiving chemotherapy for acute myeloid leukemia and has poor nutritional intake. The first action of the nurse is to a) Ask, "Are you experiencing nausea?" b) Caution the client to chew carefully after administration of the prescribed lidocaine (Xylocaine Viscous). c) Provide mouth care before each meal. d) Provide nutritional supplements in addition to a diet that has a soft texture and moderate temperature
a) Ask, "Are you experiencing nausea?"
A patient presents with peripheral neuropathy and hypothesia of the feet. What is the best nursing intervention? a) Assess for signs of injury. b) Have the client elevate his legs. c) Keep the feet cool. d) Encourage ambulation.
a) Assess for signs of injury.
A 48-year-old female recently diagnosed with leukemia presents with increased immature lymphocytes, decreased granulocytes, and normal erythrocytes. The client most likely has which type of leukemia? a) Chronic lymphocytic leukemia b) Acute lymphocytic leukemia c) Chronic myelogenous leukemia d) Acute myelogenous leukemia
a) Chronic lymphocytic leukemia
The drug interleukin-2 is an example of which type of biologic response modifier? a) Cytokine b) Monoclonal antibodies c) Antimetabolites d) Retinoids
a) Cytokine
A patient who is being treated for AML has bruises on both legs. What is the nurse's most appropriate action? a) Evaluate the patient's platelet count. b) Keep the patient on bed rest. c) Ask the patient if he has been falling recently. d) Evaluate the patient's INR.
a) Evaluate the patient's platelet count.
A patient has completed induction therapy and has diarrhoea and severe mucositis. What is the appropriate nursing goal? a) Maintain nutrition. b) Place client in reverse isolation. c) Administer pain medication. d) Address issues of negative body image.
a) Maintain nutrition.
A patient with uterine cancer is being treated with internal radiation therapy. What would the nurse's priority responsibility be for this patient? a) Explain to the patient that she will continue to emit radiation while the implant is in place. b) Alert family members that they should restrict their visiting to 5 minutes at any one time. c) Maintain as much distance as possible from the patient while in the room. d) Wear a lead apron when providing direct patient care.
a) Explain to the patient that she will continue to emit radiation while the implant is in place.
A client is suspected of having leukemia and is having a series of laboratory and diagnostic studies performed. What does the nurse recognize as the hallmark signs of leukemia? Select all that apply. a) Fatigue from anemia b) Nausea and vomiting c) Diarrhea d) Frequent infections e) Easy bruising
a) Fatigue from anemia d) Frequent infections e) Easy bruising
When assessing a female patient with a disorder of the hematopoietic or the lymphatic system, which of the following assessments is most essential? a) Health history, such as bleeding, fatigue, or fainting b) Lifestyle assessments, such as exercise routines c) Age and gender d) Menstrual history
a) Health history, such as bleeding, fatigue, or fainting
The nurse is providing instruction to a patient with acne. The nurse promotes avoidance for which of the following foods? Select all that apply. a) Ice cream b) Chocolate c) Onions d) Bananas
a) Ice cream b) Chocolate
What is the major cause of death in toxic epidermal necrolysis (TEN)? a) Infection b) Hemorrhage c) Renal failure d) Liver failure
a) Infection
The nurse is conducting a community education program on basal cell carcinoma (BCC). Which of the following statements should the nurse make? a) It begins as a small, waxy nodule with rolled translucent, pearly borders. b) It is a malignant proliferation arising from the epidermis. c) It is more invasive than squamous cell carcinoma (SCC). d) It metastasizes by blood or lymphatic system.
a) It begins as a small, waxy nodule with rolled translucent, pearly borders.
Which type of surgery is utilized in an attempt to relieve complications of cancer? a) Palliative b) Salvage c) Reconstructive d) Prophylactic
a) Palliative
The nursing instructor is discussing disorders of the hematopoietic system with the pre-nursing pathophysiology class. What disease would the instructor list with a primary characteristic of erythrocytosis? a) Polycythemia Vera b) Sickle Cell Disease c) Aplastic anemia d) Pernicious anemia
a) Polycythemia Vera
The nursing instructor is discussing disorders of the hematopoietic system with the pre-nursing pathophysiology class. What disease would the instructor list with a primary characteristic of erythrocytosis? a) Polycythemia vera b) Aplastic anemia c) Sickle cell disease d) Pernicious anemia
a) Polycythemia vera
The nurse is assessing a patent with polycythemia vera. What skin assessment data would the nurse determine is a normal finding for this patient? a) Ruddy complexion b) Pale skin and mucous membranes c) Jaundice skin and sclera d) Bronze skin tone
a) Ruddy complexion
A patient is diagnosed with pemphigus, a skin disease caused by an autoimmune response involving immunoglobulin G. Medical management includes administering high doses of corticosteroids. Which of the following is a drug that the health care provider may likely prescribe? a) Temovate b) Topicort c) Aristocort d) Decaderm
a) Temovate
Which of the following statements best describes the function of stem cells in the bone marrow? a) They produce all blood cells. b) They are active against hypersensitivity reactions. c) They produce antibodies against foreign antigens. d) They defend against bacterial infection.
a) They produce all blood cells.
You are teaching clients about cancer prevention and explain that the root cause of cancer is damage to cellular deoxyribonucleic acid (DNA) as a result from multiple factors. You explain that which of the following are possible carcinogens? Select all that apply. a) Viruses b) Environmental factors c) Age d) Gender e) Dietary substances
a) Viruses b) Environmental factors e) Dietary substances
A nurse is assessing a client with multiple myeloma. The nurse should keep in mind that clients with multiple myeloma are at risk for: a) pathologic bone fractures. b) hypoxemia. c) chronic liver failure. d) acute heart failure.
a) pathologic bone fractures.
A client has been diagnosed with shingles. Which of the following medication classifications will reduce the severity and prevent development of new lesions? a) Analgesics b) Corticosteroids c) Antiviral d) Antipyretics
antiviral
A client with leukemia is being discharged from the hospital to hospice care. Which statement by the client indicates the client has not achieved the goal for the nursing diagnosis Spiritual Distress? a) "I am going to call my clergy to pray with me." b) "I do not understand why this happened to me." c) "I know I am going to die. I want to say good-bye to my family." d) "I have resources within myself that I can depend on."
b) "I do not understand why this happened to me."
Which assessment finding indicates an increased risk of skin cancer? a) A dark mole on the client's back b) A deep sunburn c) White irregular patches on the client's arm d) An irregular scar on the client's abdome
b) A deep sunburn
The nurse is caring for a patient with acute myeloid leukemia (AML) with high uric acid levels. What medication does the nurse anticipate administering that will prevent crystallization of uric acid and stone formation? a) Asparaginase (Elspar) b) Allopurinol (Zyloprim) c) Hydroxyurea (Myleran) d) Filgrastim (Neupogen)
b) Allopurinol (Zyloprim)
A patient who is undergoing chemotherapy for AML complains of pain in his lower back. What is the nurse's first action? a) Place heating pads on the patient's back. b) Assess renal function. c) Administer pain medication, as ordered. d) Refer the client to a chiropractor.
b) Assess renal function.
A client diagnosed with polycythemia vera has come into the clinic because he has developed a nighttime cough, fatigue, and shortness of breath. What complication would you suspect in this client? a) Pulmonary embolus b) Congestive heart failure c) Tissue infarction d) Stroke
b) Congestive heart failure
A client diagnosed with polycythemia vera has come into the clinic because he has developed a nighttime cough, fatigue, and shortness of breath. What complication would you suspect in this client? a) Stroke b) Congestive heart failure c) Pulmonary embolus d) Tissue infarction
b) Congestive heart failure
Based on the understanding of the effects of chemotherapy, the nurse would anticipate which of the following clinical findings in a client 2 weeks post therapy? a) Elevated temperature b) Ease of bruising c) Change in hair color d) Elevated white blood cells count
b) Ease of bruising
The nurse is caring for a client newly diagnosed with cancer. Which of the following therapies is used to treat something other than cancer? a) Radiation therapy b) Electroconvulsive therapy c) Chemotherapy d) Surgery
b) Electroconvulsive therapy
A patient with leukemia has developed a cough and increased fatigue. What is the primary nursing intervention? a) Place a cooling blanket on the patient. b) Evaluate the patient for potential infection. c) Administer an antitussive. d) Medicate the patient for pain.
b) Evaluate the patient for potential infection.
Which of the following terms refers most precisely to a localized skin infection of a single hair follicle? a) Comedone b) Furuncle c) Carbuncle d) Cheilitis
b) Furuncle
Which of the following reflect the pathophysiology of cutaneous signs of HIV disease? a) High CD4 count b) Immune function deterioration c) Decrease in normal skin flora d) Genetic predisposition
b) Immune function deterioration
Which of the following reflect the pathophysiology of cutaneous signs of HIV disease? a) High CD4 count b) Immune function deterioration c) Genetic predisposition d) Decrease in normal skin flora
b) Immune function deterioration
A nurse has agreed to draft a medication teaching plan for a patient who is taking the hormonal agent, Aromasin, an aromatase inhibitor for postmenopausal women with breast cancer. The nurse knows that a major teaching point is to tell the patient to: a) Be alarmed if she notices fluid retention. b) Increase her intake of calcium-rich foods. c) Report the unexpected sign of increased appetite and weight gain. d) Report the unusual sign of nausea.
b) Increase her intake of calcium-rich foods.
What is the major cause of death in toxic epidermal necrolysis (TEN)? a) Liver failure b) Infection c) Hemorrhage d) Renal failure
b) Infection
The nurse caring for a patient notes that the patient's lower extremities are covered with very dry skin and that the horny layer of the skin has become thickened. The nurse notes the finding as being which of the following? a) Dermatitis b) Lichenification c) Pyodermas d) Acantholysi
b) Lichenification
Which cell of haematopoiesis is responsible for the production of red blood cells (RBCs) and platelets? a) Lymphoid stem cell b) Myeloid stem cell c) Monocyte d) Neutrophil
b) Myeloid stem cell
What assessment findings best indicate that the patient has recovered from induction therapy? a) No evidence of edema b) Neutrophil and platelet counts within normal limits c) Absence of bone pain d) Vital signs within normal ranges
b) Neutrophil and platelet counts within normal limits
You are caring for a client with multiple myeloma. Why would it be important to assess this client for fractures? a) Osteolytic activating factor weakens bones producing fractures. b) Osteoclasts break down bone cells so pathologic fractures occur. c) Osteopathic tumors destroy bone causing fractures. d) Osteosarcomas form producing pathologic fractures.
b) Osteoclasts break down bone cells so pathologic fractures occur.
Clients with multiple myeloma have abnormal plasma cells that proliferate in the bone marrow where they release osteoclast-activating factor, resulting in the formation of osteoclasts. Which of the following is the most common complication of the pathology resulting from this process? a) All of the options are correct. b) Pathologic fractures c) Calcified bones d) Osteoporosis
b) Pathologic fractures
The nurse is performing an assessment on a patient with acute myeloid leukemia (AML) and observes multiple areas of ecchymosis and petechiae. What laboratory study should the nurse be concerned about? a) WBC count of 4,200 cells/mcL b) Platelet count of 9,000/mm3 c) Hematocrit of 38% d) Creatinine level of 1.0 mg/dL
b) Platelet count of 9,000/mm3
Diagnosis of skin cancer is confirmed by which of the following diagnostic tests?
biopsy
A nurse is caring for an asymptomatic client with acute myelogenous leukemia. The client has a total white blood cell (WBC) count of 0 ?l, a platelet count of 3,000 mm2, and a hemoglobin level of 9 mg/dl. He has a single lumen central venous catheter in place and the physician has ordered the nurse to administer imipenem cilastatin (Primaxin) 500 mg every 8 hours, transfuse 1 unit packed red blood cells (RBCs), give amphotericin B (Fungizone) 40 mg I.V. over 4 hours, and transfuse 2 pheresis units of platelets. In what order should the nurse infuse these medications and blood products? a) Amphotericin B, imipenem cilastatin, platelets, packed RBCs b) Platelets, imipenem cilastatin, amphotericin B, packed RBCs c) Packed RBCs, amphotericin B, imipenem cilastatin, platelets d) Packed RBCs, platelets, imipenem cilastatin, amphotericin B
b) Platelets, imipenem cilastatin, amphotericin B, packed RBCs Although the client is currently asymptomatic, a platelet count of 3,000 mm2 puts him at risk for spontaneous hemorrhage, the most immediate and serious risk he faces. A WBC count of 0 clearly indicates neutropenia; the client needs an antibiotic and antifungal therapy to prevent infection. Although the client is anemic, he's currently asymptomatic. The absence of clinical manifestations makes his need for a transfusion less urgent
A night-shift nurse receives a call from the emergency department about a client with herpes zoster who is going to be admitted to the floor. Based on this diagnosis, where should the nurse assign the client? a) Semi-private room with a client diagnosed with pneumonia b) Private room c) Isolation room with negative airflow d) Semi-private room with a client who had chickenpox and was admitted with a GI bleed
b) Private room
A client with multiple myeloma presents to the emergency department complaining of excessive thirst and constipation. His family members report that he has been confused for the last day. Which laboratory value is most likely responsible for this client's symptoms? a) Serum sodium level of 133 mEq/L b) Serum calcium level 13.8 mg/dl c) Hemoglobin of 9.8 g/dl d) Platelet count 300,000/mm3
b) Serum calcium level 13.8 mg/dl
The term that is used to refer to a primitive cell, capable of self-replication and differentiation, is which of the following? a) Reticulocyte b) Stem cell c) Band cell d) Spherocyte
b) Stem cell
The nurse is assessing several patients. Which patient does the nurse determine is most likely to have Hodgkin lymphoma? a) The patent with painful lymph nodes under the arm. b) The patient with enlarged lymph nodes in the neck. c) The patient with painful lymph nodes in the groin. d) The patient with a painful sore throat.
b) The patient with enlarged lymph nodes in the neck.
The nurse is teaching a patient with acute lymphocytic leukemia (ALL) about therapy. What statements should be included in the plan of care? a) "Treatment is simple and consists of single drug therapy." b) "Side effects are rare with therapy." c) "Intrathecal chemotherapy is used primarily as preventive therapy." d) "The goal of therapy is palliation."
c) "Intrathecal chemotherapy is used primarily as preventive therapy."
Which of the following terms refers to a graft derived from one part of a patient's body and used on another part of that same patient's body? a) Heterograft b) Homograft c) Autograft d) Allograft
c) Autograft
The nurse is completing an admission assessment on a patient receiving interstitial implants for his prostate cancer. The nurse documents this as being which of the following? a) Contact molds b) Systemic radiation c) Brachytherapy d) External beam radiation therapy
c) Brachytherapy
The Oncology Advanced Practice Nurse (APN) is assessing a client with leukemia. How would the Oncology APN assess for enlargement and tenderness over the liver and spleen? a) By calculating the absolute neutrophil count b) By reviewing laboratory test results c) By palpating the abdomen d) By looking for evidence of bruising
c) By palpating the abdomen
The nurse is caring for a patient with chronic myeloid leukemia (CML) who is taking imatinib mesylate (Gleevec). In what phase of the leukemia does the nurse understand that this medication is most useful to induce remission? a) Accelerated b) Blast crisis c) Chronic d) Transformation
c) Chronic
A patient with multiple myeloma is complaining about pain. What instructions will the nurse give the patient to help to reduce pain during activity? a) Limit fluids to prevent going to the bathroom. b) Stay in bed as much as possible. c) Do not lift more than 10 pounds. d) Limit activity to once a day.
c) Do not lift more than 10 pounds.
A patient with leukemia has developed a cough and increased fatigue. What is the primary nursing intervention? a) Place a cooling blanket on the patient. b) Medicate the patient for pain. c) Evaluate the patient for potential infection. d) Administer an antitussive.
c) Evaluate the patient for potential infection.
A patient will be having an endoscopic procedure with a diagnostic biopsy. What type of biopsy does the nurse explain will remove an entire piece of suspicious tissue? a) Incisional biopsy b) Needle biopsy c) Excisional biopsy d) Punch biopsy
c) Excisional biopsy
The client is receiving a vesicant anti neo plastic for treatment of cancer. Which assessment finding would require the nurse to take immediate action? a) Nausea and vomiting b) Bone pain c) Extra vasation d) Stomatitis
c) Extra vasation
A patient with acute myeloid leukemia (AML) is having hematopoietic stem cell transplantation (HSCT) with radiation therapy. In which complication do the donor's lymphocytes recognize the patient's body as foreign and set up reactions to attack the foreign host? a) Acute respiratory distress syndrome b) Remission c) Graft-versus-host disease d) Bone marrow depression
c) Graft-versus-host disease
After chemotherapy for AML, what interventions will best help to prevent renal complications? Select all that apply. a) Encourage exercise. b) Administer potassium therapy. c) Increase hydration. d) Administer rasburicase (Elitek). e) Administer allopurinol (Zyloprim).
c) Increase hydration. d) Administer rasburicase (Elitek). e) Administer allopurinol (Zyloprim).
A nurse assesses a patient who has been diagnosed with DIC. Which of the following indicators are consistent with this diagnosis? Select all that apply. a) Capillary fill time <3 seconds b) Polyuria c) Increased blood urea nitrogen (BUN) and creatinine d) Increased breath sounds e) Cyanosis in the extremities f) Dyspnea and hypoxia
c) Increased blood urea nitrogen (BUN) and creatinine e) Cyanosis in the extremities f) Dyspnea and hypoxia
A patient with acute myeloid leukemia (AML) has a neutrophil count that persists at less than 100/mm3. What should the nurse cautiously monitor this patient for? a) Hypotension b) Seizure activity c) Infection d) Abdominal cramps
c) Infection
Marianne Smith, a 47-year-old librarian, is being seen at the dermatology group where you practice nursing. She has a history of diabetes mellitus and has recently developed furunculosis. As the number of her carbuncles increase, you discuss strategies to address her condition. What is causing her condition? a) Hygiene b) Unknown c) Infection d) Diet
c) Infection
Which of the following skin disorders is treated with intralesional therapy? Select all that apply. a) Contact dermatitis b) Pemphigus vulgaris c) Keloids d) Psoriasis e) Cystic acne
c) Keloids d) Psoriasis e) Cystic acne
What type of cancer is the most common type of secondary malignancy in patients with Hodgkin's disease? a) Colon b) Breast c) Lung d) Bone
c) Lung
Which of the following terms refers to a form of white blood cell involved in immune response? a) Granulocyte b) Spherocyte c) Lymphocyte d) Thrombocyte
c) Lymphocyte
While examining a client's leg, a nurse notes an open ulceration with visible granulation tissue in the wound. Until a wound specialist can be contacted, which type of dressing should the nurse apply? a) Povidone-iodine-soaked gauze b) Dry sterile dressing c) Moist sterile saline gauze d) Sterile petroleum gauze
c) Moist sterile saline gauze
A client was admitted to the hospital with a pathologic pelvic fracture. The client informs the nurse that he has been having a strange pain in the pelvic area for a couple of weeks that was getting worse with activity prior to the fracture. What does the nurse suspect may be occurring based on these symptoms? a) Polycythemia vera b) Hemolytic anemia c) Multiple myeloma d) Leukemia
c) Multiple myeloma
The hospitalized client is experiencing gastrointestinal bleeding. Laboratory test results show that the client's platelets are 9000/mm³. The client is receiving prednisone and azathioprine (Imuran). The nurse a) Uses contact precautions with this client b) Teaches the client to vigorously floss the teeth to prevent infections c) Performs a neurologic assessment with vital signs d) Requests a prescription of diphenoxylate/atropine (Lomotil) for loose stools
c) Performs a neurologic assessment with vital signs
A patient is admitted for an excisional biopsy of a breast lesion. What intervention should the nurse provide for the care of this patient? a) Counsel the patient about the possibility of losing her breast. b) Provide aseptic care to the incision postoperatively. c) Provide time for the patient to discuss her concerns. d) Clarify information provided by the physician.
c) Provide time for the patient to discuss her concerns.
A patient is diagnosed with psoriasis after developing scales on the scalp, elbows, and behind the knees. The patient asks the nurse where this was "caught." What is the best response by the nurse? a) Psoriasis comes from dermal abrasion. b) Psoriasis results from excess deposition of subcutaneous fat. c) Psoriasis is an inflammatory dermatosis that results from an overproduction of keratin. d) Psoriasis is an inflammatory dermatosis that results from a superficial infection with Staphylococcus aureus.
c) Psoriasis is an inflammatory dermatosis that results from an overproduction of keratin.
Which of the following is the hallmark of polycythemia vera (PV)? a) Headache b) Blurred vision c) Splenomegaly d) Ruddy complexion
c) Splenomegaly
Which of the following is also known as "jock itch"? a) Tinea unguium b) Tinea pedis c) Tinea cruris d) Tinea corporis
c) Tinea cruris
Ryan Romney, a 17-year-old high school student, is being seen by a physician within the dermatology group where you practice nursing. He is being treated for acne vulgaris and significant time is spent in client education to develop strategies to try to decrease the severity of his outbreaks. What warnings must be given to Ryan and his mom regarding the application of benzoyl peroxide? a) Use with over-the-counter drying agents. b) Apply a thick layer to assure coverage. c) Use gloves with application. d) Only use with contact dermatitis.
c) Use gloves with application.
Which of the following would be consistent with a benign neoplasm? a) Grows by invasion b) Cells are undifferentiated c) Usually progressive and slow d) Gains access to the blood and lymph channels to metastasize
c) Usually progressive and slow
To treat a client with acne vulgaris, the physician is most likely to order which topical agent for nightly application? a) Fluorouracil (5-fluorouracil, 5-FU [Efudex]) b) Minoxidil (Rogaine) c) Zinc oxide gelatin d) Tretinoin (retinoic acid [Retin-A])
d) Tretinoin (retinoic acid [Retin-A])
Which of the following occurs when there is accumulation of fluid in the pericardial space that compresses the heart?
cardiac tamponade
Which of the following is a type of procedure that uses liquid nitrogen to freeze tissue and cause cell destruction
cryosurgery
The drug interleukin-2 is an example of which type of biologic response modifier?
cytokine
The nurse is teaching a patient about the development of leukemia. What statement should be included in the teaching plan? a) "In acute leukemia there are not many undifferentiated cells." b) "Acute leukemia develops slowly." c) "In chronic leukemia, the majority of leukocytes are mature." d) "Chronic leukemia develops slowly."
d) "Chronic leukemia develops slowly."
he nurse is teaching the patient about consolidation. What statement should be included in the teaching plan? a) "Consolidation occurs as a side effect of chemotherapy." b) "Consolidation of the lungs is an expected effect of induction therapy." c) "Consolidation is the term for when a patient does not tolerate chemotherapy." d) "Consolidation therapy is administered to reduce the chance of leukemia recurrence."
d) "Consolidation therapy is administered to reduce the chance of leukemia recurrence."
A client is recovering from a craniotomy with tumor debulking. Which comment by the client indicates to the nurse a correct understanding of what the surgery entailed? a) "Thank goodness the tumor is contained and curable." b) "I am so glad the doctor was able to remove the entire tumor." c) "I will be glad to finally be done with treatments for this thing." d) "I guess the doctor could not remove the entire tumor."
d) "I guess the doctor could not remove the entire tumor."
A patient will be receiving radiation for 6 weeks for the treatment of breast cancer and asks the nurse why it takes so long. What is the best response by the nurse? a) "It allows time for you to cope with the treatment." b) "It will decrease the incidence of leukopenia and thrombocytopenia." c) "It is not really understood why you have to go for 6 weeks of treatment." d) "It will allow time for the repair of healthy tissue."
d) "It will allow time for the repair of healthy tissue."
Which of the following is the only curative treatment for chronic myeloid leukemia (CML)? a) Cytarabine b) Idarubicin c) Imatinib d) Allogeneic stem cell transplant
d) Allogeneic stem cell transplant
The nurse practitioner suspects that a patient has multiple myeloma based on his major presenting symptom and the analysis of his laboratory results. Select the classic symptom for this disease. a) Debilitating fatigue b) Severe thrombocytopenia c) Gradual muscle paralysis d) Bone pain in the back of the ribs
d) Bone pain in the back of the ribs
A 48-year-old female recently diagnosed with leukemia presents with increased immature lymphocytes, decreased granulocytes, and normal erythrocytes. The client most likely has which type of leukemia? a) Acute myelogenous leukemia b) Chronic myelogenous leukemia c) Acute lymphocytic leukemia d) Chronic lymphocytic leukemia
d) Chronic lymphocytic leukemia
A nurse is administering a chemotherapeutic medication to a client, who reports generalized itching and then chest tightness and shortness of breath. The nurse immediately a) Gives prednisolone IV b) Administers diphenhydramine c) Places the client on oxygen by nasal cannula d) Stops the chemotherapeutic infusion
d) Stops the chemotherapeutic infusion
A patient is scheduled for a test to help confirm the diagnosis of acute myeloid leukemia (AML). Which of the following is the result that the nurse knows is consistent with the diagnosis? a) Erythrocyte count of 5.8 m/?L b) Platelet count of 300,000/mm3 c) Neutrophil reading of 60% d) Excess of immature blast cells
d) Excess of immature blast cells
Which of the following nonsedating antihistamines is appropriate for daytime pruritus? a) Diphenhydramine (Benadryl) b) Lorazepam (Ativan) c) Hydroxyzine (Atarax) d) Fexofenadine (Allegra)
d) Fexofenadine (Allegra)
For a patient with Hodgkin disease, who is at a risk for an ineffective airway clearance and an impaired gas exchange, the nurse places the patient in a high Fowler's position to do which of the following? a) Reduce the deficits in the blood oxygen level. b) Detect compromised ventilation. c) Anticipate the need for the airway management. d) Increase the lung expansion.
d) Increase the lung expansion.
A patient with AML is having aggressive chemotherapy to attempt to achieve remission. The patient is aware that hospitalization will be necessary for several weeks. What type of therapy will the nurse explain that the patient will receive? a) Supportive therapy b) Standard therapy c) Antimicrobial therapy d) Induction therapy
d) Induction therapy
Which of the following is an oral retinoid used in the treatment of acne? a) Estrogen b) Benzoyl peroxide c) Tetracycline d) Isotretinoin (Accutane)
d) Isotretinoin (Accutane)
Which of the following terms refers to a form of white blood cell involved in immune response? a) Thrombocyte b) Spherocyte c) Granulocyte d) Lymphocyte
d) Lymphocyte
The nurse performs a breast exam on a client and finds a firm, non-moveable lump in the upper outer quadrant of the right breast that the client reports was not there 3 weeks ago. What does this finding suggest? a) Malignant tumor with metastasis to surrounding tissue b) Benign fibrocystic disease c) Normal finding d) Malignant tumor
d) Malignant tumor
A patient with polycythemia vera has a high red blood cell (RBC) count and is at risk for the development of thrombosis. What treatment is important to reduce blood viscosity and to deplete the patient's iron stores? a) Blood transfusions b) Chelation therapy c) Radiation d) Phlebotomy
d) Phlebotomy
You are assisting your client with multiple myeloma to ambulate. What is the most important nursing diagnosis to help prevent fractures in this client? a) Adequate hydration b) Adequate nutrition c) Increased mobility d) Safety
d) Safety
A patient who was recently diagnosed with pruritus on the chest and back is given information about skin care and bathing. The most important advice on cleansing is to avoid: a) Bathing with warm water and mild soap. b) Applying a cold compress to the area after washing. c) Using bath oils mixed with water. d) Washing with soap and hot water.
d) Washing with soap and hot water.
A physician has ordered a wet-to-damp dressing for an infected pressure ulcer. The nurse knows that the primary reason for this treatment is to: a) debride the wound. b) prevent the spread of the infection. c) reduce pain. d) keep the wound moist.
d) keep the wound moist.
The nurse teaches the patient who demonstrates herpes zoster (shingles) that a) once a patient has had shingles, they will not have it a second time. b) there are no known medications that affect the course of shingles. c) a person who has had chickenpox can contract it again upon exposure to a person with shingles. d) the infection results from reactivation of the chickenpox virus.
d) the infection results from reactivation of the chickenpox virus.
A patient will be having an endoscopic procedure with a diagnostic biopsy. What type of biopsy does the nurse explain will remove an entire piece of suspicious tissue?
excisional biopsy
A benign tumor of the blood vessels is a
hemangioma
A client with cancer is being evaluated for possible metastasis. What is one of the most common metastasis sites for cancer cells?
liver
As a nurse, you understand that cancer is the second leading cause of death in the United States, second only to heart disease. One half of all men and one third of all women will develop cancer during their lifetimes. You inform your clients that which of the following types of cancer have the highest prevalence among both men and women?
lung and colon
According to the tumor-node-metastasis (TNM) classification system, T0 means there is which of the following?
no evidence of primary tumor
A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a chemotherapy-induced complication?
potassium 2.6 mEq/L
Which of the following does a nurse have to assess during the bone marrow transplant (BMT) procedure?
psychological status
A 10-year-old child is brought to the office with complaints of severe itching in both hands that's especially annoying at night. On inspection, the nurse notes gray-brown burrows with epidermal curved ridges and follicular papules. The physician performs a lesion scraping to assess this condition. Based on the signs and symptoms, what diagnosis should the nurse expect? a) Impetigo b) Contact dermatitis c) Dermatophytosis d) Scabies
scabies
A serum sodium level lower than 110 mEq/L is associated with
seizure
After chemotherapy for AML, what interventions will best help to prevent renal complications? Select all that apply. a) Administer potassium therapy. b) Increase hydration. c) Encourage exercise. d) Administer rasburicase (Elitek). e) Administer allopurinol (Zyloprim).
• Administer allopurinol (Zyloprim). • Increase hydration. • Administer rasburicase (Elitek).
Following bone marrow aspiration of a 19-year-old client, analysis reveals more than 20% immature blast cells. Platelet counts are 9000/mm³. What nursing interventions should the nurse employ for the care of this client? Select all answers that apply. a) Discuss the withholding of oral contraceptives. b) Assess for mental state changes. c) Apply pressure to venipuncture sites for 1 to 2 minutes. d) Administer prescribed docusate (Colace) daily. e) Recommend taking ibuprofen for mild aches and pains.
• Assess for mental state changes. • Administer prescribed docusate (Colace) daily.
The nurse is teaching a patient about the correct use of topical concentrated corticosteroids. The nurse includes which of the following?
• Avoid applying to the face. • Avoid prolonged use.
The nurse is interacting with a family that has been caring for a patient with cancer for several months. What are the best interventions to assist in relieving caregiver stress in this family? Select all that apply. a) Suggest support for household maintenance. b) Allow family members to express feelings. c) Suggest the prescription of anti-anxiety medications. d) Suggest the family go to church more often. e) Educate the family about medications and side effects.
• Educate the family about medications and side effects. • Allow family members to express feelings. • Suggest support for household maintenance.
When a patient takes vincristine, an antineoplastic agent that inhibits DNA and protein synthesis, the patient needs to be informed that he should report which of the following symptoms that would be an expected side-effect of motor neuropathy?
• Muscle weakness • Cramps and spasms in the legs • Loss of balance and coordinatio
The nurse is caring for a patient with Hodgkin lymphoma in the hospital and preparing discharge planning education. Knowing that this patient is at risk for the development of a second malignancy, what education would be beneficial to reduce the risk factors? (Select all that apply.) a) Reduce exposure to excessive sunlight b) Smoking cessation c) Decrease alcohol intake d) Decrease intake of antipyretic medications such as acetaminophen e) Decrease fat intake
• Reduce exposure to excessive sunlight • Smoking cessation • Decrease alcohol intake
Which of the following does a nurse thoroughly evaluate before a hematopoietic stem cell transplant (HSCT) procedure?
blood studies Before the HSCT procedure, the nurse thoroughly evaluates the patient's physical condition; organ function; nutritional status; complete blood studies, including assessment for past antigen exposure, such as HIV, hepatitis, or cytomegalovirus; and psychosocial status. Before an HSCT procedure, the nurse need not evaluate patient's family, drug, or allergy history. (less)
Which of the following are true statements about effective radiation therapy? Select all that apply.
• Slower-growing tissues at rest (muscle) are more radioresistant. • Tumors that are well oxygenated are more sensitive to radiation. • Tumors that are small in size and dividing rapidly are more sensitive.
Dermatophytes (also called tinea) are parasitic fungi that invade the skin, scalp, and nails. How is a diagnosis made for this condition? Choose all that are correct.
• Visual examination • Wood's light
A decrease in circulating white blood cells (WBC) is referred to as which of the following
Leukopenia
