Chapter 15: Oncological Disorders

Which statement is true about malignant tumors? A) They demonstrate cells that are well differentiated. B) They gain access to the blood and lymphatic channels. C) They usually grow slowly. D) They grow by expansion.

B) They gain access to the blood and lymphatic channels.

A nurse is caring for a client receiving chemotherapy. Which assessment finding places the client at the greatest risk for an infection? A-White blood cell (WBC) count of 9,000 cells/mm3 B-Stage 3 pressure ulcer on the left heel C-Temperature of 98.3° F (36.8° C) D-Ate 75% of all meals during the day

B-Stage 3 pressure ulcer on the left heel

A nurse is teaching a client with bone marrow suppression about the time frame when bone suppression will be noticeable after administration of floxuridine. What is the time frame the nurse should include with client teaching? A) 24 hours B) 2 to 4 days C) 7 to 14 days D) 21 to 28 days

C) 7 to 14 days

The nurse is caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching? A) "I hope they find a bone marrow donor who matches." B) "The doctor will remove cells from my bone marrow before beginning chemotherapy." C) "I will receive chemotherapy until most of the cancer is gone, and then I will get my own stem cells back." D) "I will need to attend follow-up visits for up to 3 months after treatment."

A) "I hope they find a bone marrow donor who matches."

When caring for an older client who is receiving external beam radiation, which is the key point for the nurse to incorporate into the plan of care? A) Time, distance, and shielding B) The use of disposable utensils and wash cloths C) Avoid showering or washing over skin markings. D) Inspect the skin frequently.

D) Inspect the skin frequently.

A client is receiving external radiation to the left thorax to treat lung cancer. Which intervention should be part of this client's care plan? A) Avoiding using soap on the irradiated areas B) Applying talcum powder to the irradiated areas daily after bathing C) Wearing a lead apron during direct contact with the client D) Removing thoracic skin markings after each radiation treatment

A)Avoiding using soap on the irradiated areas

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 allow time for the repair of healthy tissue." C) "It will decrease the incidence of leukopenia and thrombocytopenia." D) "It is not really understood why you have to go for 6 weeks of treatment."

B) "It will allow time for the repair of healthy tissue."

Following surgery for adenocarcinoma, the client learns the tumor stage is T3,N1,M0. What treatment mode should the nurse anticipate? A) No further treatment is indicated. B) Adjuvant therapy is likely. C) Palliative care is likely. D) Repeat biopsy is needed before treatment begins.

B) Adjuvant therapy is likely.