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The nurse obtains information about a hospitalized patent who is receiving chemotherapy for colorectal cancer. Which inflation about the patient alerts the use to discuss a possible change in cancer therapy with the health care provider?
Increased carcinoembryonic antigen (CEA)
During a routine health examination, a 4 years old patient tells the nurse about a family history of colon caner. Which action should the nurse take next?
Obtain more information about the patients relatives.
Which of the following tumor markers is used to detect and monitor Prostate cancer?
PSA
An older adult patient who has colorectal cancer is receiving IV nuids at 175 ml./ hr in conjunction with the prescribed chemotherapy. Which finding by the nurse is most important to report to the health care provider?
Patient has carjacked up to the midline posterior chest.
A patient with a gene mutation of BRCA-1 and a family history of breast cancer is admitted to the surgical unit where she is scheduled that day for bilateral simple mastectomy. What is the reason for this procedure?
Prevent breast cancer
A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse give to this patient?
Rinse the mouth before and after each meal and at bedtime with a saline solution.
The nurse is caring for a patient with left-sided lung cancer. Which finding would be most important for the nurse to report to the health care provider?
Serum sodium of 125 mEq/L
Which of the following electrolytes is decreased as a result of SIASH or syndrome of inappropriate Diuretic Hormone?
Sodium
Bob has been diagnosed with Prostate cancer and the doctor is staging the cancer to determine treatment options. If the doctor states Bob's cancer has an ascending degree of tumor size, ascending lymph node involvement, and no metastasis; What would be the TNM classification expected to be charted?
T(1-4), N (1-4), M(0)
When caring for a patient who is pancytopenic, which action by unlicensed assertive personnel (UPA) indicates a need for the nurse to intervene?
The UAP assets the patient to use dental floss after earring.
The nose supervises the care of a patient with a temporary radioactive cervical implant. Which action by unlicensed assistive personal (UAP), if observed by the use, would require an intervention?
The UAP stand by the. patients bed for 30 minutes taking with the patient.
The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement by the patient indicates that reading was effective?
The biopsy will help decide the treatment for my enlarge prostate?
A small lesion is found in a patients lung when an x-ray is one for cervial spine pain. What is the definitive method of determining if the lesion is malignant?
Tissue biopsy
A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment are. The nurse teaches the patient about the management of the skin reaction. Which stamen if made by the patient indicates the teaching was effective?
" I can buy some aloe vera gel to use on my skin"
A patient who is diagnosed with cervical caner classified as Tis, N0, M0 ask the nurse what the letters and numbers mean. Which response by the nurse is accurate?
" The cancer involves only the cervix"
Current screening guidelines for lung caner include which of the following?
Adults ages 55 to 77, 30 pack year hairy of smoking or current smoker, annual low dose CT scan
A patient who is being treated for stage IV lung cancer tells the nurse about new-onset severe lower back pain. Which action should the nurse take fists?
Asses for sensation and strength in the legs.
When teaching the patient about Triple Negative Breast Cancer, the nurse understands that this means that this type of breast cancer tests negative for three specific receptors. Which of the following are those receptors? Select all that apoly
Estrogen, progesterone, HER-2
Small cell lung cancer is slower growing and has a more favorable outcome compared to Non small cell lung cancer
False
Patient with a large stomach tumor attached to the liver is schedule fr a debunking procedure. What should the nurse teach the patient about the outcome of this procedure?
Decreasing the tumor size will improve the effects of other therapy.
The nurse is caring for a patient who smokes 2 packs/day. Which action by the nurse would help reduce e the patients risk for lung cancer?
Discuss risks associated with cigarettes during each patient encounter.
The nurse is preparing to administer the chemotherapy Doxorubicin (Adriamycin). The nurse knows that which of the following diagnostic test should be completed prior to the administration of this drug?
Electrocardiogram
The nurse is caring for a client following a left mastectomy. Which nursing intervention would assist in preventing lymphedema of the affected arm?
Elevating the affected arm on a pillow above heart level.
A patient with a positive breast biopsy tells the nurse that she read about Tamoxifen on the internet and asks about its use. The best response by the nurse includes which information?
lamoxiten is the treatment of choice if the tumor has receptors for estrogen on it's cells (ER +)
After change-of-shift report on the oncology unit, which patient should the nurse assess first?
• Patient who is neutrogenic and has a temocrature of 102 5
