Exam 3

Cancer of the bladder is more common after the age of 55 and smoking increases the risk by 50%

true

a nurse assessing a patient for urinary retention knows that the patient could also report these signs and symptoms of UTI: hematuria, urgency, frequency and nocturia

true

Which of the following is a term used to describe the growth of new blood vessels that allow cancer cells to grow?

Angiogenisis

Passive smoke (i.e., secondary smoke) had been linked to lung cancer; nonsmokers who live with a smoker have about a 20% to 30% greater risk of developing lung cancer

true

Which specific agents or factors are associated with the etiology of cancer?

Dietary and genetic factor, hormonal and chemical agents, viruses

Urinary incontinence is inevitable and not treatable

False

The Physician recommends that parents have their daughter vaccinated with HPV vaccine. What is this vaccine for?

Help prevent cervical cancer

A nurse is obtaining a urine specimen for culture and sensitivity from a client who has manifestations of a urinary tract infection. Which of the following actions should the nurse take?

Instruct the client to start urinating then pass the container into the stream (midstream urine).

An adult client with leukemia will soon begin chemotherapy. What would the nurse do to combat the most common adverse effect of chemotherapy?

administer an antiemetic

Nursing care of patient with urinary tract infections include all of the following except

application of cold compress to the perineum

the leading causes of cancer deaths in the United States, for men, are lung, prostrate and

colorectal

A cluster of symptoms referred to as ------ syndrome may occur during the neutrophil recovery phase in both allogeneic and autologous transplants

engraftment

Pain and fatigue are the two most common side effects of chemotherapy

false

Upper urinary tract infections (UTIs) are very common and are classified as uncomplicated or complicated

false

functional incontinence is the involuntary loss of urine through an intact urethra as a result of sneezing, coughing or changing position

false

When completing admission assessment, the client reports a family history of ovarian cancer among a maternal grandmother, aunt and sister. The nurse knows that these cancers are most likely associated with what etiology?

inherited gene mutation

The nurse is caring for a client with the diagnosis of colon cancer with metastasis to the liver. Which statement made by the client indicated an understanding of the diagnosis?

"My cancer has now spread to my liver"

A nurse provides care on a bone marrow transplant unit and is preparing a female client for a hematopoietic stem cell transplantation (HSCT) the following day. What information should the nurse emphasize to the client's family and friends?

"Do not visit if you've had a recent infection"

Before giving any antibiotic to a client with a urinary tract infection, the appropriate question to ask would be:

"Do you have any allergy to penicillin?"

The clinic nurse is caring for a client who has just been diagnosed with a tumor. The client says to the nurse "The doctor says my tumor is benign. What does that mean?" what is the nurse's best response?

"benign tumors don't usually cause death"

A patient reports to the nurse that he is having urinary frequency. The nurse understands that the patient is voiding more frequently than every

3 hours

Which type of vaccine uses the client's own cancer cells, which are killed and prepared for injection back into the client?

Autologus

A nurse is teaching a client who has a new diagnosis of acute pyelonephritis. Which of the following instructions should the nurse include in the teaching?

Avoid the use of NSAIDS for pain

The nurse assesses that extravasation of a chemotherapy agent has occurred. What should the initial action of the nurse be?

Discontinue the infusion

While administering cisplatin (Platinol-AQ) to a client, the nurse assesses swelling at the insertion site. The first action of the nurse is to

Discontinue the intravenous medication

Prophylactic cancer vaccines have been proven to prevent prostrate, breast and lung cancer

False

you are a clinic nurse. One of your clients has found she Is at high risk for breast cancer. She asks you what can be done to reduce her risk. What is a means of reducing the risk of breast cancer?

Prophylactic surgery

A client has been receiving chemotherapy to treat cancer. Which assessment fining suggests that the client has developed stomatitis?

Red, open sores on the oral mucosa

The registered nurse watched you verify the clients identity. You completed all the scanning of the medications and the correct 8 checks for medication administration. You opened each single dose pill packet and placed them all in one cup. Suddenly, the RN is called out of the room. What should you do?

Tell the RN you will wait until he returns to the room prior to the administration of these medications

Which of the following is the single largest preventable cause of cancer?

Tobacco

Factors that contribute to urinary tract infections (UTIs) include bacterial invasion of the urinary tract, urethrovesical refulx and shorter urethra in women

True

older adult patients often lack the typical symptoms of UTI and sepsis

True

A nurse in an emergency department is caring for a client who reports costovertebral angle (CVA) tenderness, nausea and vomiting. Which of the following laboratory values should the nurse report to the provider?

WBC 15,000/mm3

A nurse is caring for a patient who was admitted for lower urinary tract infection (UTIs). The nurse knows that the following are causes of lower UTI except

interstitial nephritis

-------- urinary incontinence encompasses several types of urinary incontinence, it is involuntary leakage associated with urgency and also with exertion, efforts, sneezing or coughing

mixed

A client newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe?

nausea and vomiting

reasons for urinary diversion include all of the following except

preferred treatment for incontinence

Palliation refers to

relief of symptoms of a disease and promotion of comfort and quality of life

Which of the following medication right is missing in the order? "Ibuprofen 400 mg by mouth every 6 hours as needed for pain"

right patient

The public health nurse is presenting a health promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America?

smoking cessation