NUR-348 Lecture Questions 2

An oncology clinic nurse is reinforcing prevention measures for oropharyngeal infections to a client receiving chemotherapy. Which statement by the client indicates the teaching was successful?

"I clean my teeth gently several times per day."

A client taking a chemotherapeutic agent understands the effects of therapy by making which statement?

"I will avoid eating hot and spicy foods"

A nurse is teaching a client who is receiving radiation treatment for left lower lobe lung cancer. Which client statement indicates a need for further teaching?

"I'll use hats to protect my head from the sun when my hair falls out."

What statement, if made by the nurse, correctly explains immunotherapy?

"Immunotherapy strengthens the body to heal itself."

A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which adverse effect?

Bleeding from the gums

What imaging diagnostic test would be most appropriate to diagnose possible lung cancer?

CT scan

A nurse is caring for a client who has liver, cirrhosis with ascites, bleeding, esophageal, varices, and portal, hypertension. The nurse recognizes which of the following laboratory findings as indicating the clients G.I. tract is digesting and absorbing blood?

Elevated BUN

The nurse is caring for a client following a mastectomy. What nursing intervention would assist in preventing lymphedema of the affected arm?

Elevating the affected arm on a pillow above heart level.

The presence of reed-sternberg cells are found in what hematologic neoplasm?

Hodgkins Lymphoma

A nurse is teaching for a client who is to begin taking tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?

Hot flashes

A nurse is providing teaching to a client who has stomatitis. Which of the following statement by the client indicates a need for further teaching?

I will season foods with dried spices before cooking

Hormone therapy is prescribed as the mode of treatment for a client with prostate cancer. The nurse understands that the goal of this type of treatment is what?

Limit the amount of circulating androgens

The medication Vincristine (Oncovin) is part of what specific classifications of chemotherapeutic agents?

Mitotic inhibitor

A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse include in the care of this client?

Monitor daily laboratory values and report as needed

A nurse is caring for a client who is expressing anger over his recent diagnosis of testicular cancer. What action should the nurse take?

Reassure the client that this is an expected response to grief.

A nurse is providing teaching to a client who has a peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

Take sucralfate 1 hr before meals

The nurse is preparing a teaching tool about delayed release proton pump inhibitors used to treat duodenal ulcer disease caused by H. pylori. Which statement will the nurse include that would apply to most types of proton pump inhibitors prescribed to treat this condition?

The medication is to be swallowed whole and taken before meals

A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?

Vitamin A

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medication should the nurse plan to administer?

Vitamin K

A community healthy nurse is preparing for an initial home visit to a client discharged following a total gastrectomy for treatment of gastric cancer. What would he nurse anticipate that the plan of care is most likely to include?

administration of vitamin B12 injections

The nurse is performing a skin assessment of a client who has a lesion on his anterior thigh and expresses concern about skin cancer. What finding should the nurse report to the provider as a possible indication of skin malignancy?

an uneven shape

The patient is learning about skin care related to the external radiation that he is receiving. Which instructions should the nurse include in the teaching?

avoid extreme temperatures to the area

The nurse is reviewing the history of a client with bladder cancer. The nurse expects to document the presence of what symptom that is most common with this type of cancer?

hematuria

What factor differentiates a malignant tumor from a benign tumor?

it invades and metastasizes

The nurse is recording the medications a client uses on a daily basis for a client who is scheduled to undergo surgery in the morning. Which daily medication has the potential to result in constipation?

laxative

A nurse is caring for a client who has leukemia and a platelet count of 130,000/mm3. What intervention should the nurse include in the plan of care?

limit IM injections

The nurse preforms 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

The nurse is admitting a client newly diagnosed with acute pancreatitis. What provider prescription should the nurse anticipate?

omeprazole

While caring for a patient who is at the nadir of chemo, the nurse establishes the highest priority for nursing actions related to which of the following?

risk for infection

When a patient is undergoing brachytherapy, what is important for the nurse to be aware of when caring for this patient?

the patient is a source of radiation and personnel must wear film badges during care

A small lesion is discovered in a patient's lung when an x-ray is performed for cervical spine pain. What is the definitive method of determining if the lesion is malignant?

tissue biopsy

Your client with leukemia is receiving allopurinol and imatinib. What is the purpose of the allopurinol?

treats/prevents hyper-uricemia

The laboratory results of the client with leukemia indicate bone marrow depression. What education should the nurse provide to the client?

use an electric razor when shaving

A nurse is teaching a client who is receiving treatment for metastatic, colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the client to report which adverse effects of the medication?

Nose bleeds

A client is prescribed tetracycline to treat peptic ulcer disease. Which instruction would the nurse give the client?

"Be sure to wear sunscreen while taking this medication."

A client whose relative was recently diagnosed with cancer is asking about warning signs. What should the nurse state is a common warning sign of cancer? On a clinic visit a client who has a relative with cancer, is asking about the warning signs that may relate to cancer. The nurse correctly identifies the warning signs of cancer by responding:

"Sudden weight loss of unexplained etiology can be a warning sign of cancer."

A nurse is preparing a teaching plan for client receiving an anti-neoplastic medication. When implementing the plan, the nurse should make what statement to the client?

"You need to consult with your healthcare provider before receiving immunizations."

The nurse uses many precautions during IV administrations is vesicant chemotherapeutic agents, primarily to prevent which complications?

extravasation

A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. What finding should the nurse expect?

fatty stools

A nurse is caring for a client who is post-op following a transurethral resection of the prostate. Which complication is the priority for the nurse to monitor?

hemorrhage

A critical care nurse is caring for a client diagnosed with acute pancreatitis. The nurse knows this client should be started on parenteral nutrition (PN) after what indications?

inability to take in adequate oral foods or fluids within 7 days

A nurse is assessing a client who has advanced cirrhosis. What manifestation should the nurse expect?

petechiae

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:

increase her intake of calcium-rich foods