Prep U MS3 Ch. 12 Oncologic Management

The nurse is evaluating bloodwork results of a client with cancer who is receiving chemotherapy. The client's platelet count is 60,000/mm3. Which is an appropriate nursing action?

Avoiding the use of products containing aspirin.

A nurse is planning care for a client who has developed erythema following radiation therapy for a lesion on the left lower leg. Which intervention would the nurse include in the client's plan of care to best support skin recovery at the affected site?

Cleanse with lukewarm water and pat dry.

A client diagnosed with acute myelocytic leukemia has been receiving chemotherapy. During the last 2 cycles of chemotherapy, the client developed severe thrombocytopenia requiring multiple platelet transfusions. The client is now scheduled to receive a third cycle. How can the nurse best detect early signs and symptoms of thrombocytopenia?

Closely observe the client's skin for petechiae and bruising

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?

7-14 days

A client is receiving radiation therapy and asks the nurse about oral hygiene. What teaching specific to the client's situation should the nurse include?

Use a soft toothbrush and allow it to air dry before storing.

A young female client has received chemotherapeutic medications and asks about any effects related to her sexual health. The most appropriate statement by the nurse is...

You will need to practice birth control measures.

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

Which statement by a client undergoing external radiation therapy indicates the need for further teaching?

I'm worried I'll expose my family members to radiation.

What disadvantages of chemotherapy should the patient be informed about prior to starting the regimen?

It targets normal body cells as well as cancer cells.

The nurse performs a breast exam on a client and finds a firm, non-movable 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 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.

According to the tumor-node-metastasis (TNM) Classification system, T0, means there is

No evidence of primary tumor

The nurse is caring for a client with a benign breast tumor. The tumor may have which characteristic?

Slow rate of growth

What should the nurse tell a client who is about to begin chemotherapy and is anxious about hair loss?

The client should consider getting a wig or cap prior to beginning treatment.

While doing a health history, a client tells the nurse that her mother, her grandmother, and her sister died of breast cancer. The client asks what she can do to keep from getting cancer. What is the best response by the nurse?

Cancer prevention and detection can be done with blood analysis for tumor markers to measure your risk level.

A 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. What is the best response by the nurse?

You may choose to discontinue the test.

Following surgery for adenocarcinoma, the client learns the tumor stage is T3,N1,M0. What treatment mode should the nurse anticipate?

Adjuvant therapy is likely.

The nurse is conducting a screening for familial predisposition to cancer. which element should the nurse note as a possible indication of hereditary cancer syndrome?

An aunt and uncle diagnosed with cancer.

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?

Avoiding using soap on the irradiated areas

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

I clean my teeth gently several times per day.

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.

The nurse is caring for a client that is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client that indicates a need for further teaching?

I hope they find a bone marrow donor who matches.

A client with cancer is being evaluated for possible metastasis. What is one of the most common metastasis sites for cancer cells?

Liver

A nurse is caring for a client after a bone marrow transplant. What is the nurse's PRIORITY in caring for the client?

Monitor the client to prevent sepsis.

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

A patient is admitted for an excisional biopsy of a breast lesion. What intervention should the nurse provide for the care of this patient?

Provide time for the patient to discuss her concerns.

A patient is scheduled for cryoablation for cervical cancer and tells the nurse, "I am not exactly sure what the surgeon is going to do." What is the BEST response by the nurse?

The surgeon is going to use liquid nitrogen to freeze the area.

An oncologist advises a client with an extensive family history of breast cancer to consider a mastectomy. What type of surgery would the nurse include in teaching?

prophylactic

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.

Which does a nurse thoroughly evaluate before a hematopoietic stem cell transplant procedure?

Blood Studies

Which should a nurse thoroughly evaluate before a bone marrow transplant (BMT) procedure?

Blood studies.

A patient with uterine cancer is being treated with internal radiation therapy. What would the nurse's priority responsibility be for this patient?

Explain to the patient that she will continue to emit radiation while the implant is in place.

the client is receiving a vesicant antineoplastic for treatment of cancer. Which assessment finding would require the nurse to take immediate action?

Extravasation

A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a chemotherapy-induced complication?

Serum potassium level of 2.6 mEq/L.

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?

Inspect skin frequently

Which type of surgery is used in an attempt to relieve complications of cancer?

Palliative

Which oncological emergency involves the accumulation of fluid in the pericardial space?

Cardiac Tamponade

A nurse is performing a home visit for a client who received chemotherapy within the past 24 hours.The nurse observes a small child playing in the bathroom, where the toilet lid has been left up. Based on these observations, the nurse modifies the client's teaching plant to include:

chemotherapy exposure and risk factors

The nurse is working with a client who has had an allo-hematopoietic stem cell transplant (HSCT). the nurse notices a diffuse rash and diarrhea. The nurse contacts the physician to report that the client has symptoms of

graft-versus-host disease

The lethal tumor dose is defined as the dose that will eradicate what percentage of the tumor yet preserve normal tissue?

95%

The oncology nurse is giving chemotherapy to a client in a short stay area. The client confides that they are very depressed. The nurse recognizes depression as which of the following?

A normal reaction to the diagnosis of cancer.

A client diagnosed with cancer makes the following statement to the nurse: "I guess i will tell my health care provider to forego the chemotherapy. I do not want to be throwing up all the time. I would rather die." Which of the following facts supports the use of chemotherapy for this client?

Chemotherapy treatment can be adjusted to optimize effects while limiting adverse effects.

A nurse is caring for a client who is receiving chemotherapy and has a platelet count of 30,000/mm3. Which statement by the client indicates a need for additional teaching?

I floss my teeth every morning.

The nurse instructs a client receiving chemotherapy on actions to prevent the development of stomatitis. Which client statement indicates to the nurse that the teaching has been effective?

I will brush my teeth after every meal.

What can the nurse do to meet the challenges in caring for a patient with Cancer?

Identify own perception of cancer and set realistic goals.

When discussing follow-up appointments with a client, the client asks the nurse, "The health care provider said that I have an abdominal neoplasm. What does that mean?" Which statement(s) accurately answers the client's question? SATA

You have a new growth of abnormal tissue in your abdomen. You have an abdominal tumor.

What priority problems would be considered when planning care for a client diagnosed with breast cancer who is currently receiving both chemo and radiation therapies? SATA

Impaired skin integrity Imbalanced nutrition Risk for infection Disturbed body image Activity intolerance

A nurse assesses an oncology client with stomatitis during a chemotherapy session. Which nursing intervention would MOST likely decrease the pain associated with stomatitis?

Provide a solution of viscous lidocaine for use as a mouth rinse.

A client with metastatic pancreatic cancer underwent surgery to remove a malignant tumor in the pancreas. Despite the tumor being removed, the physician informs the client that chemotherapy must be started. Why might the physician opt for chemotherapy?

To prevent metastasis.