PrepU Cancer

The nurse is caring for a thyroid cancer client following oral radioactive iodine treatment. Which teaching point is most important?

Flush the toilet twice after every use.

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 entail?

I guess the doctor could not remove the entire tumor

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

A normal reaction to the diagnosis of cancer

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."

You are the clinic nurse caring for a patient whose grandmother, mother, and sister all had breast cancer. She has requested a screening test to determine her risk of developing breast cancer and it has come back positive. The patient asks you what she can do to help prevent breast cancer from occurring. What would be your best response?

"Research has shown that taking tamoxifen can reduce your chance of breast cancer." -Tamoxifen can reduce the incidence of breast cancer by 50% in women at high risk for breast cancer

After a bone marrow transplant a client should be monitored for how many days?

100 days

After cancer chemotherapy, A client experiences nausea and vomiting. The nurse should assign highest priority to which intervention?

Administering metoclopramide and dexamethasone as ordered

Which hematopoietic stem cell transportation is characterized by cells from a donor other than the patient

Allogenic

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

And aunt and uncle diagnosed with cancer.

Which class of anti-neoplastic agents is cell specific?

Antimetabolites (5-FU)

A client receiving external radiation to the left thorax to treat lung cancer has a nursing diagnosis of risk for impaired skin integrity. Which intervention should be part of this clients care plan?

Avoiding using soap on the irradiated areas

The nurse is completing an admission assessment for a client receiving interstitial implants for prostate cancer. The nurse document this as

Brachytherapy

A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion according to the TNM staging system as follows: Tis, N0, M0. What does this classification mean?

Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant metastasis

The nurse is teaching a client newly diagnosed with cancer about chemotherapy. The nurse tells the client he'll receive in antitumor antibiotic. The nurse knows that this type of medication is

Cell-cycle nonspecific

The nurse understands that the client should be giving human papilloma virus vaccine per the healthcare providers orders. What does this vaccine help prevent?

Cervical cancer

A client has just received a stem cell transplant Tatian as treatment for leukemia. What are the post procedural nursing interventions for a client receiving any form of stem cell transplantation

Closely monitor the client for at least three months

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

Closely observed the client skin for petechiae and bruising

You are a nurse working on a bone marrow transplant unit. Your patient is scheduled to receive a bone marrow transplant. What information will you provide to the patients visitors?

Do not visit if they've had a recent infection.

A patient with a diagnosis of prostate cancer is receiving radiation therapy, a treatment that has resulted in stomatitis. To best manage this patient stomatitis, the nurse should

Encourage the patient to use an oral swab rather than a regular toothbrush.

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

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

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 contact the physician to report that the client has symptoms of

Graft vs host disease

You are an oncology nurse who has reconstituted a patient scheduled chemotherapeutic drugs. What action should you perform prior to administering this drug?

Have a colleague confirm the chemo therapy does.

The client has finished the first round of chemotherapy. Which statement made by the client indicates a need for further teaching by the nurse?

I can continue taking my vitamins and herbs because they make me feel better

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 the skin frequently.

Which of the following is a characteristic of a malignant tumor?

It gains access to the blood and lymphatic channels.

A client is receiving the cell cycle nonspecific alkylating agent thiotepa (Thioplex), 60 mg weekly for four weeks by bladder installation as part of chemotherapy regimen to treat bladder cancer. The client asked the nurse how the drug works. How does thiotepa exert it's therapeutic effects?

It interferes with DNA replication and RNA transcription

A patient will be receiving radiation for six weeks for the treatment of breast cancer and asked the nurse why it takes so long. What is the best response by the nurse?

It will allow time for the repair of healthy tissue

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

Liver

Your patient is receiving carmustine, A chemotherapy agent. A significant side effect of this medication is thrombocytopenia. What symptoms would the nurse assess for in a patient at risk for thrombocytopenia?

Nose bleed

A nurse is caring for a client with prostate cancer and assess his bleeding gums and hematuria. What serum indicator should the nurse relate the bleeding?

Platelet count of 60,000/mm3

And 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

A patient is admitted for an excisional biopsy of a breast. what intervention should the nurse provide for the care

Provide time for the patient to discuss her concerns

A patient is admitted for 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 male client has been unable to return to work for 10 days following chemotherapy as the result of ongoing fatigue and inability to perform usual activities. Laboratory test results are wbc's 2000/mm3, RBC's 3.2×10^ 12/L and platelets 85,000/mm3. The nurse notes that the client is anxious. Which of the following is the priority nursing diagnosis?

Risk for infection related to an adequate defenses

A serum sodium concentration lower than 115 mEq/L (115 mmol/L) Is associated with

Seizure

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

A computer tomography (CT) Scan has detected a "spot" on a patient's liver, and a subsequent liver biopsy has revealed cancer and been submitted for staging and grading. The patient has asked you about the purpose of staging, stating that her oncologist explanation left her somewhat confused. How could you best respond to this patient's question?

Staging allows the care team to determine how large and extensive your tumor is

An oncology nurse is caring for a client who is taking anti-neoplastic agents. What symptoms with the nurse consider with tumor lysis syndrome when monitoring this client?

Symptoms of gout

Hey 66-year-old man is receiving radiation therapy and chemotherapy for the treatment of small cell lung cancer. The nurse has assessed him many times since he was admitted to the hospital. This morning, he admits that his greatest challenge he is currently facing is the overwhelming fatigue. How should the nurse respond to this patient statement?

That must be incredibly difficult for you. How would you rate your fatigue if you had to give it a number from 1 to 10?

A patient is scheduled for a cryo-ablation 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

Which statement is true about malignant tumors?

They gain access to the blood and lymphatic channels.

A client is diagnosed with a benign brain tumor. Which of the following features of a benign tumor is of most concern to the nurse?

Tumor pressure against normal tissues

A nurse is assessing a 75-year-old woman who has 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 this test

A young female client has received chemotherapeutic communications and asks about any affects the treatments will have related to her sexual health. The most appropriate statement by the nurse is

You will need to practice birth control measures

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

cardiac tamponade

The drug interleukin-2 is an example of which type of biologic response modifier?

cytokine

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

A nurse is administering daunorubicin Through a peripheral IV line when the client complains of burning at the insertion site. The nurse notes no blood return from the catheter and redness at the IV site. The client is most likely experiencing which complication?

extravasation

Which is a growth-based classification of tumors?

malignancy

A client with a recent history of G.I. disturbance has been scheduled for a barium study. The physician ordered this particular test for this client because it will

Show movement of the G.I. tract

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 teaching plan to include

Chemotherapy exposure and risk factors

A nurse is teaching a client with bone marrow suppression about the timeframe when bone suppression will be noticeable after administration of floXuridine. What is the timeframe the nurse should include with client teaching?

7-14 days

The nurse is evaluating the clients risk for cancer. The nurse should recommend the client change which Lifestyle choice?

Eats red meat such as steaks or hamburgers every day

The nurse is evaluating the clients risk for cancer. The nurse should recommend the client change which lifestyle choice?

Eats red meat such as steaks or hamburgers every day

And oncology clinic nurse is reinforcing prevention measures for oralpharyngeal 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

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

I hope they find a bone marrow donor who matches

A nurse has agreed to draft a medication teaching plan for a patient who is taking the hormonal agent, Aromasin, And aromatase inhibitor for post menopausal 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

A client has received several treatments a bleomyosin. It is now important for the nurse to assess

Lung sounds

The nurse performs a breast exam on a client and find a firm, non-movable lump in the upper outer quadrant of the right breast that the client reports was not there three weeks ago. What does this finding suggest?

Malignant tumor

A nurse is caring for a client after a bone marrow transplant. What is the nurses priority and caring for the client?

Monitor the client to prevent sepsis