114 Immunity/Oncology PrepU Quiz

A nurse on the hematology floor feels the charge nurse has been unfairly assigning complex clients to her by not dividing enough of the workload among the rest of the staff. This nurse is creating tension among the staff. What is the charge nurse's best approach?

meet with this nurse privately and give her an opportunity to further express her concerns

When preparing a client with AIDS for discharge to home, the nurse should be sure to include which instruction?

"Avoid sharing articles such as toothbrushes and razors."

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

Cell-cycle nonspecific

Carcinogens are factors related to the formation of various malignancies. Which factor has the greatest impact on the development of all cancers?

Chemical agents

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

Closely monitor the patient for at least 3 months

When developing a teaching plan for women about HIV transmission, the nurse should instruct the group that to reduce the risk of transmission they should:

Use latex condoms with sexual intercourse

What is the best way for the nurse to assess the nutritional status of a patient with cancer?

Weigh the patient daily

At which time should the nurse instruct the client to take ibuprofen, prescribed for left hip pain secondary to osteoarthritis, to minimize gastric mucosal irritation?

immediately after a meal

A nurse is teaching high school students about transmission of HIV. Which comment by a student warrants clarification by the nurse?

"I won't donate blood because I don't want to get AIDS."

A patient with uterine cancer is being treated with intracavitary radiation. The patient will emit radiation while the implant is in place. The nurse is aware of the precautions necessary for the provider of care and visitors. Which of the following are appropriate guidelines to follow? Select all that apply

-Family members should stand about 6 feet from the patient -Lead aprons should be worn to buffer the exposure -Visitors may stay for 30 minutes or less

Which class of antineoplastic agents is cell-cycle specific?

Antimetabolites (5-FU)

A nurse is planning care for a 25-year-old female client who has just been diagnosed with HIV infection. The client asks the nurse, "How could this have happened?" The nurse responds to the question based on the most frequent mode of HIV transmission which is:

Having sexual intercourse with an HIV- positive person without using a condom

The nurse is caring for a patient who is to begin receiving external radiation for a malignant tumor of the neck. While providing patient education, what potential adverse effects should the nurse discuss with the patient?

Impaired nutrition status

Which dietary strategy best meets the nutritional needs of a client with AIDS?

Instruct the client to cook foods thoroughly and adhere to safe food-handling practices

A client with acquired immunodeficiency syndrome is admitted with Pneumocystis carinii pneumonia. During a bath, the client begins to cry and says that most friends and relatives have stopped visiting and calling. What should the nurse do?

Listen and show interest as the client expresses feelings

Cancer is the second leading cause of death in the United States, second only to heart disease. Half of all men and one third of all women will develop cancer during their lifetimes. Which types of cancer have the highest prevalence among both men and women?

Lung and colon

A client has received several treatments of bleomycin. It is now important for the nurse to assess:

Lung sounds

The oncologist advises a client with an extensive family history of breast cancer to consider a mastectomy. This procedure would be considered what type of surgery?

Prophylactic

A client is taking nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain from rheumatoid arthritis. What instruction should the nurse give the client about NSAIDs?

Take the prescribed medication with food and fluids

A client with SLE has the classic rash of lesions on the cheeks and bridge of the nose. What term should the nurse use to describe this characteristic pattern?

Butterfly rash