Cellular Regulation
Skip to main content When teaching the client about chemotherapy, which approach should the nurse take? Select one: a. Explain that the antiemetics, antidiarrheals, and analgesics will be provided as needed to control side effects. b. Inform the client that chemotherapy-related alopecia is usually permanent but can be managed with lifelong use of wigs. c. Assure the client that the side effects from chemotherapy are uncomfortable but never life threatening. d. Avoid telling the client about possible side effects of the drugs to prevent anticipatory anxiety.
A
A client has been diagnosed with cancer. Which finding in the patient's social history would the nurse evaluate as contributing to cancer development? Select one: a. The patient reports drinking one or two glasses of wine each week. b. The patient was exposed to radiation during an industrial accident 5 years ago. c. The patient has taken vitamin C supplements for many years. d. The patient's menses began at age 10.
B
A client who was treated for colorectal cancer last year now has a malignant tumor in the lung. The nurse realizes that this patient is most likely experiencing which phenomenon? Select one: a. Hypertrophy b. Metastasis c. Contact inhibition d. Differentiation
B
The client undergoing radiation treatment has developed dry desquamation of the skin over the treatment area. How should the nurse care for this damaged skin? Select one: a. Have the client expose the area to 20 minutes of sunlight each day. b. Wash the area with lukewarm water and a soft cloth. c. Apply a heating pad to the affected area. d. Shave the area carefully to remove irritating hair or stubble. C
B
Which statement correctly describes metastatic tumors? Select one: a. They become less malignant over time. b. They are caused by cells breaking off from the primary tumor. c. They become the tissue of the organ where they spread. d. They are usually less harmful than a primary tumor.
B
A client is being treated for chronic pain. The nurse realizes that which characteristic is typical of chronic pain? Select one: a. Chronic pain typically lasts 2 months or less. b. The pain reported is usually less severe than acute pain. c. The pain rating may be inconsistent with the clients assessment findings. d. Chronic pain usually has a clear, physiologic cause.
C
The client with advanced cancer is having difficulty controlling her pain. She says she is afraid she will become addicted to the opioids. What is the first thing the nurse should do for this client? Select one: a. Assess the clients vital signs and behavior to determine the medication use. b. Have the client keep a pain diary to better assess the clients potential addiction. c. Obtain a detailed pain history including quality, location, intensity, duration and type of pain. d. Administer a non steroidal anti inflammatory drug.
C
Which factor will assist a patient in coping positively with having cancer? Select one: a. Not having to cope with previous stressful events. b. A young person will adapt more easily. c. A strong support system d. Internalization of feelings.
C
A client diagnosed with cancer has been receiving radiation treatments to shrink the tumor. After several weeks, the client tells the nurse that she has not needed as much pain medication. What should the nurse consider when responding to this report? Select one: a. The client may be developing tolerance to the pain. b. The client is probably continuing to have pain but is benefiting from the placebo effect of from the radiation. c. The tumor is secreting pain-control chemicals initiated by the radiation. d. The radiation treatments have probably reduced the pressure of the tumor on adjacent tissues.
D
The nurse uses many precautions during IV administration of vesicant chemotherapy agents, Primarily to prevent which complication? Select one: a. Catheter occlusion b. Septicemia. c. Anaphylactic shock d. Extravasation
D
