Chapter 6: PrepU - Cancer Care
A benign tumor of the blood vessels is a(n) 1- osteoma. 2- hemangioma. 3- neuroma. 4- chondroma.
2
The nurse is invited to present a teaching program to parents of school-age children. Which topic would be of greatest value for decreasing cancer risks? 1- Pool and water safety 2- Breast and testicular self-exams 3- Hand washing and infection prevention 4- Sun safety and use of sunscreen
4
What disadvantages of chemotherapy should the patient be informed about prior to starting the regimen? 1- It attacks cancer cells during their vulnerable phase. 2- It functions against disseminated disease. 3- It causes a systemic reaction. 4- It targets normal body cells as well as cancer cells.
4
You are caring for a patient who has just been given a 6-month prognosis. The patient states that he would like to die at home. The patient's care needs are unable to be met in a home environment. In collaboration with the care team, what might you suggest as an alternative? 1- Discuss a referral for rehabilitation hospital. 2- Panel the patient for a personal care home. 3- Discuss a referral for acute care. 4- Discuss a referral for hospice care.
4
A patient with uterine cancer is being treated with internal radiation therapy. What would the nurse's priority responsibility be for this patient? 1- Explain to the patient that she will continue to emit radiation while the implant is in place. 2- Maintain as much distance as possible from the patient while in the room. 3- Alert family members that they should restrict their visiting to 5 minutes at any one time. 4- Wear a lead apron when providing direct patient care.
1
According to the TNM classification system, T0 means there is 1- no evidence of primary tumor. 2- no regional lymph node metastasis. 3- no distant metastasis. 4- distant metastasis.
1
The drug interleukin-2 is an example of which type of biologic response modifier? 1- Cytokine 2- Monoclonal antibodies 3- Retinoids 4- Antimetabolites
1
The drug interleukin-2 is an example of which type of biologic response modifier? 1- Cytokine 2- Monoclonal antibodies 3- Retinoids 4- Antimetabolites
1
A client with cancer is receiving chemotherapy and reports to the nurse that his or her mouth is painful and has difficulty ingesting food. What actions should the nurse take? Select all that apply. 1- Asks the client to open his or her mouth to facilitate inspection of the oral mucosa 2- Rinses the client's mouth with alcohol-based mouthwash every 2 hours 3- Instructs the client to brush the teeth with a soft toothbrush 4- Consults with the healthcare provider about use of nystatin 5- Teaches the client to floss the teeth once every 24 hours
1,3,4
A side-effect of chemotherapy is renal damage. To prevent this, the nurse should: 1- Encourage fluid intake, if possible, to dilute the urine. 2- Withhold medication when the blood urea nitrogen level exceeds 20 mg/dL. 3- Limit fluids to 1,000 mL/day to minimize stress on the renal tubules. 4- Modify the diet to acidify the urine, thus preventing uric acid crystallization.
1
According to the TNM classification system, T0 means there is no evidence of primary tumor. no regional lymph node metastasis. no distant metastasis. distant metastasis.
1
The nurse is completing an admission assessment for a client receiving interstitial implants for prostate cancer. The nurse documents this as 1- brachytherapy. 2- external beam radiation therapy. 3- systemic radiation. 4- a contact mold.
1
Which type of surgery is used in an attempt to relieve complications of cancer? 1- Palliative 2- Prophylactic 3- Reconstructive 4- Salvage
1
Which statement is true about malignant tumors? 1- They demonstrate cells that are well differentiated. 2- They gain access to the blood and lymphatic channels. 3- They usually grow slowly. 4- They grow by expansion.
2
A nurse caring for a client who has just received chemotherapy infusion is wearing a disposable gown, gloves, and goggles for protection. The nurse knows that accidental exposure to chemotherapy agents can occur through: 1- inhalation of aerosols. 2- absorption through the gown. 3- absorption through the gloves. 4- absorption through the goggles.
1
The nurse evaluates teaching as effective when a female client states that she will 1- Use sunscreen when outdoors. 2- Decrease tobacco smoking from one pack/day to half a pack/day. 3- Exercise 30 minutes 3 times each week. 4- Obtain a cancer history from her parents.
1
A serum sodium concentration lower than 115 mEq/L (115 mmol/L) is associated with 1- anorexia. 2- seizure. 3- weight gain. 4- myalgia.
2
The nurse is caring for a thyroid cancer client following oral radioactive iodine treatment. Which teaching point is most important? Shield your throat area when near others. Flush the toilet twice after every use. Prepare food separately from family members. Use disposable utensils for the next month.
2
The nurse is evaluating the client's risk for cancer. What lifestyle change should the nurse recommend? 1- uses the treadmill for 30 minutes on 5 days each week 2- eats red meat such as steaks or hamburgers every day 3- works as a secretary at a medical radiation treatment center 4- drinks one glass of wine at dinner each night
2
While administering cisplatin to a client, the nurse assesses swelling at the insertion site. What is the nurse's first action? 1- Administer a neutralizing solution. 2- Apply a warm compress. 3- Aspirate as much of the fluid as possible. 4- Discontinue the intravenous medication.
4
The nurse is caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching? 1- "I hope they find a bone marrow donor who matches." 2- "The doctor will remove cells from my bone marrow before beginning chemotherapy." 3- "I will receive chemotherapy until most of the cancer is gone, and then I will get my own stem cells back." 4- "I will need to be in protective isolation for up to 3 months after treatment."
1
Which of the following would be consistent with a benign neoplasm? 1- Usually progressive and slow 2- Grows by invasion 3- Gains access to the blood and lymph channels to metastasize 4- Cells are undifferentiated
1
Which type of hematopoietic stem cell transplantation (HSCT) is characterized by cells from a donor other than the patient? 1- Allogeneic 2- Autologous 3- Syngeneic 4- Homogenic
1
Which type of vaccine uses the client's own cancer cells, which are killed and prepared for injection back into the client? 1- Autologous 2- Prophylactic 3- Therapeutic 4- Allogeneic
1
A patient, age 67 years, is admitted for diagnostic studies to rule out cancer. The patient is Caucasian, married, has been employed as a landscaper for 40 years, and has a 36-year history of smoking a pack of cigarettes daily. What significant risk factors does the nurse recognize this patient has? (Select all that apply.) 1- Age 2- Cigarette smoking 3- Occupation 4- Race 5- Marital status
1,2,3
A nurse is caring for a client receiving chemotherapy. Which assessment finding places the client at the greatest risk for an infection? 1- White blood cell (WBC) count of 9,000 cells/mm3 2- Stage 3 pressure ulcer on the left heel 3- Temperature of 98.3° F (36.8° C) 4- Ate 75% of all meals during the day
2
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 plan to include: 1- expected chemotherapy-related adverse effects. 2- chemotherapy exposure and risk factors. 3- signs and symptoms of infection. 4- reinforcement of the client's medication regimen.
2
A serum sodium concentration lower than 115 mEq/L (115 mmol/L) is associated with 1- anorexia. 2- seizure. 3- weight gain. 4- myalgia.
2
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 client's care plan? 1- Avoiding using soap on the irradiated areas 2- Applying talcum powder to the irradiated areas daily after bathing 3- Wearing a lead apron during direct contact with the client 4- Removing thoracic skin markings after each radiation treatment
1
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? 1- Excisional biopsy 2- Incisional biopsy 3- Needle biopsy 4- Punch biopsy
1
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? 1- "Benign tumors don't usually cause death." 2- "Benign tumors grow very rapidly." 3- "Benign tumors can spread from one place to another." 4- "Benign tumors invade surrounding tissue."
1
The nurse is caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching? 1- "I hope they find a bone marrow donor who matches." 2- "The doctor will remove cells from my bone marrow before beginning chemotherapy." 3- "I will receive chemotherapy until most of the cancer is gone, and then I will get my own stem cells back." 4- "I will need to be in protective isolation for up to 3 months after treatment."
1
A patient, age 67 years, is admitted for diagnostic studies to rule out cancer. The patient is Caucasian, married, has been employed as a landscaper for 40 years, and has a 36-year history of smoking a pack of cigarettes daily. What significant risk factors does the nurse recognize this patient has? (Select all that apply.) 1- Age 2- Cigarette smoking 3- Occupation 4- Race 5- Marital status
1,2,3
The root cause of cancer is damage to cellular deoxyribonucleic acid (DNA) which can be caused by many factors, or carcinogens. What factors can be carcinogenic? Select all that apply. 1- dietary substances 2- environmental factors 3- viruses 4- gender 5- age
1,2,3
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 stem cell transplant? 1- Monitor the client's toilet patterns. 2- Monitor the client closely to prevent infection. 3- Monitor the client's physical condition. 4- Monitor the client's heart rate.
2
The client has finished the first round of chemotherapy. Which statement made by the client indicates a need for further teaching by the nurse? 1- "I will eat clear liquids for the next 24 hours." 2- "Hair loss may not occur until after the second round of therapy." 3- "I will use birth control measures until after all treatment is completed." 4- "I can continue taking my vitamins and herbs because they make me feel better."
4
The nurse provides care on an oncology unit, where many patients undergo surgery during cancer treatment and face a particularly high risk of deep vein thrombosis (DVT) because of an increase in circulating procoagulants. The nurse should prioritize which type of assessments? 1- Active and passive range of motion 2- Petechiae and hematomas on the lower extremities 3- Nausea that fails to respond to antiemetics 4- Limb symmetry and calf pain
4
The nurse provides care on an oncology unit, where many patients undergo surgery during cancer treatment and face a particularly high risk of deep vein thrombosis (DVT) because of an increase in circulating procoagulants. The nurse should prioritize which type of assessments? Active and passive range of motion Petechiae and hematomas on the lower extremities Nausea that fails to respond to antiemetics Limb symmetry and calf pain
4
What does the nurse understand is the rationale for administering allopurinol for a patient receiving chemotherapy? 1- It stimulates the immune system against the tumor cells. 2- It treats drug-related anemia. 3- It prevents alopecia. 4- It lowers serum and uric acid levels.
4
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? 1- Time, distance, and shielding 2- The use of disposable utensils and wash cloths 3- Avoid showering or washing over skin markings. 4- Inspect the skin frequently.
4
Which statement by a client undergoing external radiation therapy indicates the need for further teaching? 1- "I'll wash my skin with mild soap and water only." 2- "I'll not use my heating pad during my treatment." 3- "I'll wear protective clothing when outside." 4- "I'm worried I'll expose my family members to radiation."
4
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 WBCs 2000/mm³, RBCs 3.2 x 10¹²/L, and platelets 85,000/mm³. The nurse notes that the client is anxious. Which of the following is the priority nursing diagnosis? 1- Risk for infection related to inadequate defenses 2- Fatigue related to deficient blood cells 3- Activity intolerance related to side effects of chemotherapy 4- Anxiety related to change in role function
1
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? 1- Excisional biopsy 2- Incisional biopsy 3- Needle biopsy 4- Punch biopsy
1
What should the nurse tell a client who is about to begin chemotherapy and is anxious about hair loss? 1- The client should consider getting a wig or cap prior to beginning treatment. 2- Alopecia related to chemotherapy is relatively uncommon. 3- The hair will grow back within 2 months post therapy. 4- The hair will grow back the same as it was before treatment.
1
The root cause of cancer is damage to cellular deoxyribonucleic acid (DNA) which can be caused by many factors, or carcinogens. What factors can be carcinogenic? Select all that apply. 1- dietary substances 2- environmental factors 3- viruses 4- gender 5- age
1,2,3
Chemotherapeutic agents have which effect associated with the renal system? 1- Hypokalemia 2- Increased uric acid excretion 3- Hypophosphatemia 4- Hypercalcemia
2
A patient with a diagnosis of prostate cancer is receiving radiation therapy, a treatment that has resulted in stomatitis. To best manage this patient's stomatitis, the nurse should: 1- Encourage the patient's family to bring in mouthwash for the patient. 2- Arrange for a low-residue diet for the patient and provide small, frequent meals. 3- Provide a hypertonic solution for the patient to gargle. 4- Encourage the patient to use an oral swab rather than a regular toothbrush.
4
The client has finished the first round of chemotherapy. Which statement made by the client indicates a need for further teaching by the nurse? 1- "I will eat clear liquids for the next 24 hours." 2- "Hair loss may not occur until after the second round of therapy." 3- "I will use birth control measures until after all treatment is completed." 4- "I can continue taking my vitamins and herbs because they make me feel better."
4
Your client is receiving radiation therapy. The client asks you about oral hygiene. What advice regarding oral hygiene should you offer? 1- Gargle after each meal. 2- Floss before going to bed. 3- Treat cavities immediately. 4- Use a soft toothbrush and avoid an electronic toothbrush.
4
A client receiving chemotherapy has a nursing diagnosis of Deficient diversional activity related to decreased energy. Which client statement indicates an accurate understanding of appropriate ways to deal with this deficit? 1- "I'll play card games with my friends." 2- "I'll take a long trip to visit my aunt." 3- "I'll bowl with my team after discharge." 4- "I'll eat lunch in a restaurant every day."
1
A patient is admitted for an excisional biopsy of a breast lesion. What intervention should the nurse provide for the care of this patient? 1- Clarify information provided by the physician. 2- Provide aseptic care to the incision postoperatively. 3- Provide time for the patient to discuss her concerns. 4- Counsel the patient about the possibility of losing her breast.
1
A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a chemotherapy-induced complication? 1- Urine output of 400 ml in 8 hours 2- Serum potassium level of 2.6 mEq/L 3- Blood pressure of 120/64 to 130/72 mm Hg 4- Sodium level of 142 mEq/L
2
A patient with a diagnosis of renal cell carcinoma is being treated with chemotherapy. During a previous round of chemotherapy, the patient's tumor responded well to treatment but the chemotherapy caused intense nausea and vomiting. How should the patient's potential nausea and vomiting be addressed during this current round of treatment? 1- Prioritize nonpharmacological treatments over medications. 2- Administer antiemetics in anticipation of the patient's nausea. 3- Provide the patient with antiemetics at his first complaint of nausea. 4- Administer antiemetics if the patient vomits or believes he will soon vomit.
2
A young female client has received chemotherapeutic medications and asks about any effects the treatments will have related to her sexual health. The most appropriate statement by the nurse is 1- "You will need to practice birth control measures." 2- "You will continue having your menses every month." 3- "You will experience menopause now." 4- "You will be unable to have children."
1
A client with cancer is receiving chemotherapy and reports to the nurse that his or her mouth is painful and has difficulty ingesting food. What actions should the nurse take? Select all that apply. 1- Asks the client to open his or her mouth to 2- facilitate inspection of the oral mucosa 3- Rinses the client's mouth with alcohol-based mouthwash every 2 hours 4- Instructs the client to brush the teeth with a soft toothbrush 5- Consults with the healthcare provider about use of nystatin 6- Teaches the client to floss the teeth once every 24 hours
1,2,4
The nurse is caring for a client newly diagnosed with cancer. Which of the following therapies is used to treat something other than cancer? 1- Surgery 2- Radiation therapy 3- Electroconvulsive therapy 4- Chemotherapy
3
The nurse performs 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? 1- Normal finding 2- Benign fibrocystic disease 3- Malignant tumor 4- Malignant tumor with metastasis to surrounding tissue
3
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? 1- A psychiatric diagnosis everyone has at one time or another. 2- A side effect of the neoplastic drugs. 3- A normal reaction to the diagnosis of cancer. 4- An aberrant psychologic reaction to the chemotherapy.
3
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? 1- Onset of cancer after age 50 in family member 2- A first cousin diagnosed with cancer 3- A second cousin diagnosed with cancer 4- An aunt and uncle diagnosed with cancer
4
What are considered carcinogens? 1- Parasites 2- Medical procedures 3- Dietary substances 4- Defective genes
3
A decrease in circulating white blood cells is 1- granulocytopenia. 2- thrombocytopenia. 3- leukopenia. 4- neutropenia.
3
A 16-year-old female patient experiences alopecia resulting from chemotherapy, prompting the nursing diagnoses of disturbed body image and situational low self-esteem. What action by the patient would best indicate that she is meeting the goal of improved body image and self-esteem? 1- The patient requests that her family bring her makeup and wig. 2- The patient begins to discuss the future with her family. 3- The patient reports less disruption from pain and discomfort. 4- The patient cries openly when discussing her disease.
1
A client with cancer is being evaluated for possible metastasis. What is one of the most common metastasis sites for cancer cells? 1- Liver 2- Colon 3- Reproductive tract 4- White blood cells (WBCs)
1
A client with cancer is being evaluated for possible metastasis. What is one of the most common metastasis sites for cancer cells? Liver Colon Reproductive tract White blood cells (WBCs)
1
Which should a nurse thoroughly evaluate before a bone marrow transplant (BMT) procedure? 1- Family history 2- Drug history 3- Blood studies 4- Allergy history
3
A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis is appropriate for this client? 1- Anticipatory grieving 2- Impaired swallowing 3- Disturbed body image 4- Chronic low self-esteem
1
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? 1- "I guess the doctor could not remove the entire tumor." 2- "I am so glad the doctor was able to remove the entire tumor." 3- "I will be glad to finally be done with treatments for this thing." 4- "Thank goodness the tumor is contained and curable."
1
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? 1- "I guess the doctor could not remove the entire tumor." 2- "I am so glad the doctor was able to remove the entire tumor." 3- "I will be glad to finally be done with treatments for this thing." 4- "Thank goodness the tumor is contained and curable."
1
After cancer chemotherapy, a client experiences nausea and vomiting. The nurse should assign highest priority to which intervention? 1- Serving small portions of bland food 2- Encouraging rhythmic breathing exercises 3- Administering metoclopramide and dexamethasone as ordered 4- Withholding fluids for the first 4 to 6 hours after chemotherapy administration
3
A computed 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's explanation left her somewhat confused. How could you best respond to this patient's question? 1- "Staging allows the care team to determine how large and extensive your tumor is." 2- "The purpose of staging is to determine the site where your cancer most likely originated." 3- "Staging is the process that helps your care team determine your prognosis for recovery." 4- "Staging is the process of classifying a tumor according to the type of tissue it's made of."
1
An oncology nurse is caring for a client who relates that certain tastes have changed. The client states that "meat tastes bad." What nursing intervention can be used to increase protein intake for a client with taste changes? 1- Stay away from protein beverages. 2- Encourage maximum fluid intake. 3- Encourage eating cheese, eggs, and legumes 4- Suck on hard candy during treatment.
3
A patient will be receiving radiation for 6 weeks for the treatment of breast cancer and asks the nurse why it takes so long. What is the best response by the nurse? 1- "It allows time for you to cope with the treatment." 2- "It will allow time for the repair of healthy tissue." 3- "It will decrease the incidence of leukopenia and thrombocytopenia." 4- "It is not really understood why you have to go for 6 weeks of treatment."
2
A patient will be receiving radiation for 6 weeks for the treatment of breast cancer and asks the nurse why it takes so long. What is the best response by the nurse? "It allows time for you to cope with the treatment." "It will allow time for the repair of healthy tissue." "It will decrease the incidence of leukopenia and thrombocytopenia." "It is not really understood why you have to go for 6 weeks of treatment."
2
An important nursing function is monitoring factors that may indicate that bleeding is occurring. One serum indicator is a (an): 1- Lymphocyte count of 30%. 2- Platelet count of 60,000/mm3. 3- Neutrophil count of 60%. 4- Reticulocyte count of 1%.
2
Following surgery for adenocarcinoma, the client learns the tumor stage is T3,N1,M0. What treatment mode will the nurse anticipate? 1- No further treatment is indicated. 2- Adjuvant therapy is likely. 3- Palliative care is likely. 4- Repeat biopsy is needed before treatment begins.
2
For a client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the care plan? 1- Administering aspirin if the temperature exceeds 102° F (38.8° C) 2- Inspecting the skin for petechiae once every shift 3- Providing for frequent rest periods 4- Placing the client in strict isolation
2
Mrs. Unger is a 53-year-old woman who was diagnosed with breast cancer following a process that began with abnormal screen mammography results. Mrs. Unger, her oncologist, and surgeon have agreed on a mastectomy as treatment and have discussed the importance of rigorously assessing whether her cancer has metastasized. What action will best detect possible metastasis of Mrs. Unger's breast cancer? 1- Serial bone marrow biopsies 2- Biopsy of the axillary lymph nodes 3- Careful grading of the tumor cells 4- Gauging her response to radiation therapy
2
As a nurse who provides care for many patients with cancer, you are aware that cancer makes patients susceptible to many other health problems. Which of the following assessments addresses the leading cause of death among patients who have cancer? 1- Assessing patients' lower legs for redness, swelling, or pain on dorsiflexion 2- Arranging for serial electrocardiograms (ECGs) or cardiac telemetry whenever possible 3- Monitoring white blood cell (WBC) counts and assessing patients' integumentary systems 4- Auscultating patients' lungs thoroughly and monitoring oxygen saturation levels
3
A 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 his overwhelming fatigue. How should the nurse respond to this patient's statement? 1- "Your fatigue is actually a sign that your body is redirecting its energies toward healing and away from more common functions like mobility." 2- "I'm sure you'll agree that fatigue, even when it's severe, is much preferable to pain. It's fortunate that your pain is now well-controlled." 3- "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?" 4- "That's entirely normal, given what your body is going through and how much treatment you're currently getting."
3
A 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 his overwhelming fatigue. How should the nurse respond to this patient's statement? 1- "Your fatigue is actually a sign that your body is redirecting its energies toward healing and away from more common functions like mobility." 2- "I'm sure you'll agree that fatigue, even when it's severe, is much preferable to pain. It's fortunate that your pain is now well-controlled." 3- "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?" 4- "That's entirely normal, given what your body is going through and how much treatment you're currently getting."
3
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? 1- Nausea and vomiting are only a factor for the first 24 hours after treatment. 2- Most clients believe the discomfort is well worth the cure for cancer. 3- Chemotherapy treatment can be adjusted to optimize effects while limiting adverse effects. 4- Clinical trials are opening up new cancer treatments all the time.
3
A nurse is administering daunorubicin through a peripheral I.V. line when the client complains of burning at the insertion site. The nurse notes no blood return from the catheter and redness at the I.V. site. The client is most likely experiencing which complication? 1- Erythema 2- Flare 3- Extravasation 4- Thrombosis
3
A nurse is developing a care plan for bone marrow suppression, the major dose-limiting adverse reaction to floxuridine (FUDR). How long after drug administration does bone marrow suppression become noticeable? 1- 24 hours 2- 2 to 4 days 3- 7 to 14 days 4- 21 to 28 days
3
A patient is admitted for an excisional biopsy of a breast lesion. What intervention should the nurse provide for the care of this patient? 1- Clarify information provided by the physician. 2- Provide aseptic care to the incision postoperatively. 3- Provide time for the patient to discuss her concerns. 4- Counsel the patient about the possibility of losing her breast.
3
While doing a health history, a client tells you that her mother, her grandmother, and her sister died of breast cancer. The client wants to know what she can do to keep from getting cancer. What would be your best response? 1- "You can't prevent cancer, but you can have your blood analyzed for tumor markers to see what your risk level is." 2- "If you eat right, exercise, and get enough rest, you can always prevent breast cancer." 3- "With your family history, there is nothing you can do to prevent getting cancer." 4- "Cancer often skips a generation, so don't worry about it."
1
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? 1- Diagnostic 2- Palliative 3- Prophylactic 4- Reconstructive
3
The nurse is caring for a client undergoing an incisional biopsy. Which statement does the nurse understand to be true about an incisional biopsy? 1- It is used to remove cancerous cells using a needle. 2- It removes an entire lesion and the surrounding tissue. 3- It removes a wedge of tissue for diagnosis. 4- It treats cancer with lymph node involvement.
3
A 36-year-old man is receiving three different chemotherapeutic agents for Hodgkin's disease. The nurse explains to the client that the three drugs are given over an extended period because: 1- The three drugs can be given at lower doses. 2- The second and third drugs increase the effectiveness of the first drug. 3- The first two drugs are toxic to cancer cells, and the third drug promotes cell growth. 4- The three drugs have a synergistic effect and act on the cancer cells with different mechanisms.
4