COTAC II EXAM 2 QUIZZES, ONCOLOGY/REPRODUCTIVE

The nurse is caring for a client who is 67 years old and complains of hot flashes and periods of irritability. The client asks how she can prevent early breakdown of bone tissue during menopause without using hormone replacement therapy. The nurse would offer which of the following advise? (Select all that apply) A) "You can add products high in calcium to your diet" B) "You should avoid milk products as they inhibit calcium absorption" C) "You can spend a few minutes in the sun each day to promote vitamin D production" D) "You should include weight bearing exercise to your activities" E) "You can add supplemental vitamin D to your diet"

A) "You can add products high in calcium to your diet" C) "You can spend a few minutes in the sun each day to promote vitamin D production" D) "You should include weight bearing exercise to your activities" E) "You can add supplemental vitamin D to your diet"

The nurse is working with a couple who have been unable to conceive despite more than 2 years of trying to get pregnant. The couple has just learned that in vitro fertilization (IVF) was unsuccessful and they are both tearful. What nursing diagnosis is most likely to apply to this couple? A) Hopelessness related to failed IVF B) Acute confusion related to reasons for failed IVF C) Compromised family coping related to unsuccessful IVF D) Moral distress related to unsuccessful IVF

A) Hopelessness related to failed IVF

A nurse who works in an oncology clinic is assessing a client who has arrived for a 2-month follow-up appointment following chemotherapy. The nurse notes that the client's skin appears yellow. Which blood tests should be done to further explore this clinical sign? A) Liver function tests (LFTs) B) Complete blood count (CBC) C) Platelet count D) Blood urea nitrogen and creatinine

A) Liver function tests (LFTs)

While a client is receiving IV doxorubicin hydrochloride for the treatment of cancer, the nurse observes swelling and pain at the IV site. The nurse should prioritize what action? A) Stopping the administration of the drug immediately B) Notifying the client's physician C) Continuing the infusion but decreasing the rate D) Applying a warm compress to the infusion site

A) Stopping the administration of the drug immediately

A nurse is caring for a newly admitted client who is being admitted for testing for infertility. The client explains she has polycystic ovary syndrome. What assessment factors noted by the nurse might have an impact on fertility? A) The client is noted to have acne B) Client is 5 feet 6 inches, and weighs 112 kg. (246 lbs) C) The client denies any moodiness or irritability D) The client has a finger stick blood glucose of 198 E) Client states her periods are regular

A) The client is noted to have acne B) Client is 5 feet 6 inches, and weighs 112 kg. (246 lbs) D) The client has a finger stick blood glucose of 198

The home health nurse is performing a home visit for an oncology client discharged 3 days ago after completing treatment for non-Hodgkin lymphoma. The nurse's assessment should include examination for the signs and symptoms of what complication? A) Tumor lysis syndrome (TLS) B) Syndrome of inappropriate antidiuretic hormone (SIADH) C) Disseminated intravascular coagulation (DIC) D) Hypercalcemia

A) Tumor lysis syndrome (TLS)

The nurse is assessing a 53-year-old woman who has been experiencing dysmenorrhea. What questions should the nurse include in an assessment of the client's menstrual history? Select all that apply. A) "Do you ever experience bleeding after intercourse?" B) "How long is your typical cycle?" C) "Did you have any sexually transmitted infections in early adulthood?" D) "When did your mother and sisters get their first periods?" E) "Do you experience cramps or pain during your cycle?"

A, B, E

A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? (select all that apply) A) Bloating B) Nagging cough C) Change in moles D) Change in bowel patterns E) Weight gain F) A non-healing sore

B) Nagging cough C) Change in moles D) Change in bowel patterns F) A non-healing sore

A client newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe? A) Pruritus (itching) B) Nausea and vomiting C) Altered glucose metabolism D) Confusion

B) Nausea and vomiting

A public health nurse has formed an interdisciplinary team that is developing an educational program entitled Cancer: The Risks and What You Can Do About Them. Participants will receive information regarding many different types of cancers. This program is an example of what type of health promotion activity? A) Disease prophylaxis B) Primary prevention C) Secondary prevention D) Tertiary prevention

B) Primary prevention

The public health nurse is presenting a health-promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America? A) Monthly self breast exams B) Smoking cessation C) Annual colonoscopies D) Monthly testicular exams

B) Smoking cessation

A nurse is teaching a class about HPV to teens at a youth center Risk factors that would be included in this education would include which of the following? A) being older B) using alcohol or illicit drugs C) being young D) having multiple sex partners E) being sexually active F) having sex with a partner who has or has had multiple sex partners

B) using alcohol or illicit drugs C) being young D) having multiple sex partners E) being sexually active F) having sex with a partner who has or has had multiple sex partners

The nurse is describing some of the major characteristics of cancer to a client who has recently received a diagnosis of malignant melanoma. When differentiating between benign and malignant cancer cells, the nurse should explain differences in which of the following aspects? Select all that apply. A) Size of cells B) Ability to cause death C) Cell contents D) Rate of growth E) Ability to spread

B, D, E

A nurse is teaching a newly licensed nurse about the purpose of a CA 125 test. Which of the following statements should the nurse include in the teaching? A) "A CA 125 test is used to measure testosterone level." B) "A CA 125 test is used to identify a Bartholin cyst." C) "A CA 125 test is used to monitor a client's progress during treatment of ovarian cancer." D) "A CA 125 test is used to confirm a diagnosis of ovarian cancer."

C) "A CA 125 test is used to monitor a client's progress during treatment of ovarian cancer."

A client has been hospitalized for a wedge resection of the left lower lung lobe after a routine chest x-ray shows carcinoma. The client states that he is anxious and asks if he can smoke. Which statement by the nurse would be most therapeutic? A) "Smoking is the reason you are here." B) "The doctor left orders for you not to smoke." C) "You are anxious about the surgery. Do you see smoking as helping?" D) "Smoking is OK right now, but after your surgery it is contraindicated."

C) "You are anxious about the surgery. Do you see smoking as helping?"

The nurse is utilizing the PLISSIT model of sexual health assessment during an interaction with a new client. According to this model, the nurse should begin with what action? A) Conducting a preliminary assessment B) Addressing the client's psychosocial status C) Asking the client's permission to discuss sexuality D) Assessing for physiologic problems

C) Asking the client's permission to discuss sexuality

While taking a health history on a 20-year-old female client, the nurse learns that the client is taking miconazole. The nurse is justified in presuming that this client has what medical condition? A) Bacterial vaginosis B) Human papillomavirus (HPV) C) Candidiasis D) Toxic shock syndrome (TSS)

C) Candidiasis

What nursing action best demonstrates primary cancer prevention? A) Encouraging yearly Pap tests B) Teaching testicular self-examination C) Teaching clients to wear sunscreen D) Facilitating screening mammograms

C) Teaching clients to wear sunscreen

The school nurse is presenting a class on female reproductive health. The nurse should describe what aspect of Pap smears? A) The test may be performed at any time during the client's menstrual cycle. B) The smear should be done every 2 years. C) The test can detect early evidence of cervical cancer. D) False-positive Pap smear results often occur from not douching before the examination.

C) The test can detect early evidence of cervical cancer.

A with tumor lysis syndrome (TLS) is taking allopurinol (Zyloprim). Which laboratory value should the nurse monitor to determine the effectiveness of the medication? A) Serum phosphate B) Blood urea nitrogen (BUN) C) Uric acid level D) Serum potassium

C) Uric acid level

A 48-year-old woman presenting for care is seeking information about hormone therapy (HT) for the treatment of her perimenopausal symptoms. The client's need for relief from hot flashes and other symptoms will be weighed carefully against the increased risks of what complications of HT? Select all that apply. A) Anaphylaxis B) Osteoporosis C) Breast cancer D) Cardiovascular disease E) Venous thromboembolism

C, D, E

The nurse is teaching a client preventative measures regarding vaginal infections. The nurse should include which of the following as an important risk factor? A) High estrogen levels B) Late menarche C) Caucasian ethnicity D) Frequent douching

D) Frequent douching

A client states that PMS is significantly disrupting her quality of life and that conservative management has failed to produce relief. What pharmacologic treatment may benefit this client? A) An opioid analgesic B) A calcium channel blocker C) A monoamine oxidase inhibitor (MAOI) D) A selective serotonin reuptake inhibitor (SSRI)

D) A selective serotonin reuptake inhibitor (SSRI)

An oncology nurse is caring for a client who has developed erythema following radiation therapy. What should the nurse instruct the client to do? A) Periodically apply ice to the area. B) Keep the area cleanly shaven. C) Apply petroleum jelly to the affected area. D) Avoid using soap on the treatment area.

D) Avoid using soap on the treatment area.

A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was which of the following symptoms? A) Weight loss B) Dysphagia C) Dyspnea D) Hoarseness

D) Hoarseness

Mr. Miller has been diagnosed wiht bone cancer. What type of cancer does Mr. Miller have? A) Lymphoma B) Melanoma C) Carcinoma D) Sarcoma

D) Sarcoma

The nurse is providing preoperative education for a client diagnosed with endometriosis. A hysterectomy has been scheduled. What education topic should the nurse be sure to include for this client? A) Menstrual periods will continue to occur for several months, some of them heavy. B) Normal activity will be permitted within 48 hours following surgery. C) After a hysterectomy, hormone levels remain largely unaffected. D) The bladder must be emptied prior to surgery and a catheter may be placed during surgery.

D) The bladder must be emptied prior to surgery and a catheter may be placed during surgery.

A 51-year-old woman has come to the OB/GYN clinic for her annual physical. She tells the nurse that she has been experiencing severe hot flashes, but that she is reluctant to begin hormone therapy (HT). What potential solution should the nurse discuss with the client? A) Sodium restriction B) Adopting a vegan diet C) Massage therapy D) Vitamin supplements

D) Vitamin supplements

The nurse caring for a client who was diagnosed with Pelvic Inflammatory Disease (PID). What test would the nurse anticipate the provider ordering for this client to identify source of the condition? A) CBC with differential B) MRI of the abdomen C) Xray of the pelvis D) vaginal smear for syphillis, gonorhrea, or clamydia.

D) vaginal smear for syphillis, gonorhrea, or clamydia.

_______________ is an essential part of nursing care of a patient with a genital herpes infection.

Patient education

In Vitro Fertilization (IVF) Gamete intrafallopian transfer (GIFT) Artificial Insemination (AI) Intracytoplasmic sperm injection (ISJ) Serum Progesterone Seminal analysis

Retrieval of eggs, fertilization outside the body, then reimplanted. A variation of IVF, treatment of choice for patients with ovarian failure. The deposit of semen into the female genital tract by artificial means. The treatment of choice in severe male factor infertility. A diagnostic test to assess the ability of the endometrium to allow implantation. Tests the number of moving forms, quantity, forward progression, and morphology of sperm.

radiation therapy stomatitis MRI hysterectomy bowel prep diarrhea r/t chemotherapy

limit to 30 min visit, respect distance limits, wear shielding when required. Advise the client to use a soft toothbrush or sponge and to floss gently to prevent bleeding of the gums, administer pain meds & oral antibiotics. assess allergies, educate of contrast symptoms, remove med patches. assess for fever, wound dehiscence , number of peri-pads to assess for hemorrhage. use a straw for contrast, follow contrast with lemonade or Gatorade, hard candy, stay close to restroom. frequent small meals, crackers, hard candy, avoid strong smells & flavors