Medical-Surgical: Oncology
A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care?
Change the collection pouch in the early morning.
A nurse in an oncology clinic is assessing a client who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse expect?
Enlarged lymph nodes
A nurse is providing preoperative teaching for a client who has colorectal cancer and is to undergo placement of a colostomy with a perianal wound. Which of the following statements by the client indicates and understanding of the teaching?
"I can have only liquids for 2 days before the surgery."
A nurse is providing teaching to a client who has cancer and is receiving external radiation therapy. Which of the following statements by the client indicates an understanding of the teaching?
"I need to protect the area from sunlight."
A nurse is providing discharge teaching to a client following open radical prostatectomy. The client is going home with an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?
"I will change the catheter drainage bag once a week."
A hospice nurse is providing education about palliative care to the partner of a client who has end-stage liver cancer. Which of the following statements by the partner indicates an understanding of teaching?
"I will continue to talk to him even when he's sleeping."
A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy medications. The client expresses confusion about the therapy. Which of the following explanations should the nurse provide?
"The chemotherapy medications act at different stages of cell division so more tumor cells are destroyed."
A nurse is providing discharge teaching to a client who is postoperative following a right mastectomy for breast cancer. The client will be discharged with two Jackson-Pratt drains. Which of the following information should the nurse include in the teaching?
"The drainage tubes often are removed at the same time as the stitches."
A nurse is providing postoperative discharge teaching to a client following a panhysterectomy for uterine cancer. Which of the following information should the nurse include in the teaching?
"You might experience manifestations of menopause."
A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm3. Which of the following foods should the nurse prohibit the family members from bringing to the client?
A fresh fruit basket
A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings indicates the client is developing superior vena cava syndrome?
Facial edema
A nurse is collecting a health history from a female client who is undergoing screening for breast cancer. Which of the following factors should the nurse identify for placing the client at the greatest risk for developing breast cancer?
Over 50 years of age
A nurse is collecting a health history from a client. Which of the following findings is the highest risk factor for the client developing skin cancer?
Overexposure to sun light
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the following adverse effects should the nurse anticipate from the chemotherapy?
Pancytopenia
A nurse is planning care for a client who has cancer and has developed thrombocytopenia following chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse effects of thrombocytopenia?
Remind the client to use an electric razor.
A nurse is monitoring a client who has cancer and is receiving chemotherapy by peripheral IV infusion. The client reports pain at the insertion site and the nurse notes fluid leaking around the catheter. Which of the following actions should the nurse take first?
Stop the infusion.
A nurse is collecting a health history from a client. Which of the following findings is the highest risk factor for the client developing bladder cancer?
The client uses tobacco.
A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of peripheral neuropathy?
Tingling of the hands and feet
A nurse is obtaining a health history from a client who has cancer of the cervix. Which of the following manifestations should the nurse expect?
Vaginal bleeding
A nurse on an oncology unit is providing discharge teaching to an adolescent female client who received a bone marrow transplant for leukemia. which of the following information should the nurse include in the teaching? (Select all that apply?)
a. "Take your temperature twice each day." b. "It is important to always wear shoes." c. "Avoid using tampons."