MIX REVIEW TEST BANK V1
46) A nurse provides care on a bone marrow transplant unit and is preparing a client for a hematopoietic stem cell transplantation (HSCT) the following day. Which information should the nurse emphasis to the client's family and friends?
"Do not visit if you've had a recent infection."
15) The nurse provides discharge instructions to a patient who is neutropenic. Which patient statements indicate the need of additional teaching? SATA
"I will use a humidifier to moisten the air at night.", "My prescribed antibiotic can be stopped once I feel better."
28) A client has been hospitalized for a wedge resection of the left lower lung lobe after a routine chest x-ray showed carcinoma. The client reports feeling anxious and asks to smoke. Which statement by the nurse would be most therapeutic?
"You are anxious about the surgery. Do you see smoking as helping?"
42) A man tells the nurse that their father died of prostate cancer and the client is concerned about their own risk of developing the disease, having heard that prostate cancer has a genetic link. What aspect of the pathophysiology of prostate cancer would underline the nurse's response?
A number of studies have identified an association of BRCA-2 mutation with an increased risk of prostate cancer.
30) A 35-year-old client is admitted to the hospital reporting severe headaches, vomiting, and testicular pain. The client's blood work shows reduced number of platelets, leukocytes, and erythrocytes, with a high proportion of immature cells. The nurse caring for this client suspect which diagnosis?
Acute lymphocytic leukemia (ALL)
10) An adult client with leukemia will soon begin chemotherapy. What would the nurse do to combat the most common adverse effects of chemotherapy?
Administer an antiemetic.
18) Diagnostic testing has resulted in a diagnosis of acute myeloid leukemia (AML) in an adult client who is otherwise healthy. The client and care team have collaborated and the client will soon begin induction therapy. The nurse should prepare the client for:
An aggressive course of chemotherapy
3) The nurse recognizes that one primary difference between normal and cancer cells is related to regulated cell death that normal cells undergo as part of the regular cell cycle. What is the term for this change in cellular function?
Apoptosis
47) The nurse is conducting a health education about cancer prevention to a group of adults. What menu best demonstrates dietary choices for potentially reducing the risks of cancer?
Baked apricot chicken and steamed broccoli
13) The nurse is performing an initial assessment of a 75-year-old client who has just relocated to the long-term care facility. During the nurse's interview with the client, the client admits drinking around 600 mL (20 oz) of vodka every evening. What types of cancer does this put the client at risk for? SATA
Breast Cancer, Esophageal Cancer, Liver Cancer
39) A nurse is caring for a client who has been diagnosed with leukemia. The nurse's most recent assessment reveals the presence of ecchymoses on the client's sacral area and petechiae on the forearms. In addition to informing the client's primary care provider, the nurse should perform what action?
Check the client's most recent platelet level.
40) When discussing with a client factor that distinguish malignant cells from benign cells of the same tissue type, which characteristic should the nurse mention?
Different proteins in the cell membrane
29) A client with terminal small-cell lung cancer has been given a six-month prognosis and wants to die at home. The health care team believes the condition warrants inpatient care. The nurse might suggest which compromise?
Discuss a referral for hospice care.
14) The nurse manager is orienting a new nurse to the oncology unit. When reviewing the safe admin-situation of antineoplastic agents, which action should the nurse manager emphasize?
Dispose of the antineoplastic wastes in the hazardous waste receptacle.
23) A nurse is providing care to a client with multiple myeloma with reports of nausea, diarrhea, alopecia, and red urine. The client's recent interventions include electrocardiogram (ECG), mitigated acquisition scan (MUGA), and a central line venous access placed on the right chest wall. Which medication is the client most likely receiving?
Doxorubicin
48) A client on the oncology unit is receiving carmustine, a chemotherapy agent, and the nurse is aware that a significant side effect of this medication is thrombocytopenia. Which symptom should the nurse assess for in clients at risk for thrombocytopenia?
Epistaxis
43) The nurse is caring for a client who is to begin receiving external radiation for a malignant tumor of the neck. While providing client education, what potential adverse effects should the nurse discuss with the client?
Impaired nutritional status
32) The nurse is admitting an oncology client to the unit prior to surgery. The nurse reads in the electronic health record that the client has just finished radiation therapy. With knowledge of the con-sequent health risks, the nurse should prioritize assessments related to what health problem?
Impaired wound healing
7) A client is hospitalized because a large abdominal tumor was seen on the computed tomography scan. A biopsy is ordered, and the client wants to know if "this will cause a big scar." Which type of biopsy will this client likely experience?
Incisional
25) A nurse practitioner is assessing a client who has a fever, malaise, and a white blood cell count that is elevated. What principle should guide the nurse's management of the client's care?
Infection is the most likely cause of the client's change in health status.
21) A patient diagnosed with polycythemia is prescribed radiation, and asks the rational for this treatment. Which response by the nurse is accurate?
It suppresses the bone marrow
33) The nurse is assessing a client who has a35 pack-year history of cigarette smoking. In light of this known risk factor for lung cancer, which statement by the client should prompt the nurse to refer the client for further assessment?
Lately, I have this cough that just never seems to go away."
19) A client with a diagnosis of prostate cancer is scheduled to have an interstitial implant for high-dose radiation (HDR). What safety measure should the nurse include in this client's plan of care?
Limit the time that visitors spend at the client's bedside.
12) 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?
Liver function tests (LFTs)
49) During a routine mammogram, a client asks the nurse whether breast cancer causes the most deaths. Which type of cancer is the leading cause of death in the United States?
Lung
2) A client's most recent diagnostic imaging has revealed that lung cancer has metastasized to the bones and liver. What is the most likely mechanism by which the client's cancer cells spread?
Lymphatic circulation
20) An oncology nurse educator is providing health education to a client who has been diagnosed with skin cancer. The client's wife has asked about the differences between normal cells and cancer cells. What characteristic of a cancer cell should the educator cite?
Malignant cells contain proteins called tumor-associated antigens.
37) The nurse is caring for a client who has just been told that the client's stage IV colon cancer has recurred and metastasized to the liver. The oncologist offers the client the option of surgery to treat the progression of this disease. What type of surgery does the oncologist offer?
Palliative
6) A 20-year-old client with no medical history arrives at a walk-in/urgent care clinic reporting swelling on the left side of the neck. On palpation, the lymph nodes on the neck are painless, firm but not hard. What is the next appropriate intervention for this client?
Perform diagnostic studies to rule out any infectious origin at a hospital.
27) Which nursing cation best demonstrates primary cancer prevention?
Promoting and providing vaccines
5) A woman with a family history of breast cancer received a positive result on a breast tumor marking test and is requesting a bilateral mastectomy. This surgery is an example of which type of oncologic surgery?
Prophylactic surgery
31) A client with a diagnosis of acute myeloid leukemia (AML) is being treated with induction therapy on the oncology unit. What nursing action should be prioritized in the client's care plan?
Protective isolation and vigilant use of standard precautions
44) A client with a diagnosis of acute myeloid leukemia (AML) is being treated with induction therapy on the oncology unit. What nursing action should be prioritized in the client's care plan?
Protective isolation and vigilant use of standard precautions
1) A 22-year-old male client is being discharged home after surgery for testicular cancer. The client is scheduled to begin chemotherapy in 2 weeks. The client tells the nurse that they do not think he can take weeks or months of chemotherapy, stating that they have researched the adverse effects online. What is the most appropriate nursing action for this client at this time?
Provide empathy and encouragement in an effort to foster a positive outlook.
50) 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? SATA
Rate of growth, Ability to cause death, Ability to spread
26) A client was diagnosed with cancer several weeks ago and family members describe the client as "utterly distraught." The client has fully withdrawn from social and family contact. What is the nurse's best action?
Refer the client to the appropriate mental health provider.
35) A 16-year-old female client has post-chemotherapy alopecia. This prompts the nursing diagnoses of Disturbed Body Image and Situational Low Self-Esteem. Which response by the client would best indicate improved coping related to these diagnoses?
Requests that her family bring her makeup and a wig
36) A nurse is caring for a client with acute myeloid leukemia who is preparing to undergo induction therapy. In preparing a plan of care for this client, the nurse should assign the highest priority to which nursing diagnosis?
Risk for infection
8) The nurse on a bone marrow transplant unit is caring for a client with cancer who has just begun hematopoietic stem cell transplantation (HSCT). What is the priority nursing diagnosis for this client?
Risk for infection related to altered immunologic response
4) A public health nurse has formed an interdisciplinary team that is developing an educational pro-gram entitled Cancer: The Risks and What You Can Do About Them. Participants will receive information, but the major focus will be screening for relevant cancers. This program is an example of what type of health promotion activity?
Secondary prevention
24) A 62-year-old woman diagnosed with breast cancer is scheduled for a partial mastectomy. The on-colony nurse explained that the surgeon will want to take tissue samples to ensure the disease has not spread to adjacent axillary lymph nodes. The client has asked if they will have her lymph nodes dissected, like her mother did several years ago. What alternative to lymph node dissection will this client most likely undergo?
Sentinel node biopsy
16) A client has just been diagnosed with small cell lung cancer. The clients ask the nurse why the doctor is not offering surgery as a treatment for the cancer. Which fact about lung cancer treatment should inform the nurse's response?
Small cell cancer of the lung grows rapidly and metastasizes early and extensively.
45) 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 Ameri-ca?
Smoking cessation
41) While a client is receiving intravenous (IV) doxorubicin hydrochloride for the treatment of cancer, the nurse observes swelling and pain at the IV site. The nurse should prioritize which action?
Stopping the administration of the drug immediately
38) The nurse is caring for a client for a client with an advanced stage of breast cancer and the client has recently learned that the cancer has metastasized. The nurse enters the room and finds the client struggling to breathe, and the nurse's rapid assessment reveals that the client's jugular veins are distended. The nurse should suspect the development of what oncologic emergency?
Superior vena cava syndrome (SVCS)
9) The nurse is caring for an adult client recently diagnosed with the early stages of lung cancer. The nurse is aware that the preferred method of treating clients with non-small cell tumors is what method?
Surgical resection
34) A client has just been diagnosed with prostate cancer and is scheduled for brachytherapy the following week. The client and spouse are unsure of having the procedure because their child is 3 months pregnant. What is the most appropriate teaching the nurse should provide to this family?
The client should avoid close contact with the child for 2 months.
22) The clinic nurse is caring for an adult oncology client who reports extreme fatigue and weakness after the first week of radiation therapy. Which response by the nurse would best reassure this client?
These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory studies and test results."
17) The home health nurse is performing a home visit for an oncology client discharged three days ago after completing chemotherapy treatment for non-Hodgkin lymphoma. The nurse's priority as-assessment should include examination for the signs and symptoms of which complication?
Tumor lysis syndrome (TLS)
11) The nurse monitors for which clinical manifestations in the patient diagnosed with malignant lymphoma? SATA
Weight loss, Night sweats, Swollen lymph nodes
