Nursing- Saunders- Oncology

The nurse is assisting in providing a session to community members about the risks associated with laryngeal cancer. Which statement by a client indicates an understanding of the risk factors?

"Exposure to airborne carcinogens can cause this type of cancer."

The nurse is collecting data from a client who is admitted to the hospital for diagnostic studies to rule out the presence of Hodgkin's disease. Which question should the nurse ask the client to elicit information specifically related to this disease

"Have you noticed any swollen lymph nodes?"

The nurse is reinforcing instructions to a group of adults about the seven warning signs of cancer. The nurse determines that a member of the group needs further teaching if the member states which sign/symptom is a warning sign?

Absence or decreased frequency of menses

The nurse is assisting with conducting a health-promotion program to community members regarding testicular cancer. The nurse determines the need for further teaching if a community member states that which is a sign/symptom of testicular cancer?

Alopecia

The nurse is reinforcing instructions to a client receiving external radiation therapy. The nurse determines that the client needs further teaching if the client states an intention to take which action?

Apply pressure on the radiated area to prevent bleeding.

The nurse is reinforcing instructions to the client who is about to begin external radiation therapy on how to maintain optimal skin integrity during therapy. The nurse determines that there is a need for further teaching if the client states that he will do which action?

Apply tight dressings over the area to prevent bleeding.

The nurse reviews the care plan of a client with cancer and notes that the client has a problem with adequate food intake related to side effects of therapy. In order to enhance appetite and nutrition, the nurse should offer which advice to the client?

Avoid strong-smelling foods.

The nurse is assisting in the care of a client diagnosed with multiple myeloma who has been prescribed an intravenous solution. Which finding would indicate a positive response to this treatment?

Creatinine of 1 mg/dL

The nurse is assisting in caring for a client with an inoperable lung tumor and helps develop a plan of care by addressing complications related to the disorder. The nurse includes monitoring for the early signs of vena cava syndrome in the plan. Which early sign of this oncological emergency should the nurse include monitoring for in the plan of care?

Edema of the face and eyes

A client receiving chemotherapy asks the nurse, "What will I do when my hair starts to fall out?" Which action by the nurse is appropriate?

Encourage her to select a wig.

A gastrectomy is performed on a client with gastric cancer. In the immediate postoperative period the nurse notes bloody drainage from the nasogastric (NG) tube. Which action should the nurse take?

Continue to monitor the drainage.

The nurse is reviewing the record of a client admitted to the hospital for treatment of bladder cancer. Which risk factor related to this type of cancer should the nurse likely note in the client's record?

Drinks coffee and smokes cigarettes

The nurse is assisting with developing a plan of care for the client with multiple myeloma. Which is a priority nursing intervention for this client?

Encouraging fluids

The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which finding should the nurse most likely expect to find documented in the client's record?

Enlarged lymph nodes

A client is receiving chemotherapy that carries a risk of phototoxicity as an adverse effect. Which finding indicates that the client experienced this side effect?

Erythema

The nurse determines that a client with which history is most at risk for endometrial cancer?

Estrogen replacement therapy

A client has just been told by the health care provider about her diagnosis of breast cancer. The client responds, "Oh no, does this mean I'm going to die?" The nurse interprets which response as the client's initial reaction?

Fear

A client who has been diagnosed with multiple myeloma asks the nurse about the diagnosis. The nurse bases the response on which characteristic of the disorder?

Malignant proliferation of plasma cells and tumors within the bone

The client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. Which is the immediate nursing action?

Pick up the implant with long-handled forceps and place into a lead container.

A client with lung cancer receiving chemotherapy tells the nurse that the food on the meal tray tastes "funny." Which is the appropriate nursing intervention?

Provide oral hygiene care frequently

The nurse is assisting with developing a plan of care for a client who is experiencing hematological toxicity as a result of chemotherapy. The nurse should suggest including which in the plan of care?

Restricting fresh fruits and vegetables in the diet

The nurse is preparing a client for an intravesical instillation of an alkylating chemotherapeutic agent into the bladder for the treatment of bladder cancer. The nurse provides instructions to the client regarding the procedure. Which client statement indicates an understanding of this procedure?

"After the instillation is done, I will need to change position every 15 minutes from side to side."

The nurse is assisting in preparing a teaching plan of care for a client being discharged from the hospital following surgery for testicular cancer. Which instruction should the nurse suggest to include in the plan?

"An elevation in temperature should be reported to the health care provider."

The nurse is reinforcing instructions to a group of high school males in a health class about how to perform a testicular self-examination (TSE). The nurse should make which statement?

"Do the examination after a warm bath or shower."

The nurse is obtaining data from a client admitted with a diagnosis of bladder cancer. Which question should the nurse ask the client to determine if the client experienced the common symptom associated with this type of cancer?

"Do you notice any blood in the urine?"

The nurse is collecting data from a client suspected of having ovarian cancer. Which question should the nurse ask the client to elicit information specifically related to this disorder?

"Does your abdomen feel as though it is swollen?"

The nurse when inspecting the stoma of a client following an ureterostomy 6 hours ago, notes that the stoma appears pale in color. Which interpretation does the nurse make based on this finding?

"How do you feel about your body?"

The nurse caring for a client following a radical neck dissection and creation of a tracheostomy performed for laryngeal cancer is reinforcing discharge instructions to the client. Which statement by the client indicates the need for further teaching regarding care of the stoma?

"I need to use an air conditioner to provide cool air to assist in breathing."

The nurse has reinforced discharge instructions regarding home care to a client following a prostatectomy for cancer of the prostate. Which statement by the client indicates an understanding of the instructions?

"I should not lift anything over 20 pounds."

The nurse provides skin care instructions to the client who is receiving external radiation therapy. Which statement by the client indicates the need for further teaching?

"I will limit sun exposure to 1 hour daily."

The nurse is reinforcing client education regarding symptoms of testicular cancer. The nurse encourages the client to report which symptoms as being associated with testicular cancer? Select all that apply.

A grainy mass palpated in a testicle An enlargement of one of the testes

When reviewing the health care record of a client with ovarian cancer, the nurse recognizes which sign/symptom as being a typical manifestation of the disease?

Abdominal Distention

The nurse is reinforcing discharge instructions to a client with cancer of the prostate after a prostatectomy. The nurse should reinforce which discharge instruction?

Avoid lifting objects heavier than 20 pounds for at least 6 weeks.

A client with cancer has undergone a total abdominal hysterectomy and has a Foley catheter in place. The nurse should expect to note which type of urinary drainage immediately following this surgery?

Blood tinged

The nurse is caring for a client after a mastectomy. Which finding would indicate that the client is experiencing a complication related to the surgery?

Arm edema on the operative side

The nurse working in an obstetrical-gynecological health care provider's office is instructing a small group of female clients about breast self-examination (BSE). Which instructions should the nurse reinforce?

BSE should be performed 1 week after menstruation begins.

The nurse is caring for a client dying of ovarian cancer. During care, the client states, "If I can just live long enough to attend my daughter's graduation, I'll be ready to die." Which phase of coping is this client experiencing?

Bargaining

A cervical radiation implant is placed in the client for treatment of cervical cancer. Which activity would the nurse most likely expect to note in the health care provider's prescriptions?

Bed rest

A client with liver cancer who is receiving chemotherapy tells the nurse that some foods on the meal tray taste bitter. The nurse should try to limit which food that is most likely to have this taste for the client?

Beef

A client is diagnosed as having a bowel tumor, and several diagnostic tests are prescribed. The nurse understands that which test will confirm the diagnosis of malignancy?

Biopsy of the tumor

The nurse is reviewing the health record of a client with laryngeal cancer. The nurse should expect to note which most common risk factor for this type of cancer documented in the record?

Cigarette smoking

The nurse is caring for a client with cancer receiving chemotherapy who has developed stomatitis. The nurse plans to give mouth care by using oral care agents and devices that meet which additional criterion?

Care will be based on the severity of stomatitis.

A client who has just been told by the health care provider that she has breast cancer responds by stating, "Oh, no, this has to be a big mistake." The nurse interprets the client's initial response as which type of reaction?

Denial

The nurse is developing a plan of care for a client following a radical mastectomy and includes measures that will assist in preventing lymphedema of the affected arm. The nurse should include which action to prevent this complication?

Elevate the affected arm on a pillow.

The nurse is caring for a client after a mastectomy. Which nursing intervention should assist with preventing lymphedema of the affected arm?

Elevating the affected arm on a pillow above heart level

A client with ovarian cancer is scheduled to receive chemotherapy with cisplatin. The nurse assisting in caring for the client reviews the plan of care, expecting to note which intervention?

Encourage fluids.

A client with endometrial cancer is receiving doxorubicin (Adriamycin), an antineoplastic agent. The nurse should specifically collect data about which criterion?

Hematological laboratory values

The nurse is collecting data from a client with a history of bladder cancer. Which sign/symptom is the client most likely to report?

Hematuria

The nurse discusses the risk factors associated with gastric cancer as part of a health promotion program. The nurse determines that there is a need for further teaching if a member attending the program states that which factor is a risk?

High meat and carbohydrate consumption

The nurse is reviewing the record of a client with a diagnosis of cervical cancer. Which should the nurse expect to note in the client's record related to a risk factor associated with this type of cancer?

History of human papillomavirus

The nurse is reviewing the laboratory results of a client who has been diagnosed with multiple myeloma. Which finding should the nurse expect to note with this diagnosis?

Increased calcium level

The nurse is reviewing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory finding would provide information about the massive cell destruction that occurs with the chemotherapy?

Increased uric acid level

The nurse is teaching a local women's church group about the risks of cervical cancer. The nurse determines that there is a need for further teaching if a group member states that which is a risk factor?

Intercourse with circumcised males

The nurse is reinforcing instructions to a community group regarding the risks and causes of bladder cancer. The nurse determines that there is a need for further teaching if a member of the community group makes which statement regarding this type of cancer?

It most often occurs in women.

The nurse is reviewing the laboratory results of a client who is receiving chemotherapy and notes that the platelet count is 10,000 cells/mm3. On the basis of this laboratory value, the nurse should collect which data as a priority?

Level of consciousness

The nurse is assisting with conducting a health-promotion program at a local school. The nurse determines that there is a need for further teaching if a student identifies which as a risk factor associated with cancer?

Low-fat and high-fiber diets

The nurse is assisting in caring for a client with a diagnosis of bladder cancer who recently received chemotherapy. The nurse receives a telephone call from the laboratory who reports that the client's platelet count is 20,000/mm3. Based on this laboratory value, the nurse revises the plan of care and suggests including which intervention?

Monitor skin for the presence of petechiae.

A client with cancer is receiving chemotherapy and develops thrombocytopenia. Which intervention is a priority in the nursing plan of care?

Monitor the client for bleeding.

The nurse is assisting in planning care for a client with Hodgkin's disease who is neutropenic as a result of radiation and chemotherapy. Which actions would be included in the client's plan of care? Select all that apply

Monitor white blood cell counts daily. Ensure meticulous hand washing before caring for the client. Ask visitors with respiratory infection symptoms to not visit the client.

A nursing student is assisting in caring for a client with a lung tumor; the client will be having a pneumonectomy. The nursing instructor reviews the postoperative plan of care developed by the student and suggests deleting which item from the plan?

Monitoring the closed chest tube drainage system

A client is receiving radiation therapy to the brain because of a diagnosis of a brain tumor. Which side/adverse effect does the nurse expect the client is likely to experience?

Nausea and vomiting

The nurse is reviewing the laboratory results of a client with bladder cancer and bone metastasis and notes that the calcium level is 15 mg/dL. The nurse should take which appropriate action?

Notify the health care provider.

A nursing instructor asks a nursing student about the characteristics of Hodgkin's disease. The instructor determines that the student needs to read about the characteristics of this disease if the student states that which is an associated characteristic?

Occurs most often in older adults

The nurse is reinforcing instructions to a group of female clients about breast self-examination (BSE). When should the nurse instruct the client to perform this examination?

One week after menstruation begins

The nurse is reinforcing instructions to a client scheduled for conization in 1 week for the treatment of microinvasive cervical cancer. The procedure has been explained by the health care provider, and the nurse is reviewing the complications associated with the procedure. The nurse determines that the client needs further teaching if the client states that which is a complication of this procedure?

Ovarian perforation

A client is tentatively diagnosed with ovarian cancer. The nurse gathers data about which late symptom of this disease?

Pelvic pain, anemia, and ascites

A client with cancer is at risk for experiencing vena cava syndrome. The nurse should monitor this client for which early sign of this oncological emergency?

Periorbital edema

The nurse is monitoring a client with a diagnosis of cancer for signs and symptoms related to vena cava syndrome. The nurse understands that which is an early sign of this oncological emergency?

Periorbital edema

The nurse is assisting in developing a postoperative plan of care for a client following a mastectomy. Which interventions will be included in the plan of care? Select all that apply.

Place the affected arm on a pillow. Check the incision for signs of infection Monitor and measure drainage in the collection device.

The nurse should monitor for which laboratory result as indicating an adverse reaction in the client with endometrial cancer who is receiving chemotherapy?

Platelet count 20,000 cells/mm3

The nurse is orienting a new nurse to the care of a client who has an internal radiation implant. The nurse includes which instructions in discussions with the new nurse?

Pregnant women are not allowed in the client's room

The nurse is caring for a client with an internal radiation implant. The nurse should observe which principle?

Pregnant women are not allowed into the client's room.

The client with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that which may be prescribed to treat this complication? Select all that apply.

Radiation Chemotherapy Serum sodium blood levels Medication that is antagonistic to antidiuretic hormone (ADH)

The nurse reviews the care plan of a client with cancer undergoing chemotherapy. The nurse notes that the client has a concern about her appearance as a result of alopecia. The nurse plans to tell the client which information about hair loss and regrowth to assist the client in coping with this possible change?

Regrown hair may have a different color and texture.

The nurse is reviewing the medical history of a client admitted to the hospital with a diagnosis of colorectal cancer. The nurse understands that which information documented in the medical history is an unassociated risk factor of this type of cancer?

Regular consumption of a high-fiber diet

The nurse is assisting in caring for a client receiving chemotherapy. On review of the morning laboratory results, the nurse notes that the white blood cell count is extremely low, and the client is immediately placed on neutropenic precautions. The client's breakfast tray arrives, and the nurse inspects the meal and prepares to bring the tray into the client's room. Which action should the nurse take before bringing the meal to the client?

Remove the fresh orange from the breakfast tray.

A client with cancer develops white, doughy patches on the mucous membranes of the oral cavity. Which action should the nurse take when noting this?

Report these symptoms, which are consistent with candidiasis.

The nurse is caring for a client in the oncology unit who has developed stomatitis during chemotherapy. The nurse should plan which measure to treat this complication?

Rinse the mouth with dilute baking soda or saline solution.

The client is receiving external radiation to the neck for cancer of the larynx. The nurse monitors the client knowing that which is the most likely side/adverse effect of the external radiation?

Sore throat

The nurse is caring for a client with metastatic lung cancer. The client was medicated 2 hours ago and now reports a new and sudden sharp pain in the back. The nurse appropriately interprets this finding as possibly indicating which complication?

Spinal cord compression

The nurse's teaching plan for a client with a family history of breast cancer should include which important item?

Teaching the breast self-exam technique to be done every month

The nurse is reinforcing instructions to a client on performing a testicular self-examination (TSE). Which instruction should the nurse provide to the client?

The best time for the examination is after a shower.

A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing which?

The development of a vesicovaginal fistula

The nurse is preparing a client with a bowel tumor for surgery. The health care provider has informed the client that the surgery is palliative in the treatment of the tumor. Which rationale is the reason to perform this type of surgery?

To reduce pain

The nurse reinforces instructions to the client about breast self-examination (BSE). The nurse instructs the client to lie down and examine the left breast. Which is the correct area for placing a pillow when examining the left breast?

Under the left shoulder

The nurse answers the call bell of a client who had insertion of an internal cervical radiation implant. The client states that the implant fell out, and the nurse sees it lying in the bed after moving back the sheet. Which action should the nurse take?

Use long-handled forceps to place the implant in a lead container.

The health education nurse reinforces instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse reinforce to the client? Select all that apply.

Use sunscreen when participating in outdoor activities. Wear a hat, opaque clothing, and sunglasses when in the sun. Examine your body monthly for any lesions that may be suspicious.