Oncologic disorders

A client is ordered a dose of epoetin alfa to treat anemia related to chemotherapy. The recommended dose is 150 units/kg. The client weighs 60 kg. The vial is labeled 10,000 units/ml. How many milliters of epoetin alfa would the nurse administer? Record your answer using one decimal place.

0.9

A client who is receiving chemotherapy for breast cancer develops myelosuppression. Which instructions would the nurse include in the client's discharge teaching plan? Select all that apply. 1. Avoid people who have recently received live vaccines. 2. Avoid activities that may cause bleeding. 3. Wash hands frequently. 4. Increase intake of fresh fruits and vegetables. 5. Avoid crowded places such as shopping malls. 6. Treat a sore throat with natural products like saline gargles.

1,2,3,5

A nurse is reviewing updated laboratory data that state that the oncology client has an absolute neutrophil count of less than 1,000 mm following the third infusion of chemotherapy. Which interventions would be added to the plan of care? Select all that apply. 1. placing an infection control sign on the door requiring a mask/ gown/ glove 2. placing a sign on the door to keep the door closed at all times 3. encouraging a diet of fresh fruits and vegetables 4. assuring that visitors have no temperature or flulike symptoms 5. contacting the health care provider to move to the intensive care unit 6. using SBAR communication to recommend pegfilgrastim

1,2,4,6

A client with laryngeal cancer has undergone a laryngectomy and is now receiving radiation therapy to the head and neck. The nurse would monitor the client for which adverse effects of external radiation? Select all that apply. 1. xerostomia 2. stomatitis 3. thrombocytopenia 4. cystitis 5. mucositis 6. leukopenia

1,2,5

A nurse is caring for a terminally ill cancer client who is being transferred to hospice care. Which information regarding hospice care would the nurse include in the teaching plan? Select all that apply. 1. The focus of care is on controlling symptoms and relieving pain. 2. A multidisciplinary team provides care. 3. Services are provided based on third-party insurance reimbursement. 4. Hospice care is provided only in hospice centers. 5. Bereavement care is provided to the family. 6. Care is provided in the home, independent of health care providers.

1,2,5

nurse has identified the nursing diagnosis Situational low self-esteem related to hair loss and severe fatigue for a client with cancer. Which nursing interventions would be appropriate for this client's care? Select all that apply. 1. Ask how the diagnosis and treatment are affecting the client's personal life and roles. 2. Review any anticipated side effects of treatment with the client. 3. Tell the client how to resolve specific concerns related to the effects of treatment on the personal life. 4. As a behavioral guide, describe the experiences of friends and other clients who have had this disease and treatment. 5. Offer information on available counseling services and support groups, if desired, explaining that these techniques are helpful to many clients. 6. Maintain eye contact with the client and use touch during interactions, if acceptable to the client.

1,2,5,6

A client who is experiencing colon cancer is scheduled to undergo a colostomy. Which interventions would be appropriate to include in a preop-erative teaching plan? Select all that apply. 1. Demonstrate turning, coughing, deep breathing, splinting, and leg ROM exer-cises, and provide rationales for each procedure. 2. Instruct on dietary guidelines for healing. 3. Arrange for an enterostomal therapist (ET) to speak with the client about colostomy care. 4. Explain the need for early postoperative ambulation. 5. Instruct the client on signs and symptoms of intestinal obstruction. 6. Encourage the client to express feelings about changes in body image.

1,3,4,6

When caring for an oncology client receiving cisplatin and experiencing nausea and mouth sores, which nursing interventions are best to improve the client's diet? Select all that apply. 1. Schedule high-nutrient shakes between meals. 2. Eat a large lunch with a nutritious snack for dinner. 3. Offer small frequent light meals 5 to 6 times daily. 4. Encourage a favorite meal of pizza and wings. 5. Utilize oral anesthetic 15 minutes prior to meals. 6. Offer cool drinks and foods as tolerated.

1,3,5,6

Blood administration is ordered for a client receiving chemotherapy. The nurse is obtaining all supplies needed for infusion. Which intravenous solution is obtained?

2 , 0.9% sodium chloride injection USP

A nurse is teaching a community program on breast self-examination (BSE). The nurse demonstrates the proper procedure for palpating each breast. In what sequence would the following actions be performed for proper self-examination? All options must be used. 1. Place the hand over the breast to be examined (use the right hand for the left breast and vice versa). 2. Lie down with one arm behind the head. 3. Palpate the breast in a perpendicular motion, going across the breast from one side to another and top to bottom. 4. Use the finger pads of the three middle fingers and touch the breast. 5. Use a circular motion to feel the breast tissue (with light, medium, and firm pressure).

2,1,4,5,3

A client has been diagnosed with breast cancer and is scheduled to begin treatment with the antineoplastic drug, doxorubicin hydrochloride. Which side effects would the nurse anticipate? Select all that apply. 1. hair thinning throughout the course of treatment 2. hepatic impairment 3. left ventricular failure 4. complete hair loss within 3 to 4 weeks 5. red discoloration of urine

2,3,4,5

The home health nurse is caring for a client receiving chemotherapy. The client reports anorexia and has a weight loss of 15 lb (6.8 kg) over 6 weeks. Which client teaching would be helpful? Select all that apply. 1. Eat large meals when hungry. 2. Obtain calorie-dense foods for snack. 3. Cook a hot meal for lunch and dinner. 4. Have family prepare and deliver favorite meals. 5. Eat small portions of each food group. 6. Eat slowly and in a relaxed atmosphere.

2,4,5,6

A client with bladder cancer undergoes surgical removal of the bladder with construction of an ileal conduit. During the immediate postoperative period, which assessment findings indicate that the client is developing complications? Select all that apply. 1. urine output greater than 30 ml/hour 2. dusky appearance of the stoma 3. stoma protrusion from the skin 4. mucus shreds in the urine collection bag 5. edema of the stoma 6. sharp abdominal pain with rigidity

2,6,3

The nurse is caring for a client, newly diagnosed with cancer, who speaks limited English. The client's family speaks limited English also, and a friend drives him to his doctor's appointments. The nurse selects Deficient knowledge as a prior-ity. Which nursing interventions are appropriate? Select all that apply. 1. Ask the client's driver to interpret the conversation. 2. Provide a brochure on the cancer and treatment options. 3. Work with an interpreter to discuss the situation. • 4. Assess any community resources for support groups and communication. 5. Obtain a "type to speak" computerized translation dictionary to express information. 6. Obtain common pictures to provide a common ground for understanding.

3,4,5,6

While undergoing treatment with a caustic chemotherapeutic agent, a client experiences extravasation. Indicate how the nurse would respond to extravasation by placing the following nursing interventions in chronological order. All options must be used. 1. Notify the health care provider. 2. Follow facility policy for dealing with extravasation. 3. Implement the health care provider's orders. 4. Discontinue the intravenous infusion. 5. Document all signs and symptoms thoroughly. 6. Monitor the client throughout the shift and give a detailed report to the oncoming shift.

4,2,1,3,5,6

A client with pancreatic cancer has been prescribed a chemotherapeutic medication of 12 mg/kg intravenously for 4 days. If no signs of toxicity occur, the client is to receive 6 mg/kg of the medication on days 6, 8, 10, and 12. The client weighs 198 lb. At the conclusion of day 12, how many total milligrams will the client have received? Record your answer as a whole number.

6,480