Oncology

Erythropoietin growth factor increases production of which of the following?

RBC

A client who is to have breast conservation surgery is also to undergo a setinel lymph node biopsy (SLNB). Which of the following would the nurse include in the client's preoperative teaching plan?

The client's urine may have a blue-green discoloration in the first 24 hours.

A patient has been taught how to perform breast self-examination. After standing in front of a mirror and checking both breasts for anything unusual, which of the following would the patient do next?

hands behind head

The client is receiving adjuvant chemotherapy for breast cancer. Which is most likely her node status and tumor size?

node negative, tumor size 1.2 cm

A client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis?

red, open sores on the oral mucosa

A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a chemotherapy-induced complication?

serum potassium level of 2.6 mEq/L

A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents?

wear disposable gloves and protective clothing

A nurse is teaching a group of women about the potential benefits of breast self-examination (BSE). The nurse should teach the women that effective BSE is dependent on what factor?

women's knowledge of how their breasts normally look and feel

Which of the following is the nurse's primary concern when providing end-of-life care for a client and the family? Select all that apply.

Maintaining client comfort Supporting family members Providing personal care

A nurse is caring for a terminally ill client who is receiving chemotherapy and radiation for an aggressive lung cancer. The treatment success is limited in shrinking the tumor, and the treatments are making the client very ill. The client states, "I feel that I would like to stop treatments. I would like to enjoy the time that I have remaining with my family." Which emotional reaction does the nurse recognize that the client is experiencing?

acceptance

A terminally ill client has feelings of rage toward the nurse. According to Elisabeth Kübler-Ross, the patient is in which stage of dying?

anger

A health care provider tells a breast cancer client that he is going to prescribe hormone therapy that has been found to significantly reduce mortality. Which drug would most likely be prescribed?

tamoxifen

A patient is receiving chemotherapy for breast cancer. Her most recent laboratory test results are as follows: Erythrocytes 4,500,000/cu mm Hemoglobin 12.0 gm/dL Hematocrit 35% Leukocytes 4,600 gm/dL Thrombocytes 125,000/cu mm Which results suggests some evidence of bone marrow suppression?

thrombocyte count

A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion according to the TNM staging system as follows: TIS, N0, M0. What does this classification mean?

Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant metastasis

Anorexia and cachexia are common problems at the end of life. The nurse plays an important role in managing symptoms and preventing complications. Which of the following are appropriate nursing interventions for these problems? Select all that apply.

Encourage the patient to eat in an upright position. Recommend that the patient eat when hungry, regardless of usual meal times. Teach the patient how to increase the nutritional value of meals (i.e., add dry milk powder to milk).

During chemotherapy, an oncology client has a nursing diagnosis of Impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis?

Providing a solution of viscous lidocaine for use as a mouth rinse

Which is a true statement regarding hospice care?

clients have a life expectancy of 6 months or less

Nursing students are reviewing various procedures that can be used to obtain a tissue biopsy of the breast. They demonstrate understanding of the material when they identify which of the following as being done using local anesthesia and intravenous (IV) sedation? Select all that apply.

excisional biopsy wire needle localization

A client diagnosed with breast cancer has developed neutropenia secondary to chemotherapy. Which of the following would the nurse anticipate as being ordered to address the neutropenia? Select all that apply.

filgrastim pegfilgrastim (bone marrow stimulant)

A client is undergoing a left modified radical mastectomy for breast cancer. Postoperatively, blood pressure should be obtained from the right arm, and the client's left arm and hand should be elevated as much as possible to prevent which condition?

lymphedema