Oncology
A client with a cerebellar brain tumor is admitted to an acute care facility. The nurse assists with formulating a nursing diagnosis of Risk for injury. Which "related- to" phrase is appropriate for the nurse to add to complete the nursing diagnosis statement?
Related to impaired balance
The nurse is preparing a client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. Which question would the nurse ask the client to assess for the greatest risk in the MRI scan room?
"Are you wearing a wedding band?"
A young adult client received her first chemotherapy treatment for breast cancer. Which statement by the client requires further exploration by the nurse?
"I don't care about the adverse effects of the drugs."
The nurse is interviewing a client suspected of having colon cancer about his past medical history. Which statement by the client should the nurse report to the physician?
"I had some polyps removed last time I had a colonoscopy."
Which statement by a client undergoing external radiation therapy indicates the need for further teaching?
"I'm afraid I'll expose my family members to radiation."
A client recently diagnosed with metastatic liver cancer is admitted for hospice care. A person the nurse knows is a close friend of the client calls to ask about the client's condition. Which response by the nurse is most appropriate?
"Sharing the specifics of a client's condition is not allowed, but I'll make certain your friend knows you called."
A client is receiving chemotherapy to treat breast cancer. Which data collection finding indicates a fluid and electrolyte imbalance induced by chemotherapy?
Dry oral mucous membranes and cracked lips
A client was recently enrolled in a clinical trial for lung cancer treatment. The client's naturopathic therapist contacts the nurse who is caring for the client and inquires about the client's status, treatment regimen, and possible adverse effects of the medication the client is taking. How can the nurse best respond?
"There is a Certificate of Confidentiality which was issued; therefore, no information can be released."
A client recruited to participate in a clinical trial to treat non-Hodgkin's lymphoma voices concerns about the adverse effects of the treatment preventing the completion of the trial. What will the nurse tell the client to protect the principle of autonomy?
"You may withdraw at any time."
A client has an abnormal result on a Papanicolaou test. After admitting that she read her chart while the nurse was out of the room, the client asks what dysplasia means. Which definition should the nurse provide?
Alteration in the size, shape, and organization of differentiated cells
The nurse is caring for a client undergoing radiation therapy who is noted to have several ulcers of the mucous membranes. Which action will the nurse take as the priority?
Assess for dysphagia.
A client receiving chemotherapy for breast cancer develops myelosuppression. Which instructions should the nurse reinforce when the client is discharged? Select all that apply.
Avoid people who have recently received attenuated vaccines. Avoid activities that may cause bleeding. Wash hands frequently. Avoid crowded places, such as shopping malls.
A client is in isolation after receiving an internal radioactive implant to treat cancer. Two hours later, the nurse discovers the implant in the bed linens. What should the nurse do first?
Pick up the implant with long-handled forceps and place it in a lead-lined container.
The nurse is reviewing the chart of a client receiving chemotherapy for lung cancer. She is alarmed to note that the client has developed thrombocytopenia. Which precaution should the nurse implement to ensure the clients safety?
Provide the client with an electric razor.
A nurse receives a client assignment and is to care for a client who has terminal lung cancer. The nurse's father died two months ago from the same disease, and the nurse is having difficulty interacting with the client and family due to being overwhelmed with emotion. Which action should the nurse take?
Speak to the nurse in charge about the emotional reaction and explore options.
A nurse is caring for a 25-year-old client with end-stage testicular cancer who has been referred to hospice care. Which of the following criteria excludes the client from hospice care?
The client entered a clinical trial through the National Cancer Institute.
A nurse is caring for a client with end-stage testicular cancer who has been referred to hospice care. Which criterion excludes the client from hospice care?
The client entered a clinical trial through the National Cancer Institute.
A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to
cryptorchidism
Which nursing intervention is most appropriate for a client with multiple myeloma?
preventing bone injury
The nurse is planning an interdisciplinary client care conference for members of an oncology care team. The conference will focus on maximizing clients' physical mobility status while undergoing external beam radiation for lumbar spinal tumors in the inpatient setting. Which team member(s) should the nurse include as directly involved in client care related to the topic of the conference? Select all that apply.
unlicensed assistive personnel physiotherapists occupational therapists
