PN Cancer Assessment

A nurse is caring for a client who has stage 0 colorectal cancer. The nurse should understand that which of the following layers of the client's gastrointestinal tract is affected with this type of cancer?

Mucosa

A nurse is caring for a client on an oncology unit. Which of the following findings should the nurse report to the healthcare provider immediately? Select all that apply.

Neutrophil count Bruising Temperature

A nurse is educating clients about breast cancer at a community health event. Which of the following statements should the nurse include in the training?

"Breast cancer can occur in any part of the breast, but ductal breast cancer is most common."

A nurse is asking screening questions to a client who has never smoked to determine their risk for lung cancer. Which of the following questions will help the nurse determine the client's risk level for lung cancer? Select all that apply.

"Have you ever been exposed to radon or asbestos?" "Have you worked as a roofer?" "Do you have a diagnosis of HIV?" "Have you been exposed to arsenic?"

A client who has been diagnosed with a CNS tumor asks the nurse whether the tumor may be a result of exposure to environmental or occupational toxins. Which of the following responses should the nurse give?

"Vinyl chloride exposure may increase risk of some CNS tumor types, but researchers are not certain."

A nurse is caring for a client who has been diagnosed with colorectal cancer and will begin treatment this week. Which of the following tests should the nurse understand is used to monitor the client's treatment and follow-up care?

A carcinoembryonic antigen (CEA) test

A nurse is reviewing client intake forms at a dermatology clinic. Which of the following clients should the nurse understand has the highest risk of developing squamous cell carcinoma?

A client who has a history of actinic keratosis

Four clients complete a screening questionnaire for colorectal cancer. Which of the following clients should the nurse identify as being at a potentially higher risk for colorectal cancer?

A client who is diagnosed with Crohn's disease

A nurse is obtaining a medical history from a client who has a new diagnosis of a brain tumor. The client is 35 years old with no family history of cancer, no exposure to carcinogens or toxins, and no use of tobacco products, and they practice healthy habits in their daily life. Which of the following should the nurse identify as a potential cause of the abnormal cell growth?

Cell division errors

A nurse is caring for a client who is undergoing radiation therapy for lung cancer. Which of the following findings is priority for the nurse to report to the provider?

Chest pain

A nurse is caring for a client who has melanoma. Which of the following should the nurse understand about melanoma?

Melanoma is more likely to metastasize to other areas.

A nurse is caring for a client on an oncology unit. Which of the following nursing interventions should the nurse implement when planning care for this client? Select all that apply.

Encouraging pursed lip breathing Administering morphine Placing the client in the orthopneic position Administering oxygen therapy

A nurse is caring for a client who has advanced stage cancer and is describing their pain to the nurse. The client states that pain medications provide temporary relief, but in general they are in moderate to severe pain about 75% of every day. Which of the following secondary complications does the client have an increased risk for due to their pain level?

Depression

A nurse is analyzing the CBC labs of a client who has been undergoing chemotherapy and notes that the client has become anemic. Which of the following complications should the nurse understand is a result of anemia?

Fatigue

A nurse explains to a client, "Once you start chemotherapy, it is very important for you to avoid crowds and stay away from sick people." Which of the following complications of cancer will the nurse's advice most likely help the client avoid?

Infection

A nurse is caring for a client who has been diagnosed with a malignant neoplasm of the right breast. The nurse should anticipate which of the following locations for placement of the implantable port for chemotherapy?

Opposite side of the primary site of the cancer

A nurse is caring for a client who is receiving chemotherapy and who describes feeling numbness, tingling, and decreased sensation and coldness in their feet. The nurse should understand that the client is experiencing which of the following complications associated with cancer treatments?

Peripheral neuropathy

A client at a clinic asks the nurse how they can reduce their risk of developing cancer. The client has no pre-existing health conditions. Which of the following risk factors should the nurse explain is potentially modifiable?

Sedentary lifestyle

A nurse is caring for a client who presents with fatigue, loss of coordination, bladder control issues, and numbness in the arms. Which of the following conditions should the nurse understand that these manifestations indicate?

Spinal cord cancer

A nurse is caring for a client who is scheduled to start their first round of chemotherapy in 2 days. Which of the following interventions by the nurse is most appropriate at this stage of the client's cancer treatment?

Support the client to participate in shared decision making.

A nurse is caring for a client who had a sputum cytology that led to a stage III lung cancer diagnosis. Which of the following should the nurse understand about a stage III lung cancer prognosis?

The cancer has spread beyond the primary site, and the disease will be more difficult to treat.

A nurse is caring for a client who has been diagnosed with squamous cell carcinoma of the lung. Which of the following should the nurse know about the client's cancer?

The cancer most likely originated in one of the large central airways.

A nurse is caring for a client who has colon cancer and staging by the tumor, node, metastasis (TNM) system is T0 N1 MX. Which of the following should the nurse understand about the staging?

The primary tumor cannot be located, there is at least one lymph node with cancer, and metastasis cannot be determined.

A nurse is caring for a client who has had a positron emission tomography (PET) scan that reveals a cluster of cells in the neck of questionable status. Which of the following should the nurse anticipate following the test results?

The results indicate potential cancer in the client's neck.

A nurse is caring for a client at an outpatient clinic. Which of the following findings should the nurse identify as requiring follow-up? Select all that apply.

Weight Nausea and Vomiting Pain