PrepU Oncology

As part of a primary cancer prevention program, an oncology nurse speaks to the public at a health fair. When someone asks about laryngeal cancer, which statement by the nurse would be most helpful?

"To reduce the risk of developing laryngeal cancer you shouldn't smoke or drink alcohol."

A 55-year-old male client wishes to be proactive about health issues. To help ensure early identification of prostate cancer, the client should:

have a yearly digital rectal exam and prostate-specific antigen (PSA) test.

Which finding is an early indicator of bladder cancer?

hematuria

Several days before admission, a client reports finding a small lump in the left breast near the nipple. What should the nurse tell the client to do?

inform the physician immediately

A nurse is reinforcing education with the parent of an ill child about childhood immunizations. The nurse should tell the parent that only inactivated virus vaccines should be administered to children with which disorder?

leukemia

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

lymphedema

A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to: You Selected:

maintaining a patent airway

The nurse in a long-term care facility notes a change in the color, shape, and texture of a nevus located on a client's shoulder. The nurse knows that this finding might suggest:

malignant melanoma.

The nurse is assessing a client with multiple myeloma. The nurse should keep in mind that clients with multiple myeloma are at risk for:

pathologic bone fractures

A nurse is collecting past medical history data on a client. Which preexisting condition places the client at risk for colorectal cancer?

polyps

A client has been receiving chemotherapy to treat cancer. Which data collection finding suggests that the client has developed stomatitis (inflammation of the mouth)?

red, open sores on the oral mucosa

A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-oophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which data collection finding would raise concern in the nurse?

shallow breathing and increasing lethargy

On discharge, a client who underwent a left mastectomy expresses relief that "the cancer" has been treated. When discussing this issue with the client, the nurse should stress that she:

should continue to perform breast self-examination on her right breast.

The nurse is providing breast cancer education at a community facility. The American Cancer Society (Canadian Cancer Society) recommends that women get mammograms:

yearly after the age of 40

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."

The nurse is caring for a group of five clients on an oncology unit, one of whom is actively dying and receiving comfort care measures. Several of the client's family members arrive and ask the nurse questions about what to expect. What is the nurse's priority action?

Ask the nurse in charge to delegate some of the responsibilities for the nurse's other clients to allow for time with the dying client and family.

The nurse reinforces instructions for a client diagnosed with acute lymphocytic leukemia (ALL) who is preparing for allogeneic bone marrow transplant. Which statement made by the client indicates to the nurse that the client understands the post-transplant homecare instructions?

Before undergoing to bone marrow transplant I will receive chemotherapy.

Which of the following actions displayed by a grieving husband over his dying wife would cause the nurse to suggest counseling?

He refuses to acknowledge his wife's family and blames them for her current health

A client states to the nurse, "I know that I'm going to die." Which response by the nurse would be best?

Please tell me more about why you think you are going to die.

A client in the terminal stage of cancer is receiving a continuous infusion of morphine for pain management. Which data collection finding suggests that the client is experiencing an adverse effect of this medication?

RR 8

The nurse is caring for a client who was admitted with rectal bleeding. The client is at high risk for having colorectal cancer. The nurse anticipates the physician will order which diagnostic test to confirm this suspicion?

colonoscopy

A client tells the nurse, "I'm having trouble making a decision about undergoing diagnostic testing for a breast lump because the test may confirm breast cancer." Which diagnostic test should the nurse be prepared to discuss with the client?

fine needle aspiration

A client with metastatic cancer is experiencing neuropathic pain. Which alternative therapy is most beneficial in treating this type of pain?

Transcutaneous electrical nerve stimulation (TENS)

A client received chemotherapy 24 hours ago. Which precautions are necessary when caring for this client?

Wearing personal protective equipment when handling blood, body fluids, or feces