ATI Care of the patient w/ Cancer

A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After 3 treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medications demonstrates which of the following ethical principles?

Nonmaleficence

A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?

Tell me more about your concerns about taking chemotherapy

A hospice nurse is caring for a client who has terminal cancer & takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

The client developed a tolerance to the medication

A nurse at a provider's office is providing teaching to a client who is taking chemotherapy & losing weight. Which of the following should the nurse recommend to increase calorie & protein intake?

Top fruits w/ yogurt Add cream to soups Use milk instead of water in recipes Dip meats in eggs & bread crumbs before cooking

A nurse is providing discharge teaching for a client who is post-op following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?

Do not apply heat to the area of irradiation

A nurse is caring for an older adult client who has a WBC count of 2,000/mm3 after three rounds of chemotherapy. Which of the following actions should the nurse take?

Serve cooked fruit with meals

A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching?

"hair loss is common & includes eyebrows & eyelashes"

A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?

"what is it about the adverse effects that concern you?"

A nurse is planning care for a client who has terminal cancer & has a prescription for morphine. Which of the following interventions should the nurse include in the plan of care?

Instruct the client to actively cough to prevent a buildup of secretions in the airway

A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan?

apply pressure to needlestick sites for 10 min

A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be

dysphagia

A nurse is instructing a client how to decrease the nausea associated w/ chemotherapy & radiation. Which of the following statements indicates an understanding of the teaching?

"I will eat foods that are served at room temperature"

A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?

Administer an antiemetic prior to the procedure

A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor?

Headache

A client is receiving treatment for stage 4 ovarian cancer & asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?

Poor

A nurse is caring for a client who has cancer & is 20 wks pregnant. The client's provider recommends chemotherapy for the client, but the client is uncertain about the recommend treatment. Which of the following statements by the nurse is appropriate?

This must be a difficult decision for you

A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?

WBC 2,300?mm^3

A client who has chronic lymphocytic leukemia is starting chemotherapy treatments & asks if she needs to make any dietary changes. Which of the following statements should the nurse make?

You should avoid drinking liquids an hour before the treatment

A nurse is teaching a client about the physical effects of chemotherapy. Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which of the following elements of the communication process?

feedback

A nurse is reviewing the laboratory results of a client who has acute radiation syndrome & notes the client has leukopenia. Which of the following assessment findings should the nurse identify as being consistent w/ leukocytosis?

fever