Cancer

" A patient who is diagnosed with cervical cancer classified as Tis, N0, M0 asks the nurse what the letters and numbers mean. Which response by the nurse is accurate? a. "The cancer involves only the cervix." b. "The cancer cells look like normal cells." c. "Further testing is needed to determine the spread of the cancer." d. "It is difficult to determine the original site of the cervical cancer." "

a

". A 72-year-old client recovering from lung cancer surgery asks the nurse to explain how she developed cancer when she has never smoked. Which factor may explain the possible cause? A. An exercise regimen of jogging 3 miles 4x/wk B. A diagnosis of diabetes treated with insulin and diet C. Advancing age D. A history of cardiac disea "

advancing age

" The nurse is caring for a patient who smokes two packs/day. Which action by the nurse could help reduce the patient's risk of lung cancer? a. Teach the patient about the seven warning signs of cancer. b. Plan to monitor the patient's carcinoembryonic antigen (CEA) level. c. Teach the patient about annual chest x-rays for lung cancer screening. d. Discuss risks associated with cigarette smoking during each patient encounter. "

D

"The nurse should suggest which food choice when providing dietary teaching for a patient scheduled to receive external-beam radiation for abdominal cancer? a. Fruit salad c. Creamed broccoli b. Baked chicken d. Toasted wheat bread "

b

"When the nurse is counseling a 60-year-old African-American male client with all of these risk factors for lung cancer, teaching should focus most on which risk factor? A. Gender B. Tobacco use C. Ethnicity D. Increased age

b

"" ""A male client with a nagging cough makes an appointment to see the physician after reading that this symptom is one of the seven warning signs of cancer. What is another warning sign of cancer? A. Rash B. Indigestion C. Chronic ache or pain D. Persistent nausea

indigestion

"' the client receiving chemotherapy will experience the lowest level of bone marrow activity and neutropenia during which period? A. Trough B. Peak C. Nadir D. Adjuvant

c

" The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should monitor for which adverse effect? a. Nausea c. Hematuria b. Alopecia d. Xerostomia "

c The adverse effects of intravesical chemotherapy are confined to the bladder. The other adverse effects are associated with systemic chemotherapy.

"" ""

"

"" ""What is a hallmark feature of Hodgkin's lymphoma A. Reed-Sternbery cells from lymph node biopsy B. Downey cells C. Chronic cough D. Increased number of B cells

A

"The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take? A. Infuse the medication over a short period of time. B. Stop the infusion if swelling is observed at the site. C. Administer the chemotherapy through a small-bore catheter. D. Hold the medication unless a central venous line is available"

B

" The nurse is caring for a patient who has been diagnosed with stage I cancer of the colon. When assessing the need for psychologic support, which question by the nurse will provide the most information? A. "Do you have any concerns about body image changes?" B. "Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon? C. "Can you tell me what has been helpful to you in the past when coping with stressful events?" D. "How long ago were you diagnosed with this cancer?"

C. "Can you tell me what has been helpful to you in the past when coping with stressful events?"

"A chemotherapy drug that causes alopecia is prescribed for a patient. Which action should the nurse take to maintain the patient's self-esteem? A. Teach the patient to gently wash hair with a mild shampoo to minimize hair loss. B. Tell the patient to limit social contacts until regrowth of the hair occurs. C. Inform the patient that hair usually grows back once the chemotherapy is complete. D. Encourage the patient to purchase a wig or hat and wear it once hair loss begins."

D

"" The RN working on an oncology unit has just received report on these clients. Which client should be assessed first? A. A client with chemotherapy-induced neutropenia who has just been admitted with an elevated temperature B. A client with metastatic breast cancer who is scheduled for external beam radiation in 1 hour C. A client with xerostomia associated with laryngeal cancer who needs oral care before breakfast D. A client with lymphoma who will need administration of an antiemetic before receiving chemotherapy

a

"" '"" 2.0 Points Previous administrations of chemotherapy agents to a cancer patient have resulted in diarrhea. Which of the following dietary modifications should the nurse recommend? A. A bland, low-fiber diet B. A diet high in fresh fruits and vegetables C. A diet emphasizing whole and organic foods D. A high-protein, high-calorie diet

A

"During a routine health examination, a 40-yr-old patient tells the nurse about a family history of colon cancer. Which action should the nurse take next? a. Obtain more information about the family history. b. Schedule a sigmoidoscopy to provide baseline data. c. Teach the patient about the need for a colonoscopy at age 50. d. Teach the patient how to do home testing for fecal occult blood. "

A

"" "A 35 years old client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis (inflammation of the mouth)? A. Rust-colored sputum B. White, cottage cheese-like patches on the tongue C. Red, open sores on the oral mucosa D. Yellow tooth discoloration

C

"A patient who is scheduled for a breast biopsy asks the nurse the difference between a benign tumor and a malignant tumor. Which answer by the nurse is correct?" a. "Benign tumors do not cause damage to other tissues." b. "Benign tumors are likely to recur in the same location." c. "Malignant tumors may spread to other tissues or organs." d. "Malignant cells reproduce more rapidly than normal cells."

C

"The nurse is teaching a group of clients about cancers related to tobacco or tobacco smoke. Identify the common cancers related to tobacco use. Select all that apply" A. Cardiac cancer B. Lung cancer C. Cancer of the tongue D. Skin cancer E. Cancer of the larynx

b

" "The nurse includes which of the following in teaching regarding the warning signs of cancer? Select all that apply. A. Persistent constipation B. Axillary swelling C. Curdlike vaginal discharge D. Scab present for 6 months E. Headache

abd

"" ""Which are the following are example of possible skin reactions that occur after Chemotherapy? A. Dry Desquamation B. Wet Desquamation C. Acne Vulgaris D. Contact Dermatitis

AB

"" the nurse has received in report that the client receiving chemotherapy has severe neutropenia. Which of the following does the nurse plan to implement? Select all that apply. A. Do not permit fresh flowers or plants in the room. B. Teach the client to omit raw fruits and vegetables from his diet. C. Assess for fever. D. Do not allow his 16-year-old son to visit. E. Observe for bleeding.

ABC

" " The nurse at the clinic is interviewing a 64-year-old woman who is 5 feet, 3 inches tall and weighs 125 pounds (57 kg). The patient has not seen a health care provider for 20 years. She walks 5 miles most days and has a glass of wine 2 or 3 times a week. Which topics will the nurse plan to include in patient teaching about cancer screening and decreasing cancer risk (select all that apply)? A. Pap testing B. Colorectal screening C. Mammography D. Sunscreen use E. Tobacco use

ABCD

"" what is the treatment for Acute Myelogenous Leukemia (AML)? A. Radiation B. Chemotherapy C. Cricothyrotomy D. Dialysis E. Stem cell transplant

ABE

"" ""What components of the lab results suggest acute leukemia? A. A positive troponin lab B. ncreased AST, LDL levels C. Elevated BNP, CKMB D. Multiple myeloblasts specific to AML, WBC count, platelet count, low hematocrit, low hemoglobin

D

"" ""Smoking may significantly increase the risk of secondary malignancies True False

True

" ""Which statement made by the client allows the nurse to recognize whether the client who is receiving brachytherapy for ovarian cancer understands the treatment plan? A. "I will have a radioactive device in my body for a short time." B. "I may lose my hair during this treatment." C. "I will be placed in a semiprivate room for company." D. "I must be positioned in the same way during each treatment."

a

"The nurse reviews the laboratory results of a patient who is receiving chemotherapy. Which laboratory result is most important to report to the health care provider? A. White blood cell (WBC) count of 2700/µL B. Hematocrit of 30% C. Hemoglobin of 10 g/L D. Platelets of 95,000/µL"

a

"Which signs or symptoms should the nurse report immediately because they indicate thrombocytopenia secondary to cancer chemotherapy? Select all that apply. A. Bruises B. Fever C. Epistaxis D. Petechiae E. Pallor "

a

"" Which of these does the nurse recognize as the goal of palliative surgery for the client with cancer? A. Prolonging the client's survival time B. Relief of symptoms or improved quality of life C. Allowing other therapies to be more effective D. Cure of the cancer"

b

"" ''Which medication does the nurse plan to administer to a client before chemotherapy to decrease the incidence of nausea? A. Ondansetron (Zofran) B. Morphine C. Diazepam (Valium) D. Naloxone (Narcan)

zofran