cancer

17. A 42-year-old male complains of extreme fatigue and weakness after his first week of radiation therapy. Which of the following responses by the nurse would best reassure him? A) "These symptoms usually result from radiation therapy however, we will continue to monitor your laboratory and x-ray studies." B) "These symptoms are part of your disease and can't be helped." C) "Don't be concerned about these symptoms. Everybody feels this way after having radiation therapy." D) "This is a good sign. It means that only the cancer cells are dying."

A) "These symptoms usually result from radiation therapy

7. While a patient is receiving intravenous doxorubicin hydrochloride, the nurse observes that there is swelling and pain at the IV site. The nurse should: A) Stop the administration of the drug immediately. B) Notify the patient's physician. C) Continue to administer but decrease the rate of infusion. D) Apply a warm compress to the site.

A) Stop the administration of the drug immediately.

18. A female patient experiences alopecia resulting from chemotherapy, prompting the nursing diagnoses of disturbed body image and situational low self-esteem. Which of the following actions best indicates that the patient is meeting the goal of improved body image and self-esteem? A) The patient requests that her family bring her makeup and wig. B) The patient begins to discuss the future with her family. C) The patient reports less disruption from pain and discomfort. D) The patient cries openly when discussing her disease.

A) The patient requests that her family bring her makeup and wig.

19. Patients receiving chemotherapy are at risk for adverse effects related to the therapy. To combat the most common adverse effects of chemotherapy, the nurse would administer an: A) Antiemetic B) Antimetabolite C) Tumor antibiotic D) Anticoagulant

A) Antiemetic

6. The patient is receiving external radiation for a malignant tumor of the head and neck. For which of the following side effects should the nurse assess from the radiation treatment? A) Impaired nutritional status B) Pink oral mucosa C) Diarrhea D) Alopecia

A) Impaired nutritional status

2. The patient arrives in clinic for a 2-month follow-up appointment following chemotherapy. The nurse notes that the patient's skin appears yellow. What blood tests should be done to further explore this clinical sign? A) Liver function test B) CBC C) Platelet count D) Electrolytes

A) Liver function test

12. The nurse is aware that infection is a significant consideration when providing care to an oncology patient. The leading cause of death in an oncology patient is infection caused by which of the following? A) Malnutrition C) Poor hygiene B) Impaired skin integrity D) Broken oral mucosa

B) Impaired skin integrity

8. A patient scheduled to receive chemotherapy for cancer asks the nurse what the most common side effect of chemotherapy is. The nurse informs the patient that the most common side effect of chemotherapy is: A) Alopecia C) Altered glucose metabolism B) Nausea and vomiting D) Increased appetite

B) Nausea and vomiting

1. The school health nurse is presenting a health promotion class to a group of high school students. Which intervention addresses health promotion strategies related to the leading cause of cancer deaths in North America? A) Monthly breast self-exams C) Annual colonoscopies B) Smoking cessation D) Monthly testicular exams

B) Smoking cessation

20. A 58-year-old male is hospitalized for a wedge resection of the left lower lung lobe. A routine chest x-ray shows carcinoma. The patient is anxious and asks if he can smoke. Which of the following statements by the nurse would be most therapeutic? A) "Smoking is the reason you're here." B) "The doctor left orders for you not to smoke." C) "You're anxious about the surgery. Do you see smoking as helping?" D) "Smoking is OK right now, but after your surgery it's contraindicated."

C) "You're anxious about the surgery. Do you see smoking as helping?"

3. A patient tells the nurse that he has heard that certain foods can increase the incidence of cancer. The nurse informs the patient that certain foods appear to increase the risk of cancer. Which of the following menu selections would be the best choice for reducing the risk of cancer? A) Smoked salmon and green beans B) Pork chops and fried green tomatoes C) Baked apricot chicken and steamed broccoli D) Liver, onions, and steamed peas

C) Baked apricot chicken and steamed broccoli

5. The patient is a 39-year-old woman with a family history of breast cancer. A breast-tumor marking test is done, and the results are positive. The patient is requesting a bilateral mastectomy. This surgery is an example of which of the following? A) Salvage surgery C) Prophylactic surgery B) Palliative surgery D) Reconstructive surgery

C) Prophylactic surgery

14. A priority nursing diagnosis for the nurse caring for a patient with cancer who is preparing for engraftment for a bone marrow transplant is: A) Fatigue and activity intolerance B) Altered nutrition: less than body requirements due to anorexia C) Risk for infection related to altered immunologic response D) Body image disturbance related to weight loss and anorexia

C) Risk for infection related to altered immunologic response

4. Which of the following would be an example of primary prevention? A) Yearly Papanicolaou tests C) Teaching patients to wear sunscreen B) Testicular self-examination D) Screening mammogram

C) Teaching patients to wear sunscreen

9. The patient is receiving carmustine, a chemotherapy agent. A side effect of this medication is thrombocytopenia. What symptom will the nurse likely assess in the patient with thrombocytopenia? A) Interrupted sleep pattern B) Hot flashes C) Nosebleed D) Increased weight

C) Nosebleed

15. A nurse caring for an oncology patient who develops erythema following radiation therapy should instruct the patient to: A) Apply ice to the area. B) Keep the area cleanly shaven. C) Apply petroleum ointment to the affected area. D) Avoid using soap on the area of treatment.

D) Avoid using soap on the area of treatment.

10. When preparing to administer an antineoplastic agent to a hospitalized patient, the nurse should: A) Administer only pre-packaged agents from the manufacturer. B) Wash hands and arms following administration. C) Use gloves and a lab coat. D) Dispose of the antineoplastic wastes in the hazardous waste receptacle.

D) Dispose of the antineoplastic wastes in the hazardous waste receptacle.

11. What information will the nurse provide to the visitors of a patient who is to receive a bone marrow transplant? A) Bring plants to improve air quality. B) Take the patient to the cafeteria for meals. C) Wear hospital scrubs when entering the patient's room. D) Do not visit if you have had a recent infection.

D) Do not visit if you have had a recent infection.

16. A patient has been given a 6-month prognosis and would like to die at home. The patient's care needs are unable to be met in a home environment. What might the nurse suggest as an alternative? A) A rehabilitation hospital C) Acute care B) A personal care home D) Hospice care

D) Hospice care

13. A nurse who is caring for an adult patient who develops a mild oral yeast infection following chemotherapy should encourage the patient to: A) Avoid the use of a lip lubricant. B) Scrub the tongue with a firm-bristled toothbrush. C) Avoid the use of dental floss until the stomatitis is resolved. D) Rinse the mouth with normal saline.

D) Rinse the mouth with normal saline.