Cellular Regulation Prepu

According to the TNM classification system, T0 means there is:

no evidence of primary tumor.

A nurse is caring for a client with prostate cancer and assesses bleeding gums and hematuria. What serum indicator should the nurse relate the bleeding?

platelet count of 60,000/mm3

When teaching a client with folic acid deficiency anemia about appropriate food choices, the nurse encourages the client to increase the dietary intake of which foods?

A. spinach and cabbage

The nurse recognizes a client has poor nutrition when which signs and symptoms are present on assessment? A Weakness, edema, flat abdomen, and body size below norms. B. Apathy, dull skin, pale oral mucous membranes, and dark red tongue. C. Posture poor, flat abdomen, tremors, and moist mucous membranes. D. Psychological stability, good turgor, smooth skin, and weakness.

Apathy, dull skin, pale oral mucous membranes, and dark red tongue.

An oncology client has begun to experience skin reactions to radiation therapy, prompting the nurse to make the diagnosis Impaired Skin Integrity: erythematous reaction to radiation therapy. What intervention best addresses this nursing diagnosis?

Avoid rubbing or scratching the affected area

The nurse is evaluating bloodwork results of a client with cancer who is receiving chemotherapy. The client's platelet count is 60,000/mm3. Which is an appropriate nursing action?

Avoiding the use of products containing aspirin

The clinic nurse is caring for a client who has just been diagnosed with a tumor. The client says to the nurse "The doctor says my tumor is benign. What does that mean?" What is the nurse's best response?

Benign tumors don't usually cause death.

The patient diagnosed with thrombocytopenia is at risk for which of the following adverse effects:

Bleeding

A client with terminal small-cell lung cancer has been given a six-month prognosis and wants to die at home. The health care team believes the condition warrants inpatient care. The nurse might suggest which compromise?

Discuss a referral for hospice care.

What foods should the nurse suggest that the patient consume less of in order to reduce nitrate intake because of the possibility of carcinogenic action?

Ham and bacon

The client is experiencing fatigue, pallor, and shortness of breath but is not cyanotic . What lab value should the nurse review in relation to these signs and symptoms? A Blood sugar. B. Hemoglobin and hematocrit. C. Cardiac enzymes. D. Serum electrolytes.

Hemoglobin and hematocrit.

The nurse is caring for a dying client who has just even given a 6 month prognosis. The client's care needs are unable to be met in a home environment. What might the nurse suggest as an alternative?

Hospice care

A client who will have his last chemotherapy cycle in 11 days becomes neutropenic. The client demonstrates an understanding of his condition when he makes which statement?

I'll monitor my temperature frequently and go to the nearest emergency department if my temperature rises above 100.4F for more than one hour

What disadvantages of chemotherapy should the patient be informed about prior to starting the regimen?

It targets normal body cells as well as cancer cells.

The client is diagnosed with cancer and receives a series of chemotherapy. Following this treatment, the nurse reads the client's medical record and learns the tumor has been designated a Stage IV, T4 N3, M1. Which interpretation of this finding is correct?

Metastasis with lymph node involvement

The nurse is caring for a client with the diagnosis of colon cancer with metastasis to the liver. Which statement made by the client indicates an understanding of the diagnosis?

My cancer has now spread to my liver.

A patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe?

Nausea and vomiting

A nurse is teaching a community class about how to decrease the risk of cancer. Which food should the nurse recommend?

Oranges

The nurse prepares to administer synthetic erythropoietin to a client with renal failure. The nurse expects the therapeutic effect of this treatment to be the stimulation of the production of which cell or substance? A Platelets. B. White blood cells. C. Lymph fluid. D. Red blood cells.

Red blood cells.

A client visits the clinic for an annual physical examination. The client tells the nurse that there is a history of cancer in the family and wants to help with a plan of prevention of those things that the client can control. The nurses response should include which lifestyle change?

Refrain from eating preserved and pickled meat

A 70-year-old client with cancer is being cared for in the home of a family member who works outside the home. The home health nurse notes that the family member looks fatigued and unkempt. What action should the nurse implement to assist the caregiver to help care for the client?

Request a home health aide three days a week

A 16-year-old female client has post-chemotherapy alopecia. This prompts the nursing diagnoses of Disturbed Body Image and Situational Low Self-Esteem. Which response by the client would best indicate improved coping related to these diagnoses?

Requests that her family bring her makeup and wig

After being seen in the oncology clinic, a client with severe bone marrow suppression is admitted to the hospital. The client's cancer therapy consisted of radiation and chemotherapy. When developing the care plan for this client, which nursing diagnosis takes priority?

Risk for infection

The nurse is helping the client with iron-deficiency anemia to select appropriate menu choices. Which diet choices indicate that teaching has been effective? A Tofu with mixed vegetables in curry, milk, whole-grain bun. B. Roast beef, steamed spinach, tomato soup, and orange juice. C. Pork chop, mashed potatoes and gravy, cauliflower, and tea. D. Broiled fish, lettuce salad, grapefruit half, carrot sticks.

Roast beef, steamed spinach, tomato soup, and orange juice.

A client with anemia has a nursing diagnosis of activity intolerance . Which intervention will the nurse plan for this client? A. Space activities and plan rest periods. B. Teach the client the basics of good nutrition. C. Promote active and passive range-of-motion activities. D. Teach the client to change position slowly to prevent dizziness .

Space activities and plan rest periods.

You are caring for a client who has just been told that they have stage IV colon cancer. The client asks you what "stage IV" means. What would be your best response?

Stage IV means that the cancer has spread to other organs of the body.

When providing patient teaching regarding taking iron pills, the nurse would include which instructions? (Select all that apply.) A. Take this medication with milk to avoid Gl problems. B. Teaching about potential constipation . C. Keep this potentially toxic medication away from children. D. Take the medication with antacids to alleviate Gl upset. E. Your stools may be green colored.

Teaching about potential constipation . Keep this potentially toxic medication away from children. Your stools may be green colored.

The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. What response by the nurse would best reassure this patient?

These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and X-ray studies.

Which of the following is the single largest preventable cause of cancer?

Tobacco

A client is receiving radiation therapy and asks the nurse about oral hygiene. What teaching specific to the client's situation should the nurse include?

Use a soft toothbrush and allow it to air dry before storing.

For a client diagnosed with pernicious anemia, the nurse emphasizes the importance of lifelong administration of which vitamin supplement? A. Vitamin A B. Vitamin C. C. Folic acid. D. Vitamin B 12.

Vitamin B 12.

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

Wear personal protective equipment when handling blood, body fluids, and feces.

Which of the following would be inconsistent as a common side effect of chemotherapy?

Weight gain

Palliation refers to:

relief of symptoms of disease and promotion of comfort and quality of life.

A client on the oncology unit is receiving carmustine, a chemotherapy agent, and the nurse is aware that a significant side effect of this medication is thrombocytopenia. Which symptom should the nurse assess for in clients at risk for thrombocytopenia?

Epistaxis

The nurse is caring for a thin elderly client who was diagnosed with cancer and is receiving aggressive chemotherapy. The client is experiencing acute side effects and has lost 10 pounds in the past week. What teaching should the nurse include?

Drink liquid supplements between meals to increase intake of nutrients and eat small frequent meals high in calories and protein

A client calls the oncology office nurse and reports nausea and vomiting one week after receiving chemotherapy. What action should the nurse recommend?

Taking prescribed ondansetron