Ch 15 Prep U

Which of the following is the single largest preventable cause of cancer? A. Arsenic B. Tobacco C.Pesticides Asbestos

B.Tobacco

To combat the most common adverse effects of chemotherapy, a nurse should administer an: A. antibiotic. B. antimetabolite. C. anticoagulant. D. antiemetic.

D. antiemetic.

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? A. Epistaxis B. Interrupted sleep pattern C. Increased weight Hot flashes

A. Epistaxis

Cancer has many characteristics. What is one of the most discouraging characteristics of cancer? A. Metastasis B. Slow growth C. Carcinogenesis D. Large size tumors

A. Metastasis

The public health nurse is presenting a health promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America? A.Smoking cessation B. Monthly self-breast exams C. Monthly testicular exams D. Annual colonoscopies

A. Smoking cessation

A client calls the oncology office nurse and reports nausea and vomiting one week after receiving chemotherapy. What action should the nurse recommend? A.Taking prescribed ondansetron B. Using imagery techniques C. Practicing relaxation techniques D. Obtaining acupressure treatments

A. Taking prescribed ondansetron

The patient diagnosed with thrombocytopenia is at risk for which of the following adverse effects: A.Diminished reflexes B. Bleeding C. Headache D. Stomatitis

B. Bleeding

A nurse who works in an oncology clinic is assessing a client who has arrived for a 2-month follow-up appointment following chemotherapy. The nurse notes that the client's skin appears yellow. Which blood tests should be done to further explore this clinical sign? A.Blood urea nitrogen and creatinine B. Liver function tests (LFTs) C. Complete blood count (CBC) D. Platelet count

B. Liver function tests (LFTs)

Palliation refers to the lowest point of white blood cell depression after therapy that has toxic effects on bone marrow. A. the spread of cancer cells from the primary tumor to distant sites. B. relief of symptoms of disease and promotion of comfort and quality of life. C. hair loss.

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

A client received chemotherapy 24 hours ago. Which precautions are necessary when caring for the client? A. Wear sterile gloves. B. Wear personal protective equipment when handling blood, body fluids, and feces. C. Place incontinence pads in the regular trash container. D. Provide a urinal or bedpan to decrease the likelihood of soiling linens.

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

You are a clinic nurse. One of your clients has found she is at high risk for breast cancer. She asks you what can be done to reduce her risk. What is a means of reducing the risk for breast cancer? A. Palliative surgery B. Reduction surgery C.Curative surgery D. Prophylactic surgery

D. Prophylactic surgery

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? A. Imbalanced nutrition: Less than body requirements B. Risk for infection C. Anxiety D. Risk for injury

D. Risk for infection

A client 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? A. Altered glucose B. metabolism C. Pruritis (itching) D. Nausea and vomiting Confusion

D.Nausea and vomiting