Learning System 3.0 - PN Oncology

A nurse is reinforcing teaching with a client about how to perform a breast self-examination (BSE). The nurse should d identify which fo the following finding as an indication fo breast cancer?

A contender, hard lamb that is palpated in a breast

A nurse is caring for a postmenopausal client who is concerned that she might have a higher-than-average risk of breast cancer. After collecting data from the client, the nurse should identify which of the following factors as increasing her breast-cancer risk?( Select all that apply)

Increased breast density BMI 32 Hormonal replacement therapy for 10 years

A nurse is caring for a client who is receiving brachytherapy. Which of the following measures should the nurse contribute to the client's plan of care?

Keep the door to the client's room closed

A nurse is caring for a client who is receiving radiation therapy for breast cancer and reports a metallic test in the mouth. Which of the following dietary recommendations should the nurse relay?

Offer mints

A nurse is collecting data from a client who has cancer and is receiving chemotherapy by peripheral IV infusion. The client reports pain at eh insertion site, and the nurse notes fluid leaking around the catheter. Which of the following actions should the nurse take first?

Stop the infusion

A nurse is contributing to the plan of care for a client who has thrombocytopenia sure to chemotherapy. Which of the following interventions should the nurse include?

Avoid IM injections

A nurse is reinforcing discharge teaching with a client who is postoperative following a high mastectomy for breast cancer. The client will be going home with 2 Jackson-Pratt drains. Which of the following pieces of information should the nurse include in the teaching?

Avoid wearing deodorant until the drains are moves and the in incision heals.

A client who has stage II breast cancer asks the nurse about sites of metastasis for this cancer. Which of the following responses should the nurse make?

Breast cancer tends to metastasize to the bones.

A hospice nurse is reinforcing teaching about palliative care to the partner of a client who has end-stage liver cancer. Which of the following statements by the partner indicates an understanding of teaching?

I will continue to talk to him, even when he's sleeping.

A nurse in an oncology clinic is collecting data from a client who has early stage Hodgkin's lymphoma. Which of the following finding should the nurse expect?

Enlarged lymph nodes

A nurse is collecting data from a female client who is undergoing screening for breast cancer. Which of the following factors place the client at an increased risk for developing breast cancer?

Over 50 years of age

A nurse is collecting data form a client who has colorectal caner. Which of the following manifestations should the nurse expect to find?

Abdominal cramps

A nurse is talking with a group of women at a community center about the current recommendations for early detection of breast cancer. The nurse should recommend which of the following strategies?

Begin annual mammograms at age 40

A nurse is assisting with planning care for a client who is postoperative following a radial mastectomy. Which of the following interventions should the nurse include in the plan?

Begin exercises with the client 1 day after the procedure.

A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings indicates the client is developing superior vena cava syndrome?

Facial edema

A nurse is reinforcing preoperative teaching with a client who has colorectal cancer and is schedule to undergo placement of colostomy with a perineal wound. Which of the following statements by the client indicates an understanding of the teaching?

I can have only liquids for 2 days before the surgery.

A nurse is caring for a postoperative client whose surgeon informed him of a metastasizing malignant neoplasm in the colon. Which of the following statements indicates that the client understands this information?

I have cancer of the colon that has begun to spread

A nurse is reinforcing teaching with a client who has cancer and is receiving external radiation therapy. Which of the following statement made by the client indicates an understanding of the teaching?

I need to protect the area from sunlight.

A nurse is reinforcing teaching with a client who has cancer is undergoing external radiation treatment. Which of the following statements by the client indicates an understanding of the teaching?

I should use my hand instead of a washcloth to wash the areas being radiated.

A nurse is contributing to the plan of care for a client who is postoperative following a modified radical mastectomy. Which of the following invasive devices should the nurse expect the client to have?

Jackson-Pratt drain

A nurse is contributing to the plan of care for a client who is receiving chemotherapy and has a protein deficiency. Which of the following interventions should the nurse include in the plan of care? (Select all the apply)

Mix powdered skim milk into milk Add a slice fo cheese to hot vegetables Mix yogurt into fresh fruit

A nurse is contributing to the plan of care for a client who has cancer and is scheduled to receive internal radiant therapy. Which of the following actions should the nurse recommend?

Place the client in a private room

A nurse is caring for a client who recently had chemotherapy and now has myelosuppression. Which of the following interventions should the nurse initiate?

Prohibit bring fresh flowers and plants into client's room Ensure thorough cleaning of the client's room and bathroom daily Use dedicated equipment items such as stethoscopes

A nurse is planning a presentation in a community center about risk factors fro cancer. Which fo the following types of cancer should the nurse include when discussing familial clustering of specific types of cancer?

Prostate

A nurse is caring for a client who has breast cancer is receiving a combination for chemotherapy mediations. The client expresses confusion about the therapy. Which of the following explanations should the nurse provide?

The chemotherapy medication act at different stages of cell division so more tumor cells are destroyed.

A nurse is collection data from a client. Which of the following finding is the highest risk factor for at the client developing bladder cancer?

The client uses tobacco.

A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of peripheral neuropathy?

Tingling of the hands and feet.

A nurse is reinforcing teaching with a client who has leukemia and has developed thrombocytopenia. Which of the following instructions should the nurse include in the teaching?

Use an electric razor when shaving

A nurse is caring for a client who is receiving radiation therapy for mouth cancer and reports a dry mouth. Which of the following dietary recommendations should the nurse provide?

Use gravers or sauces to soften food

A charge nurse is observing a newly licensed nurse produce care for a client. This client is receiving internal radiation therapy for the treatment of cervical cancer. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?

Borrowing a dosimeter film badge from another nurse before entering the client's room.

A nurse is planning care for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care?

Change the collection pouch in the early morning

A nurse is reinforcing teaching with a client who has stomatitis due to chemotherapy. Which of the following statements by the client indicates a need for further instructions?

I will cleanse my mouth after meals with an alcohol-based mouthwash.

A nurse is assisting in planning care for a client who has cancer and has developed thrombocytopenia following chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse effects of thrombocytopenia?

Remind the client to use an electric razor

A nurse is collecting data from a client who has cancer of the cervix. Which of the following manifestations should the nurse expect?

Vaginal bleeding.

A nurse is reinforcing postoperative discharge teaching with a client following a panhysterectomy for uterine cancer. Which of the following pieces of information should the nurse provide?

You might experience manifestations fo menopause.

A nurse is admitting a client who has multiple myeloma and a WBC of 2,2000/ mm"3. Which of the following foods should the nurse prohibit the family members from bringing to the client?

A fresh fruit basket.

A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the following adverse effects should the nurse anticipate from chemotherapy?

Pancytopenia

A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse should ensure the client understand that she will receive which of the following interventions?

Radioactive infusion or insertion into or near the tumor.

A nurse is planning a presentation for a group of older adults at a senior community center about risk factors for cancer. Which of the following factors increases the risk of developing cancer after age 60?

Weakened immune responses

A nurse is reinforcing discharge teaching with a client following open radial prostatectomy. The client is going home with an indwelling urinary catheter. Which of the following statements by the Clint indicates an understanding of the teaching?

I will take acetaminophen if I have any pain.

A nurse is collecting a heart history from a client who has skin cancer. Which of the following findings in the client's history is the highest risk factor for developing skin cancer?

Overexposure to sunlight

A nurse on an oncology unit is reinforcing discharge teaching with an adolescent client who received a bone marrow transplant for leukemia. Which of the following pieces of information should the nurse include? (Select all that apply)

You should take your temperature at least once a day Examine your feet every day