MED 2053 Oncology Quiz #2
A client with cancer has diarrhea and inflamed areas of skin around the rectum. The nurse should do which of the following? Select all that apply.
-Use Sitz Baths -Clean the rectal area with unscented soap and water after each bowel movement, rinse well, and pat dry -Increased fluid intake
The nursing team on an oncology unit consists of a RN, LVN/LPN, and UAP. Which client should be assigned to the RN?
A 52-y/o client with lung cancer admitted for acute dyspnea.
Which of the following clients with cancer should the nurse assess first?
A 75-y/o man with metastatic prostate cancer with a pathologic fracture of the femur who is in pain
The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the teaching plan?
A Foley catheter is usually inserted
A nurse is performing an admission assessment. Which assessment finding indicates an increased risk for skin cancer?
A deep sunburn
Which patient is at greatest risk for pancreatic cancer?
An elderly African American man with a history of smoking and alcohol use.
A client is scheduled to undergo a bone marrow aspiration. Which position would the nurse assist the client into for this procedure?
High Fowlers
The nurse caring for a client who is receiving chemotherapy is concerned about the client's nutritional status. What should the nurse encourage the client to do?
Increase the amount of spices in the food.
The nurse is caring for a client receiving chemotherapy who is experiencing neutropenia. Which intervention would be most appropriate to include in the client's plan of care?
Instruct the client to avoid large crowds and people who are sick.
The nurse is caring for a client with possible cervical cancer. What clinical data would the nurse most expect to find in the client's history?
Postcoital vaginal bleeding
The nurse is caring for a client with leukemia who is receiving the drug doxorubicin (Adriamycin). Which, if occurred would be reported to the physician immediately due to the toxic effects of this drug?
Rales and distended neck veins
A client is receiving cancer chemotherapy. Metoclopramide (Reglan) is also ordered. The client asks the nurse why she is receiving Reglan. What nursing response is most accurate?
Reglan will help control nausea and vomiting
The charge nurse is assigning clients for the shift. Which client should be assigned to the new graduate nurse?
The client diagnosed with cancer of the lung who has chest tubes.
Which of the following clients is at highest risk for colorectal cancer?
The client who has been treated for Crohn's disease for 20 years.
For a patient who is receiving chemotherapy, which laboratory result is of particular importance?
White Blood Cell Count (WBC)
An Registered Nurse (RN) is assigning care on the oncology unit and assigns the client with Kaposi's sarcoma and human immunodeficiency virus (HIV) infection to the licensed vocational nurse (LVN/LPN). The LVN/LPN does not want to care for this client. How should the nurse respond?
You seem worried about this assignment.
Which nursing intervention is most important when administering the chemotherapeutic drug Platinol (cisplatin)?
Administration of an IV bolus of fluid before and after the drug is given.
A client with cancer is scheduled for a cerebral angiography. In preparing the client for the test, the nurse is correct when she
Asks the client if he has an allergy to iodine or shellfish.
The client who is receiving chemotherapy is not eating well but otherwise feels healthy. Which meal suggestion would be best for this client?
Broiled chicken, green beans, and cottage cheese.
A nurse is assessing an adult who has been receiving chemotherapy. The client has a platelet count of 22,000 cells/mm3 and has petechiae on the lower extremities. The nurse should advise the client to:
Consul the oncologist.
