Med Surg Oncology
A nurse is reinforcing preoperative teaching for a client who has colorectal cancer and is to undergo placement of a 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." The client should consume a full or clear liquid diet for 24 to 48 hr before the surgery to decrease bulk. The client should consume a low-residue diet for several days prior to surgery to decrease peristalsis.
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 is caring for a client who has breast cancer and is receiving a combination of chemotherapy medications. The client expresses confusion about the therapy. Which of the following explanations should the nurse provide?
"The chemotherapy medications act at different stages of cell division so more tumor cells are destroyed."
A nurse on an oncology unit is reinforcing discharge teaching for an adolescent client who received a bone marrow transplant for leukemia. Which of the following information should the nurse include? (Select all that apply.)
"You should take your temperature at least once a day" is correct. Clients who are postoperative following bone marrow transplants are immunosuppressed and should continually monitor for manifestations of infection. A temperature that is greater than 38° C (100° F) should be reported immediately to the provider. "Examine your feet every day" is correct. A client who had a bone marrow transplant is immunosuppressed. The client should examine his feet daily to identify injuries that might increase the risk for infection.
A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm?. Which of the following foods should the nurse prohibit the family members from bringing to the client?
A fresh fruit basket Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the skin might harbor bacteria that can cause an infection. The nurse should prohibit these foods from entering the client's room.
A nurse is reinforcing discharge teaching to a client who is postoperative following a right mastectomy for breast cancer. The client will be going home with two Jackson-Pratt drains. Which of the following information should the nurse include in the teaching?
Avoid wearing deodorant until the drains are removed and the incision heals
A nurse is assisting in 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. The nurse should plan to change the urinary collection pouch in the early morning when urine output is reduced.
A nurse in an oncology clinic is collecting data from a client who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse expect?
Enlarged lymph nodes Hodgkin's lymphoma is a malignancy of lymphoid tissue found in the lymph nodes, spleen, liver, and bone marrow. The first manifestation of this cancer is often an enlarged painless lymph node, or nodes, which appear without a known cause.
A nurse is reinforcing teaching to client who has cancer and is receiving external radiation therapy. Which of the following statements made by the client indicates an understanding of the teaching?
I need to protect the area from sunlight
A nurse is reinforcing discharge teaching to a client following open radical prostatectomy. The client is going home with an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?
I will take acetaminophen if i have any pain
A nurse is collecting data from a female client who is undergoing screening for breast cancer. Which of the following factors places the client at a high increased risk for developing breast cancer?
Over 50 years of age
A nurse is collecting a health 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 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 and is receiving chemotherapy by peripheral IV infusion. The client reports pain at the 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 collecting data from a client. Which of the following findings is the highest risk factor for the client developing bladder cancer?
The client uses tobacco.
A nurse is reinforcing postoperative discharge teaching for a client following a panhysterectomy for uterine cancer. Which of the following information should the nurse provide?
You might experience manifestations of menopause
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 caring for a client who is receiving chemotherapy to treat cancer. Which of the following adverse effects should the nurse anticipate from the chemotherapy?
pancytopenia
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 hands and feet
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
