Medical Surgical - Finals

What are the three most important prognostic factors in determining long-term survival for children with acute leukemia? A. Histologic type of disease, initial WBC count, and client's age at diagnosis B. Progression of illness, WBC at the time of diagnosis, and client's age at the time of diagnosis C. Histologic type of disease, initial platelet count, and type of treatment D. Type of treatment and client's sex

A. Histologic type of disease, initial WBC count, and client's age at diagnosis

The nurse is concerned with the prevention of communicable disease. Primary prevention results from: A. Immunizations B. Early diagnosis C. Strict isolation D. Treatment of disease

A. Immunizations

During a routine physical examination, a firm mass is palpated in the right breast of a 35-year-old woman. Which of the following findings or client history would suggest cancer of the breast as opposed to fibrocystic disease? A. Increased vascularity of the breast B. History of anovulatory cycles C. Cyclic changes in mass size D. History of early menarche

A. Increased vascularity of the breast

For a female client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care? A. Inspecting the skin for petechiae once every shift B. Placing the client in strict isolation C. Providing for frequent rest periods D. Administering aspirin if the temperature exceeds 102° F (38.8°C)

A. Inspecting the skin for petechiae once every shift

A 36-year-old man with lymphoma presents with signs of impending septic shock 9 days after chemotherapy. The nurse would expect which of the following to be present? A. Low-grade fever, chills, tachycardia B. Elevated temperature, oliguria, hypotension C. Flushing, decreased oxygen saturation, mild hypotension D. High-grade fever, normal blood pressure, increased respiration

A. Low-grade fever, chills, tachycardia

After the nurse has explained the purpose of and schedule for chemotherapy to a 23-year-old patient who recently received a diagnosis of acute leukemia, the patient asks the nurse to repeat the information. Based on this assessment, which nursing diagnosis is most likely for the patient? A. Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis B. Knowledge deficit: chemotherapy related to a lack of interest in learning about treatment C. Risk for ineffective adherence to treatment related to denial of need for chemotherapy D. Acute confusion related to infiltration of leukemia cells into the central nervous system

A. Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis

The client with a benign lung tumor is treated in which of the following ways? A. The tumor is removed, involving the least possible amount of tissue B. The tumor is left alone unless symptoms are present C. The tumor is treated with radiation only D. The tumor is treated with chemotherapy only

A. The tumor is removed, involving the least possible amount of tissue

An important nursing intervention in the care of a child with bacterial conjunctivitis is: A. intermittent warm, moist compresses to remove crusts on the eye area. B. oral antihistamines to minimize itching. C. continuous warm compresses to relieve discomfort. D. application of optic corticosteroids to reduce inflammation.

A. intermittent warm, moist compresses to remove crusts on the eye area.

The nurse is teaching a 17-year old client and the client's family about what to expect with high-dose chemotherapy and the effects of neutropenia. What should the nurse teach as the most reliable early indicator of infection in a neutropenic client? A. Dyspnea B. Fever C. Tachycardia D. Chills

B. Fever

A 35 years old client with ovarian cancer is prescribed hydroxyurea (Hydrea), an antimetabolite drug. Antimetabolites are a diverse group of antineoplastic agents that interfere with various metabolic actions of the cell. The mechanism of action of antimetabolites interferes with: A. Cell division or mitosis during the M phase of the cell cycle B. Normal cellular processes during the S phase of the cell cycle C. The chemical structure of deoxyribonucleic acid (DNA) and chemical binding between DNA molecules (cell cycle-nonspecific) D. One or more stages of ribonucleic acid (RNA) synthesis, DNA synthesis, or both (cell cycle-nonspecific)

B. Normal cellular processes during the S phase of the cell cycle

Warning signs and symptoms of lung cancer include persistent cough, bloody sputum, dyspnea, and which of the other following symptoms? A. Generalized weakness B. Recurrent pleural effusion C. Dizziness D. Hypotension

B. Recurrent pleural effusion

A 35-year-old client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis (inflammation of the mouth)? A. Rust-colored sputum B. Red, open sores on the oral mucosa C. Yellow tooth discoloration D. White, cottage cheese-like patches on the tongue

B. Red, open sores on the oral mucosa

Nurse Kate is reviewing the complications of colonization with a client who has microinvasive cervical cancer. Which complication, if identified by the client, indicates a need for further teaching? A. Hemorrhage B. Ruptured ovarian cyst C. Infection D. Cervical stenosis

B. Ruptured ovarian cyst

A 40-year-old male diagnosed with acute lymphocytic leukemia finished his first cycle of chemotherapy. Which of the following statements by the nurse is wrong? A. "You can eat soft cheeses from pasteurized milk" B. "You can enjoy the turkey on the day of thanksgiving party" C. "Try eating sashimi in one of the famous Japanese restaurants around the city" D. " A medium well steak is a good idea of a sumptuous meal"

C. "Try eating sashimi in one of the famous Japanese restaurants around the city"

A patient who has terminal cancer of the liver and is cared for by family members at home tells the nurse, "I have intense pain most of the time now." The nurse recognizes that teaching regarding pain management has been effective when the patient A. States that nonopioid analgesics may be used when the maximal dose of the opioid is reached without adequate pain relief B. Uses the ordered opioid pain medication whenever the pain is greater than 5 on a 10-point scale C. Agrees to take the medications by the IV route to improve effectiveness D. Takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs

D. Takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs

The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing: A. Extreme stress caused by the diagnosis of cancer B. Altered perineal sensation as a side effect of radiation therapy C. Rupture of the bladder D. The development of a vesicovaginal fistula

D. The development of a vesicovaginal fistula

Jenny with an advanced breast cancer is prescribed Nolvadex (tamoxifen). When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately? A. Anorexia B. Headache C. Hearing loss D. Vision changes

D. Vision changes

A client with leukemia has neutropenia. Which of the following functions must be frequently assessed? A. Heart sounds B. Bowel sounds C. Breath sounds D. Blood pressure

C. Breath sounds

Which of the following clients is most at risk for developing multiple myeloma? A. A 60-year-old African-American man B. A 52-year-old Hispanic woman C. A 35-year-old White man D. A 25-year-old Asian woman

A. A 60-year-old African-American man

During the admission assessment of a 35 year old client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease? A. Abdominal distention B. Abdominal bleeding C. Diarrhea D. Hypermenorrhea

A. Abdominal distention

Giving instructions for breast self-examination is particularly important for clients with which of the following medical problems? A. Ovarian cancer B. Endometrial polyps C. Cervical dysplasia D. A dermoid cyst

A. Ovarian cancer

The nurse is interviewing a male client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer? A. Polyps B. Weight gain C. Hemorrhoids D. Duodenal ulcers

A. Polyps

A patient receiving head and neck radiation and systemic chemotherapy has ulcerations over the oral mucosa and tongue and thick, ropey saliva. An appropriate intervention for the nurse to teach the patient is to A. Rinse the mouth before and after each meal and at bedtime with a saline solution B. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth C. Gargle and rinse the mouth several times a day with an antiseptic mouthwash D. Remove food debris from the teeth and oral mucosa with a stiff toothbrush

A. Rinse the mouth before and after each meal and at bedtime with a saline solution

A 58-year-old man is going to have chemotherapy for lung cancer. He asks the nurse how the chemotherapeutic drugs will work. The most accurate explanation the nurse can give is which of the following? A. "Cancer cells are susceptible to drug toxins." B. "Chemotherapy affects all rapidly dividing cells." C. "Chemotherapy encourages cancer cells to divide." D. "The molecular structure of the DNA is altered."

B. "Chemotherapy affects all rapidly dividing cells."

A male client undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, the nurse should include which instruction? A. "Keep the stoma dry." B. "Keep the stoma moist." C."Keep the stoma uncovered." D. "Have a family member perform stoma care initially until you get used to the procedure."

B. "Keep the stoma moist."

Nurse Donald is caring for a client following a modified radical mastectomy. Which assessment finding would indicate that the client is experiencing a complication related to this surgery? A. Pain at the incisional site B. Complaints of decreased sensation near the operative site C. Arm edema on the operative side D. Sanguineous drainage in the Jackson-Pratt drain

C. Arm edema on the operative side

Nurse Melinda is caring for a client who is postoperative following a pelvic exenteration and the physician changes the client's diet from NPO status to clear liquids. The nurse makes which priority assessment before administering the diet? A. Ability to ambulate B. Urine specific gravity C. Bowel sounds D. Incision appearance

C. Bowel sounds

A centrally located tumor would produce which of the following symptoms? A. Shoulder pain B. Pleuritic pain C. Coughing D. Hemoptysis

C. Coughing

A female client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a fluid and electrolyte imbalance induced by chemotherapy? A. Serum potassium level of 3.6 mEq/L B. Blood pressure of 120/64 to 130/72 mm Hg C. Dry oral mucous membranes and cracked lips D. Urine output of 400 ml in 8 hours

C. Dry oral mucous membranes and cracked lips

Nurse Cindy is caring for a client who has undergone a vaginal hysterectomy. The nurse avoids which of the following in the care of this client? A. Removal of antiembolism stockings twice daily B. Checking placement of pneumatic compression boots C. Elevating the knee gatch on the bed D. Assisting with range-of-motion leg exercises

C. Elevating the knee gatch on the bed

A 56-year-old woman is currently receiving radiation therapy to the chest wall for recurrent breast cancer. She calls her health care provider to report that she has pain while swallowing and burning and tightness in her chest. Which of the following complications of radiation therapy is likely responsible for her symptoms? A. Radiation enteritis B. Stomatitis C. Esophagitis D. Hiatal hernia

C. Esophagitis

Nurse April is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by: A. Breast self-examination B. Mammography C. Fine needle aspiration D. Chest X-ray

C. Fine needle aspiration

What should a male client over age 52 do to help ensure early identification of prostate cancer? A. Have a transrectal ultrasound every 5 years B. Perform monthly testicular self-examinations, especially after age 50 C. Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly D. Have a complete blood count (CBC) and blood urea nitrogen (BUN) and creatinine levels checked yearly

C. Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly

Gio, a community health nurse, is instructing a group of female clients about breast self-examination. The nurse instructs the client to perform the examination: A. At the onset of menstruation B. Every month during ovulation C. Weekly at the same time of day D. 1 week after menstruation begins

D. 1 week after menstruation begins

Joseph who had a history of long-term smoking and alcoholism is diagnosed with oropharyngeal cancer. He is admitted into the chemo unit for the initiation of chemotherapy. Which of the following tests is performed before the infusion of chemotherapeutic agents? A. Complete blood count (CBC) B. Peripheral blood smear C. Lumbar puncture D. Liver function test

D. Liver function test

The client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention is the highest priority in the nursing plan of care? A. Monitoring temperature B. Monitoring for pathological factors C. Ambulation three times a day D. Monitoring the platelet count

D. Monitoring the platelet count

A 34-year-old female client is requesting information about mammograms and breast cancer. She isn't considered at high risk for breast cancer. What should the nurse tell this client? A. She should have had a baseline mammogram before age 30 B. When she begins having yearly mammograms, breast self-examinations will no longer be necessary C. She should perform breast self-examination during the first 5 days of each menstrual cycle D. She should eat a low-fat diet to further decrease her risk of breast cancer

D. She should eat a low-fat diet to further decrease her risk of breast cancer

The nurse is instructing the client to perform a testicular self-examination. The nurse tells the client: A. That testicular examination should be done at least every 6 months B. To gently feel the testicle with one finger to feel for a growth C. To examine the testicles while lying down D. The best time for the examination is after a shower

D. The best time for the examination is after a shower

.The nurse would document a rash that has erythematous circular raised lesions as? a. Papular b. pustular c. Vesicular d. macular

a. Papular

The wife of the client diagnosed with septic meningitis asks the nurse, "I am so scared. What is meningitis?" Which statement would be the most appropriate response by the nurse? a. "This is a bacterial infection of the tissues that cover the brain and spinal cord." b. "There is bleeding into his brain causing irritation of the meninges.'' c. "A virus has infected the brain and meninges, causing inflammation." d. "This is an inflammation of the brain parenchyma caused by a mosquito bite."

a. "This is a bacterial infection of the tissues that cover the brain and spinal cord."

A kid with rubeola (measles) is being admitted to hospital. The nurse should plan for which precaution? a. Airborne b. Neutropenic c. Enteric d. protective

a. Airborne

For which airborne disease(s) would the nurse be required to use gloves, respiratory devices, and gown when in close contact with the client? a. Chickenpox, pulmonary tuberculosis b. Multidrug-resistant respiratory syncytial virus c. Herpes simplex, scabies d. Viral pneumonia, atelectasis

a. Chickenpox, pulmonary tuberculosis

Which type of precautions should the nurse implement for the client diagnosed with septic meningitis? a. Droplet Precautions. b. Airborne Precautions. c. Contact Precautions. d. Standard Precaution

a. Droplet Precautions.

The interval when a client manifests signs and symptoms specific to a type of infection is the: a. Illness Stage b. Incubation Period c. Convalescence d. Prodromal Stage

a. Illness Stage

Before the nurse washes the hands when leaving an isolation room, what is the last thing that is removed? a. Mask b. Goggles c. Gown d. Head cover

a. Mask

The type of precautions necessary when caring for a toddler with varicella is? a. airborne infection b. Contact c. Protective d. large droplet infectio

a. airborne infection

Nurse April is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by? a. fine needle aspiration b. chest Xray c. Mammography d. BSE

a. fine needle aspiration

The best example of medical asepsis is? a. hand washing b. use of sterile instruments c. drawing medication into syringe d. autoclaving

a. hand washing

. One of the first signs of mumps is? a. pain in the region of the parotid gland b. pain in the back c. Diarrhea d. otitis media

a. pain in the region of the parotid gland

A patient who is diagnosed with cervical cancer that is classified as Tis, NO, MO asks the nurse what the letters and numbers 4 mean. Which response by the nurse is most appropriate? a. "The cancer cells look almost like normal cells." b. "The cancer involves only the cervix." c. "Further testing is needed to determine the spread of the cancer." d. "It is difficult to determine the original site of the cervical cance

b. "The cancer involves only the cervix."

. If an infectious disease can be transmitted directly from one person to another, it is? a. A susceptible host b. A communicable disease c. A portal of exit from the reservoir d. A portal of entry to a host

b. A communicable disease

A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. Which action, if taken by the nurse, is most appropriate? a. Give the patient two ounces of a citrus fruit beverage during treatments. b. Administer prescribed antiemetics 1 hour before the treatments. c. Offer dry crackers and carbonated fluids during chemotherapy. d. Have the patient eat large meals when nausea is not present.

b. Administer prescribed antiemetics 1 hour before the treatments.

The physician tells the patient that there will be an initial course of treatment with continued maintenance treatments and ongoing observation for signs and symptoms over a prolonged period of time. You can help the patient by reinforcing that the primary goal for this type of treatment is: a. Cure b. Control c. Permanent remission d. Palliation

b. Control

A male client with a nagging cough makes an appointment to see the physician after reading that this symptom is one of the seven warning signs of cancer. What is another warning sign of cancer? a. Rash b. Indigestion c. Persistent nausea d. Chronic ache or pain

b. Indigestion

The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical manifestations would support the diagnosis of bacterial meningitis? a. Negative Chvostek's sign and facial tingling. b. Positive Kernig's sign and nuchal rigidity. c. Positive Babinski's sign and peripheral paresthesia. d. Negative Trousseau's sign and nystagmus

b. Positive Kernig's sign and nuchal rigidity.

An immunized child with a serious puncture wound has been diagnosed with tetanus. Which of the following actions is critical for the unit charge nurse to perform? a. Assign only fully immunized nurses to care for the child. b. Reinforce the need to pad the side rails and headboard of the child's hospital bed. d. Check that the child is maintained on contact isolation. d. Order a hypothermia mattress and prescribed antiviral medications for the child.

b. Reinforce the need to pad the side rails and headboard of the child's hospital bed.

The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. What statement made by parent indicates a NEED for further instruction? a. We need to encourage our child to drink fluids b. We need to maintain droplet precautions and a quiet environment for at least 2 weeks c. Vomiting may occur when our child has coughing episodes d. Coughing spells may be triggered by dust or smoke

b. We need to maintain droplet precautions and a quiet environment for at least 2 weeks

Nurse Lucia is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms? a. after the first menstrual period and annually thereafter b. after age 40 c. after the birth of the first child and every 2 years thereafter d. every 3 vears between ages 20 and 40 and annually thereafter

b. after age 40

A nurse should suspect meningitis if a patient exhibited characteristic position which would be? a. knees pulled up b. head pulled forward onto the chest c. backward arching of the spine d. joints of hands flexed

b. head pulled forward onto the chest

When insect serves as the host for transmission, this is called? a. Contact b. vector borne c. Airborne d. vehicle

b. vector borne

A 5-year-old child who has received no vaccinations is admitted to the pediatric unit with a diagnosis of diphtheria. Which of the following signs/symptoms would the nurse expect to see? a. Macular papular rash b. Strawberry-red tongue c. Markedly edematous neck d. Conjunctival hemorrhages

c. Markedly edematous neck

In infectious diseases such as hepatitis B and C, a reservoir for pathogens is: a. The respiratory tract b. The urinary tract c. The blood d. The reproductive tract

c. The blood

A nurse is assigned to care for a client with a deep wound infection. Which of the following actions would result in the contamination of sterile gloves? a. The nurse takes a gauze pad in hand and places it in the wound. b. The nurse picks up a gauze pad soaked in sterile saline to cleanse the wound. c. The nurse pulls up the sheet over the client's perineum for better draping. d. The nurse grasps a sterile cotton-tipped swab to clean wound edges.

c. The nurse pulls up the sheet over the client's perineum for better draping.

The nurse has just admitted a client to rule out active hepatitis B. The client is confused, spitting and scratching everyone who enters the room. The nurse should a. Wait an hour until the client calms down and then use gloves when touching the client. b. Realize that isolation equipment might further confuse the client and avoid using a face mask and shield but use gown and gloves. c. Use gloves, mask, face shield, and gown when entering the room to perform the initial assessment. d. Administer a sedative and then perform the assessment after the client is asleep; no precautions would be needed.

c. Use gloves, mask, face shield, and gown when entering the room to perform the initial assessment.

What do you tell patients is the most important risk factor for lung cancer when you are teaching about lung cancer prevention? a. Exposure to environmental occupational carcinogens b. Exposure to environmental tobacco smoke (ETS) c. cigarette smoking d. Vape

c. cigarette smoking

An appropriate intervention to provide comfort for a child itching from chickenpox is to? a. encourage frequent warm baths b. apply a thick coat of Caladryl lotion over open lesions. c. give an antipruritic medication such as diphenhydramine (Benadryl) d. give acetaminophen (Tylenol)

c. give an antipruritic medication such as diphenhydramine (Benadryl)

Which of the following is not a symptom of localized infection? a. Redness b. Edema c. lymph node enlargement d. restricted movement of the affected body part

c. lymph node enlargement

. The time interval between early manifestations of disease and the overt clinical syndrome is called the? a. period of communicability b. incubation period c. prodromal period d. desquamation period

c. prodromal period

The primary human reservoir for staphyloccocus areus is? a. adult genatalia b. blood c. skin d. feces

c. skin

The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer. Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider? a. Poor oral intake b. Complaints of nausea and vomiting c. Frequent loose stools d. Increase in carcinoembryonic antigen (CEA)

d. Increase in carcinoembryonic antigen (CEA)

A four year-old child is recovering from chicken pox (varicella). The parents would like to have the child return to day care as soon as possible. In order to ensure that the illness is no longer communicable, the nurse would assess for? a. Elevated temperature b. Presence of vesicles c. Rhinorrhea and coryza d. All lesions crusted

d. All lesions crusted

After coming in contact with infected clients, and after handling contaminated equipment or organic material, visitors are encouraged to? a. Wear gloves before eating or handling food b. Leave the facility to prevent contamination of others c. Use a private room to talk with family members d. Perform hand hygiene before eating or handling food

d. Perform hand hygiene before eating or handling food

The most effective way to break the chain of infection is by: a. Wearing gloves b. Placing clients in isolation c. Providing private rooms for clients d. Practicing good hand hygiene

d. Practicing good hand hygiene

The nurse explains to the parents that their child is in the prodromal stage of varicella. This means that the child: a. is infected with varicella but is not contagious. b. does not have varicella but has been exposed to it. c. is now immune to varicella. d. has varicella but has not yet broken out.

d. has varicella but has not yet broken out.

A male client has an abnormal result on a Papanicolaou test. After admitting, he read his chart while the nurse was out of the room, the client asked what dysplasia means. Which definition should the nurse provide? A. Alteration in the size, shape, and organization of differentiated cells B. Increase in the number of normal cells in a normal arrangement in a tissue or an organ C. Presence of completely undifferentiated tumor cells that don't resemble cells of the tissues of their origin D. Replacement of one type of fully differentiated cell by another in tissues where the second type normally isn't found

A. Alteration in the size, shape, and organization of differentiated cells

Which of the following complications are three main consequences of leukemia? A. Anemia, infection, and bleeding tendencies B. Bone deformities, spherocytosis, and infection C. Polycythemia, decreased clotting time, and infection D. Lymphocytopoiesis, growth delays, and hirsutism

A. Anemia, infection, and bleeding tendencies

A 32-year-old woman meets with the nurse on her first office visit since undergoing a left mastectomy. When asked how she is doing, the woman states her appetite is still not good, she is not getting much sleep because she doesn't go to bed until her husband is asleep, and she is really anxious to get back to work. Which of the following nursing interventions should the nurse explore to support the client's current needs? A. Ask open-ended questions about sexuality issues related to her mastectomy B. Suggest that the client learn relaxation techniques to help with her insomnia C. Call the physician to discuss allowing the client to return to work earlier D. Perform a nutritional assessment to assess for anorexia

A. Ask open-ended questions about sexuality issues related to her mastectomy

Angela, a clinical instructor is conducting a lecture about chemotherapy. Which of the following statements is correct about the rate of cell growth in relation to chemotherapy? A. Faster growing cells are more susceptible to chemotherapy B. Faster growing cells are less susceptible to chemotherapy C. Slower growing cells are more susceptible to chemotherapy D. Non-dividing cells are more susceptible to chemotherapy

A. Faster growing cells are more susceptible to chemotherapy

A female client with cancer is scheduled for radiation therapy. The nurse knows that radiation at any treatment site may cause a certain adverse effect. Therefore, the nurse should prepare the client to expect: A. Fatigue B. Vomiting C. Hair loss D. Stomatitis

A. Fatigue

A 32-year-old male patient is to undergo radiation therapy to the pelvic area for Hodgkin's lymphoma. He expresses concern to the nurse about the effect of chemotherapy on his sexual function. The best response by the nurse to the patient's concerns is A. "Radiation does not cause the problems with sexual functioning that occur with chemotherapy or surgical procedures used to treat cancer." B. "It is possible you may have some changes in your sexual function, and you may want to consider pretreatment harvesting of sperm if you want children." C. "The radiation will make you sterile, but your ability to have sexual intercourse will not be changed by the treatment." D. "You may have some temporary impotence during the course of the radiation, but normal sexual function will return."

B. "It is possible you may have some changes in your sexual function, and you may want to consider pretreatment harvesting of sperm if you want children.

On a clinic visit a client who has a relative with cancer, is asking about the warning signs that may relate to cancer. The nurse correctly identifies the warning signs of cancer by responding: A. "A lump located only in the breast area may suggest the presence of cancer." B. "Sudden weight loss of unexplained etiology can be a warning sign of cancer." C. "Presence of dry cough is one of the warning signs of cancer." D. "If a sore healing took a month or more to heal, cancer should be suspected."

B. "Sudden weight loss of unexplained etiology can be a warning sign of cancer."

A male client is in isolation after receiving an internal radioactive implant to treat cancer. Two hours later, the nurse discovers the implant in the bed linens. What should the nurse do first? A. Leave the room and notify the radiation therapy department immediately B. Put the implant back in place, using forceps and a shield for self-protection, and call for help C. Pick up the implant with long-handled forceps and place it in a lead-lined container D. Stand as far away from the implant as possible and call for help

C. Pick up the implant with long-handled forceps and place it in a lead-lined container

Nurse Joy is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which of the following principles? A. Remove the dosimeter badge when entering the client's room B. Individuals younger than 16 years old may be allowed to go in the room as long as they are 6 feet away from the client C. Limit the time with the client to 1 hour per shift D. Do not allow pregnant women into the client's room

D. Do not allow pregnant women into the client's room

A bone marrow transplant is being considered for treatment of a patient with acute leukemia that has not responded to chemotherapy. In discussing the treatment with the patient, the nurse explains that A. Donor bone marrow cells are transplanted immediately after an infusion of chemotherapy B. The transplant procedure takes place in a sterile operating room to minimize the risk for infection C. The transplant of the donated cells is painful because of the nerves in the tissue lining the bone D. Hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT)

D. Hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT)

During chemotherapy, an oncology client has a nursing diagnosis of impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis? A. Monitoring the client's platelet and leukocyte counts B. Checking regularly for signs and symptoms of stomatitis C. Recommending that the client discontinue chemotherapy D. Providing a solution of hydrogen peroxide and water for use as a mouth rinse

D. Providing a solution of hydrogen peroxide and water for use as a mouth rinse