NCLEX-PN Ch. 43 - Hematological and Oncological Disorders

The nurse is caring for a client with an internal radiation implant. The nurse would observe which principle? 1. Pregnant women are not allowed into the clients room 2. Limit the time with the client to 1 hour per 8-hour shift 3. Remove the dosimeter badge when entering the clients room 4. Individuals less than 16 years old are allowed in the room if they stay 6 feet away from the client

Pregnant women are not allowed into the clients room

The client with carcinoma of the lung develops the syndrome of inappropriate intidiuretic hormone (SIADH) as of complication of the cancer. The nurse anticipates that which may be prescribed to treat this complication? Select all that apply 1. Radiation 2. Chemotherapy 3. Increased fluid intake 4. Serum sodium blood levels 5. Decreased oral sodium intake 6. Medication that is antagonistic to antidiuretic hormone (ADH)

Radiation, Chemotherapy, Serum blood glucose levels, and Medication that is antagonistic to antidiuretic hormone (ADH)

The nurse is assisting with developing a plan of care for a client who is experiencing hematological toxicitiy as a result of chemotherapy. The nurse should suggest including which int he plan of care? 1. Restricting all visitors 2. Restricting fluid intake 3. Restricting fresh fruits and vegetables in the diet 4. Inserting an indwelling urinary catheter to prevent skin breakdown

Restricting fresh fruits and vegetables in the diet

When reviewing the health care record of a client with ovarian cancer, the nurse recognizes which sign/symptom as being a typical manifestation of the disease? 1. Diarrhea 2. Hypermenorrhea 3. Abnormal bleeding 4. Abdominal distention

Abdominal distention

The nurse is reinforcing instructions to a client receiving external radiation therapy. The nurse determines that the client needs further teaching if the client states an intention to take which action? 1. Eat a high-protein diet 2. Avoid exposure to sunlight 3. Wash the skin with a mild soap and pat dry 4. Apply pressure on the radiated area to prevent bleeding

Apply pressure on the radiated area to prevent bleeding

The nurse is caring for a client after a mastectomy. Which finding would indicate that the client is experiencing a complication related to the surgery? 1. Mild pain at the incisional site 2. Arm edema on the operative side 3. Sanguineous drainage in the drainage tube 4. Complaints of decreased sensation near the operative site

Arm edema on the operative side

The nurse is reinforcing discharge instructions to a client with cancer of the prostate after a prostatectomy. The nurse should reinforce which discharge instruction? 1. Avoid driving a car for 1 week 2. Restrict fluid intake to prevent incontinence 3. Avoiding lifting objects heavier than 20 pounds for at least 6 weeks 4. Notify the health care provider if small blood clots are noticed during urination

Avoid lifting objects heavier than 20 pounds for at least 6 weeks

The nurse is assisting with developing a plan of care for the client with multiple myeloma. Which is a priority in nursing interventions for the client? 1. Encouraging fluids 2. Providing frequent oral care 3. Coughing and deep breathing 4. Monitoring the red blood cell count

Encouraging fluids

The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which finding should the nurse most likely expect to find documented in the clients record? 1. Fatigue 2. Weakness 3. Weight gain 4. Enlarged lymph nodes

Enlarged lymph nodes

The nurse provides skin care instructions to the client who is receiving external radiation therapy. Which statement by the client indicates the need for further teaching? 1. "I will handle this area gently" 2. "I will wear loose-fitting clothing" 3. "I will avoid the use of deodorants" 4. "I will limit sun exposure to 1 hour daily"

I will limit sun exposure to 1 hour daily

The nurse is reviewing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory finding would provide information about the massive cell destruction that occurs with the chemotherapy? 1. Anemia 2. Decreased platelets 3. Increased uric acid level 4. Decreased leukocyte count

Increased uric acid level

The nurse is reviewing the laboratory results of a client who is receiving chemotherapy and notes that the platelet count is 10,000 cells/mm^3. On the basis of this laboratory valuem, the nurse should collect which data as a priority? 1. Temperature 2. Lung sounds 3. Status of skin turgor 4. Level of consciousness

Level of consciousness

The client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. Which is the immediate nursing action? 1. Call the health care provider (HCP) 2. Reinsert the implant into the vagina 3. Pick up the implant with gloved hands and flush it down the toilet 4. Pick up the implant with long-handled forceps and place into a lead container

Pick up the implant with long-handled forceps and place into a lead container

The nurse is assisting with conducting a health-promotion program to community members regarding testicular cancer. The nurse determines that further teaching is needed if a community member states that which is a sign/symptom of testicular cancer? 1. Alopecia 2. Back pain 3. Painless testicular swelling 4. A heavy sensation in the scrotum

alopecia

The client is receiving external radiation to the neck for cancer of the larynx. The nurse monitors the client knowing that which is the most likely side/adverse effect of the external radiation? 1. Dyspnea 2. Diarrhea 3. Sore throat 4. Constipation

sore throat