Passpoint - Oncologic Disorders

A client recently diagnosed with metastatic liver cancer is admitted for hospice care. An acquaintance of the client calls the nurse to ask how the client is doing. Which response by the nurse is most appropriate?

"I'm not permitted to give you any information about his condition for confidentiality reasons; I'll tell him you were asking about him."

An oncology clinic nurse is reinforcing prevention measures for oropharyngeal infections to a client receiving chemotherapy. Which statement by the client indicates an understanding of the nurse's teaching?

"I clean my teeth gently several times a day."

A young adult client received her first chemotherapy treatment for breast cancer. Which statement by the client requires further exploration by the nurse?

"I don't care about the adverse effects of the drugs."

A client visits the gynecologist reporting pain during sexual intercourse. The physician orders include a Pap smear. The nurse is interviewing the client as part of her assessment. Which statement by the client would be most important for the nurse report to the physician?

"I had a human papillomavirus infection at age 32."

The nurse is interviewing a client suspected of having colon cancer about his past medical history. Which statement by the client should the nurse report to the physician?

"I had some polyps removed last time I had a colonoscopy."

Which statement by a client undergoing external radiation therapy indicates the need for further teaching?

"I'm afraid I'll expose my family members to radiation."

A client with advanced cancer is about to begin hospice care at home. Which statement made by the client shows that the client understands the principles of hospice care? Select all that apply.

"It will manage my pain and discomfort." "It will enhance the quality of my life." "It will provide support for my family in dealing with my death."

A 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?

"Keep the stoma moist."

A client is scheduled for a surgical procedure for removal of a pancreatic tumor. The client states to the nurse, "I don't think I'll live through the surgery. I'm scared." What is the best response by the nurse?

"Let's talk about your concerns and fears."

A client with uterine cancer asks the nurse, "Which type of cancer causes the most deaths in women?" How should the nurse respond?

"Lung cancer."

What is the most important postoperative instruction the nurse must give a client who has just returned from the operating room after receiving a subarachnoid block?

"Remain supine for the time specified by the physician."

The nurse is teaching a group of men about prostate health. Which of the following would be most important for the nurse to tell the men?

"Starting at age 50, men should talk to a doctor about the pros and cons of PSA testing so they can decide if testing is the right choice for them"

A nurse walks into the room of a client who has had surgery for testicular cancer. The client becomes quiet and tearful after telling the nurse, "I'm afraid that now I will be undesirable to my wife." Which response by the nurse is most appropriate?

"Tell me more about how you are feeling."

A 65-year-old client is scheduled for a right lower lobectomy for lung cancer. During the admission assessment, the client asks for information about a living will and advance directive. The nurse knows that the client understands her teaching about the living will when he says:

"The advance directive allows me to state my health care wishes while I'm still able to do so."

The nurse is caring for a client who detected a lump in her right breast. The client asks the nurse " How do I find out if it's cancer?" Which statement by the nurse would be most appropriate?

"The physician will need to perform a fine needle aspiration and biopsy to confirm the diagnosis.

As part of a primary cancer prevention program, an oncology nurse speaks to the public at a health fair. When someone asks about laryngeal cancer, which statement by the nurse would be most helpful?

"To reduce the risk of developing laryngeal cancer you shouldn't smoke or drink alcohol."

A client states to the nurse, "I know that I'm going to die." Which response by the nurse would be best?

"Why do you think you're going to die?"

The nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society guidelines, what information would be the most important for the nurse to give the women?

"Women older than age 40 should have a mammogram and clinical examination every year"

The nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47 years. Following the American Cancer Society guidelines, what information would be the most important for the nurse to give the women?

"Women older than age 40 should have a mammogram and clinical examination every year."

A client in the final stages of terminal cancer tells the nurse, "I wish I could just be allowed to die. I'm tired of fighting this illness. I have lived a good life. I continue my chemotherapy and radiation treatments only because my family wants me to." How should the nurse respond?

"Would you like to meet with your family and health care provider about this matter?"

A client in the final stages of terminal cancer tells the nurse, "I wish I could just be allowed to die. I'm tired of fighting this illness. I've lived a good life. I only continue my chemotherapy and radiation treatments because my family wants me to." What is the nurse's best response?

"Would you like to meet with your family and your health care provider about this matter?"

A 43-year-old black, male client, without a family history of prostate cancer, asks the nurse when he should have a prostate-specific antigen (PSA) test and a digital rectal examination (DRE) performed. Which response by the nurse is appropriate?

"You should start undergoing prostate cancer screening at age 45."

A client in the terminal stage of cancer is receiving a continuous infusion of morphine for pain management. Which data collection finding suggests that the client is experiencing an adverse effect of this drug?

Respiratory rate of 8 breaths/minute

The nurse is instructing a male client to perform monthly testicular self-examinations. Which statement, if made by the client would indicates he understands the teaching?

" If I find it early, it probably could be cured."

A nurse is working with a client who is afraid of dying after a biopsy result came back positive for cancer. What is the best reflective response by the nurse to enhance client communication?

"You are afraid to die."

A client is ordered a dose of epoetin alfa to treat anemia related to chemotherapy. The recommended dose is 150 units/kg. The client weighs 60 kg. The vial is labeled 10,000 units/mL. How many milliliters of epoetin alfa should the nurse administer? Record your answer using one decimal place.

0.9

A client with a history of colon cancer has a permanent colostomy. The nurse must irrigate the colostomy to prepare the client for diagnostic testing. When irrigating, how far into the stoma should the nurse insert the lubricated catheter?

2" to 4"

Which client has the highest risk of ovarian cancer?

45-year-old woman who has never been pregnant

What should a male client older than age 50 do to help ensure early identification of prostate cancer?

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

A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-oophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which data collection finding would raise concern in the nurse?

Shallow breathing and increasing lethargy

A client is admitted to an acute care facility with esophageal cancer. The incidence of esophageal cancer is highest in:

black males.

The nurse is providing breast cancer education at a community facility. The American Cancer Society (Canadian Cancer Society) recommends that women get mammograms:

yearly after age 40.

The ABCD method offers one way to assess skin lesions for possible skin cancer. What does the A stand for?

Asymmetry

A client receiving external radiation to the left thorax to treat lung cancer has a nursing diagnosis of Risk for impaired skin integrity. Which intervention should be part of this client's plan of care?

Avoiding using soap on the irradiated areas

A 45-year-old client receiving radiation therapy for thyroid cancer reports mouth and throat pain. While inspecting the mouth and throat, the nurse notices white patches and ulcerations in the oral mucosa. What do these findings suggest?

Candidiasis

A client diagnosed with acute myelocytic leukemia (AML) has been receiving chemotherapy. During the last two cycles of chemotherapy, the client developed severe thrombocytopenia requiring multiple platelet transfusions. The client is now scheduled to receive a third cycle. How can the nurse best detect early signs and symptoms of thrombocytopenia?

Closely observe the client's skin for petechiae and bruising.

The nurse is caring for a client who was admitted with rectal bleeding. The client is at high risk for having colorectal cancer. The nurse anticipates the physician will order which diagnostic test to confirm this suspicion?

Colonoscopy

A 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?

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

After a transsphenoidal adenohypophysectomy, a client is likely to undergo hormone replacement therapy. A transsphenoidal adenohypophysectomy is performed to treat which type of cancer?

Pituitary carcinoma

The nurse is caring for a client diagnosed with cancer of the cervix. When reinforcing education on intracavitary radiation, which explanation best explains the importance of emptying the bowel?

Pressure changes in the pelvis associated with bowel movements can alter the position of the applicator and the radiation source.

Which nursing intervention is most appropriate for a client with multiple myeloma?

Preventing bone injury

The nurse is reviewing the chart of a client receiving chemotherapy for lung cancer. She is alarmed to note that the client has developed thrombocytopenia. Which precaution should the nurse implement to ensure the clients safety?

Provide the client with an electric razor.

After a physician explains the risks and benefits of a clinical trial to a client, the client agrees to participate. Later that day, the client requests clarification of the process involved in the clinical trial. As a member of the multidisciplinary team, how should the nurse respond?

Provide the information requested.

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?

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

A client with vaginal cancer asks the nurse, "What is the usual treatment for this type of cancer?" Which treatment should the nurse name?

Radiation therapy

A client has been receiving chemotherapy to treat cancer. Which data collection finding suggests that the client has developed stomatitis (inflammation of the mouth)?

Red, open sores on the oral mucosa

The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping?

Refer the client to the American Cancer Society's (Canadian Cancer Society's) Reach for Recovery program or another support program.

A client with a cerebellar brain tumor is admitted to an acute care facility. The nurse assists with formulating a nursing diagnosis of Risk for injury. Which "related- to" phrase is appropriate for the nurse to add to complete the nursing diagnosis statement?

Related to impaired balance

Which of the following actions displayed by a grieving husband over his dying wife would cause the nurse to suggest counseling?

He refuses to acknowledge his wife's family and blames them for her current health problems.

A home care nurse assesses for disease complications in a client with bone cancer. The nurse knows that bone cancer may cause which electrolyte disturbance?

Hypercalcemia

A client with a nagging cough makes an appointment to see the physician after reading that this symptom is one of the warning signs of cancer. What is another warning sign of cancer?

Indigestion

A client with metastatic brain cancer is admitted to the oncology floor. According to the Patient Self-Determination Act of 1991 (PSDA), what is the hospital required to do concerning the execution of advance directives?

Inform the client or legal guardian of his right to execute an advance directive.

Several days before admission, a client reports finding a small lump in the left breast near the nipple. What should the nurse tell the client to do?

Inform the physician immediately.

For a client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care?

Inspecting the skin for petechiae once every shift

A client who underwent surgery 2 days ago is unable to tolerate anything by mouth and is experiencing mild to moderate cancer pain. Which nonsteroidal anti-inflammatory drug (NSAID) can the nurse safely administer by the I.M. route?

Ketorolac

A client with laryngeal cancer has undergone a laryngectomy and is receiving radiation therapy to the head and neck. The nurse should monitor the client for which adverse effects of external radiation? Select all that apply.

Xerostomia Stomatitis Dysgeusia

A nurse is participating in a cancer-screening program for colorectal cancer. Which client presents the fewest risk factors for colon cancer?

a 60-year-old client who follows a diet low in fat and high in fiber

A few minutes after beginning a blood transfusion, the nurse notes that the client has chills, dyspnea, and urticaria. The nurse reports this to the physician immediately because the client probably is experiencing:

a hemolytic allergic reaction caused by an antigen reaction.

In assessing a postmastectomy client, the nurse determines that the client is in denial. The nurse can best respond by:

accepting the denial.

To combat the most common adverse effects of chemotherapy, the nurse would administer an:

antiemetic.

The nurse is caring for a client receiving the fentanyl transdermal system for pain management. When applying a new system, the nurse should:

apply the system immediately after removal from a package.

A nurse is working in a gastroenterologist's office. With which client would the nurse instruct on signs of rectal cancer?

client with adenomatous polyps

The nurse is caring for a client who was admitted with rectal bleeding. The client is at high risk for having colorectal cancer. The nurse anticipates preparing the client for which diagnostic test to confirm this suspicion?

colonoscopy

A client with supraglottic cancer undergoes a partial laryngectomy. Postoperatively, a cuffed tracheostomy tube is in place. When removing secretions that pool above the cuff, the nurse should instruct the client to:

cough as the cuff is being deflated.

A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to:

cryptorchidism.

A multidisciplinary oncology team notes that a client who has been undergoing chemotherapy is now experiencing pancytopenia. When reviewing the laboratory data, which values support this diagnosis? Select all that apply.

decreased white blood cells decreased platelets decreased red blood cells

A 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:

fatigue.

A client tells the nurse, "I'm having trouble making a decision about undergoing diagnostic testing for a breast lump because the test may confirm breast cancer." Which diagnostic test should the nurse be prepared to discuss with the client?

fine needle aspiration

A 55-year-old male client wishes to be proactive about health issues. To help ensure early identification of prostate cancer, the client should:

have a yearly digital rectal exam and prostate-specific antigen (PSA) test.

The nurse is instructing a premenopausal woman about breast self- examination. The nurse should tell the client to do her self-examination:

immediately after her menses.

A client suspected of having gallbladder cancer is admitted to the hospital for a series of diagnostic testing. What objective data collected by the nurse would be indicative of gallbladder cancer? Select all that apply.

jaundice weight loss of 10 kg in 2 months

A nurse is reinforcing education with the parent of an ill child about childhood immunizations. The nurse should tell the parent that only inactivated virus vaccines should be administered to children with which disorder?

leukemia

A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to:

maintaining a patent airway.

The nurse in a long-term care facility notes a change in the color, shape, and texture of a nevus located on a client's shoulder. The nurse knows that this finding might suggest:

malignant melanoma.

A client performs monthly self-breast examinations. Which findings should the nurse instruct the client to promptly report? Select all that apply.

nipple that is turned inward or inverted multiple tender, round masses in both breasts a hard, non-tender mass in the upper outer quadrant of the left breast dimpling anywhere on the breast

At a health fair, an oncology nurse answers questions about risk factors for various types of cancer. One person with a family history of colon cancer asks the nurse to identify risk factors for this type of cancer. The nurse should identify:

obesity.

A client with cancer is undergoing chemotherapy. The nurse would expect to administer which medication to combat the most common adverse effect of chemotherapy?

ondansetron hydrochloride

The nurse is assessing a client with multiple myeloma. The nurse should keep in mind that clients with multiple myeloma are at risk for:

pathologic bone fractures.

After being in remission from Hodgkin's disease for 18 months, a client develops a fever of unknown origin. The physician orders a blind liver biopsy to rule out advancing Hodgkin's disease and infection. Twenty-four hours after the biopsy, the client has a fever, reports severe abdominal pain and rigidity, and seems increasingly confused. The nurse suspects that these findings result from:

perforation of the colon caused by the liver biopsy.

A nurse is collecting past medical history data on a client. Which preexisting condition places the client at risk for colorectal cancer?

polyps

On discharge, a client who underwent a left mastectomy expresses relief that "the cancer" has been treated. When discussing this issue with the client, the nurse should stress that she:

should continue to perform breast self-examination on her right breast.

A client with bladder cancer undergoes surgical removal of the bladder with construction of an ileal conduit. Which findings indicate that the client is developing complications? Select all that apply.

stoma protrusion from the skin Sharp abdominal pain with rigidity. dusky appearance of the stoma

A nurse is monitoring a client receiving doxorubicin. Which symptoms would be of greatest concern to the nurse?

tachycardia

A nurse is providing nutritional teaching for a client with a family history of colon cancer. Which food choice by the client demonstrates an understanding of the correct diet to follow?

vegetarian chili

A client received chemotherapy 24 hours ago. Which precaution is necessary when caring for this client?

wearing personal protective equipment when handling blood, body fluids, or feces

A 35-year-old female client is requesting information about mammograms and breast cancer. She is not considered at high risk for breast cancer. What should the nurse tell this client?

"A low-fat diet has been shown to decrease your risk of breast cancer."

The nurse reinforces instructions for a client diagnosed with acute lymphocytic leukemia (ALL) who is preparing for allogeneic bone marrow transplant. Which statement made by the client indicates to the nurse that the client understands the post-transplant homecare instructions?

"Before undergoing the bone marrow transplant I will receive chemotherapy."

For a client with newly diagnosed cancer, the nurse assists in formulating a nursing diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which expected outcome would be appropriate for this client?

"Client verbalizes feelings of anxiety."

A client seeks care for hoarseness that has lasted for 1 month. To elicit the most appropriate information about this problem, the nurse should ask which question?

"Do you smoke cigarettes, cigars, or a pipe?"

A client has just been diagnosed with terminal cancer and is being transferred to home hospice care. The client's child tells the nurse, "I don't know what to say to my mother if she asks me about dying." Which responses by the nurse would be appropriate? Select all that apply.

"You sound like you have some questions about your mother dying. Let's talk about that." "Tell me how you're feeling about your mother dying." "Let's talk about your mother's illness and how it will progress."

The spouse of a client with gastric cancer expresses concern that the couple's children may develop this type of cancer when they're older. When reviewing risk factors for gastric cancer with the client and family, which statement by the nurse would be most appropriate?

"Your children are at a higher risk since they have a family history and type A blood."

A client has been diagnosed with lung cancer and is scheduled to undergo a left pneumonectomy. The client will have a chest tube inserted as part of the surgical procedure. Identify the area where the nurse will expect to see the chest tube inserted.

*** A left pneumonectomy is the surgical removal of the left lung. Removal of one lobe of the lung is called a lobectomy. A chest tube is placed within the thoracic cavity at the site of the removed lung. Therefore, a chest tube would be placed on the left side of the chest.

A client in the terminal stage of cancer is being transferred to hospice care. Which teaching should be reinforced regarding hospice care? Select all that apply.

Care focuses on controlling symptoms and relieving pain. Bereavement care is provided to the family. A multidisciplinary team provides care.

A client has an abnormal result on a Papanicolaou test. After admitting that she read her chart while the nurse was out of the room, the client asks what dysplasia means. Which definition should the nurse provide?

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

A client with suspected lung cancer is scheduled for thoracentesis as part of the diagnostic workup. The nurse reviews the client's history for conditions that might contraindicate this procedure. Which condition is a contraindication for thoracentesis?

A bleeding disorder

A client comes to the clinic for a skin assessment from the health care provider. When obtaining data, the nurse knows that which finding increases this client's risk of skin cancer?

A deep sunburn

During a breast examination, which finding most strongly suggests that the client has breast cancer?

A fixed nodular mass with dimpling of the overlying skin

A client is undergoing tests for multiple myeloma. Which diagnostic finding would the nurse expect to see in multiple myeloma?

Bence Jones protein in the urine

How can breast cancer prevention programs best serve women who are at risk and come from lower socioeconomic backgrounds?

Develop screening and educational programs

After having a lobectomy for lung cancer, a client receives a chest tube connected to a three-chamber chest drainage system. Which observation would allow the nurse to determine that the drainage system is functioning correctly? Select all that apply.

Drainage is collecting in the drainage chamber. Fluctuations in the water-seal chamber occur when the client breathes. Intermittent bubbling occurs in the suction control chamber. Gentle bubbling occurs in the suction control chamber.

A client is receiving chemotherapy to treat breast cancer. Which data collection finding indicates a fluid and electrolyte imbalance induced by chemotherapy?

Dry oral mucous membranes and cracked lips

A client is admitted to the hospital with severe bone marrow depression related to chemotherapy. What does the nurse include when assisting with the development of the plan of care to decrease the risk of infection in this client? Select all that apply.

Ensure the use of protective isolation protocol. Wash hands before administering care.

The client is receiving an infusion of cytarabine through a peripheral IV catheter when he reports burning at the insertion site. The nurse notes no blood return from the catheter, but she sees redness at the IV site. The client is most likely experiencing which complication?

Extravasation

A nurse is teaching a community program on breast self-examination (BSE). The nurse demonstrates the proper procedure for palpating each breast. In what sequence should the following actions be performed for proper self-examination? Use all the options.

Lie down with one arm behind the head Place the hand over the breast to be examined (use the right hand for the left breast and vice versa). Use the finger pads of the three middle fingers and touch the breast. Use a circular motion to feel the breast tissue (with light, medium, and firm pressure). Palpate the breast in a perpendicular motion, going across the breast from side to side and top to bottom.

A client with cancer is being evaluated for possible metastasis. Which of the following is a common metastasis site for cancer cells?

Liver

A client is undergoing a left modified radical mastectomy for breast cancer. Postoperatively, blood pressure should be obtained from the client's right arm, and the left arm and hand should be elevated as much as possible to prevent which condition?

Lymphedema

A client with advanced cancer of the mouth has a swollen, necrotic, and weeping tongue. Which nursing intervention should be a priority in planning care?

Maintain a patent airway.

The nurse is caring for a client with bronchogenic carcinoma. Which nursing interventions are essential in the care of the client receiving a chemotherapeutic regimen? Select all that apply.

Maintain a patent airway. Alleviate anxiety by explaining procedures and care delivery. Instruct the client on signs and symptoms of infection.

On a visit to the gynecologist, a client reports urinary frequency, pelvic discomfort, and weight loss. After a complete physical examination, blood studies, and a pelvic examination with a Papanicolaou test, the physician diagnoses stage IV ovarian cancer. The nurse expects to prepare the client for which initial treatment?

Major surgery

An oncology nurse educator is speaking to a women's group about breast cancer. Questions and comments from the audience reveal a misunderstanding of some aspects of the disease. Various members of the audience have made all of the following statements. Which statement is accurate?

Men can develop breast cancer.

Which drug should be prescribed with nonsteroidal inflammatory drugs (NSAIDs) in elderly cancer clients to reduce the risk of GI adverse effects?

Misoprostol

After undergoing chemotherapy to treat breast cancer, a client has a white blood cell count of 1,300/microliter (1.3 × 109/L). Which nursing interventions should be used with this client? Select all that apply.

Monitor the client's temperature and vital signs; report temperature higher than 101.3°F (38.5°C). Make sure no one with a viral or bacterial infection enters the client's room. Administer hematopoietic growth factors as prescribed. Reinforce good handwashing techniques to anyone entering the client's room.

According to the World Health Organization's analgesic ladder, which drugs would likely be used first to treat mild pain?

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Which intervention is appropriate for the nurse caring for a client in severe pain receiving a continuous I.V. infusion of morphine?

Obtaining baseline vital signs before administering the first dose

A 30-year-old client whose mother died of breast cancer at age 44 and whose sister has ovarian cancer is concerned about developing cancer. A nurse who is a member of the oncology multidisciplinary team should suggest that the client ask the physician about which of the following actions?

Obtaining genetic counseling

Which finding is an early indicator of bladder cancer?

Painless, intermittent hematuria

A client is undergoing a diagnostic workup for suspected thyroid cancer. What is the most common form of thyroid cancer in adults?

Papillary carcinoma

A nurse is preparing a client for discharge after a prolonged hospitalization in which the client had a colon resection and colostomy formation for treatment of colon cancer. The client's family has concerns about managing his care at home. Which factor is most important in ensuring successful home care?

Support from friends and family

A client was recently enrolled in a clinical trial for lung cancer. The client's health insurance provider asks the nurse caring for the client about the client's status, treatment regimen, and possible adverse effects of the medication she is taking. How can the nurse best respond?

Tell the provider that a Certificate of Confidentiality was issued; therefore, no information can be released.

A nurse is caring for a 25-year-old client with end-stage testicular cancer who has been referred to hospice care. Which of the following criteria excludes the client from hospice care?

The client entered a clinical trial through the National Cancer Institute.

A nurse is caring for a client with end-stage testicular cancer who has been referred to hospice care. Which criterion excludes the client from hospice care?

The client entered a clinical trial through the National Cancer Institute.

A client with metastatic cancer is experiencing neuropathic pain. Which alternative therapy is most beneficial in treating this type of pain?

Transcutaneous electrical nerve stimulation (TENS)

A client with advanced breast cancer is prescribed tamoxifen. When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?

Vision changes

A client receiving chemotherapy for breast cancer develops myelosuppression. Which instructions should the nurse reinforce when the client is discharged? Select all that apply.

Wash hands frequently. Avoid activities that may cause bleeding. Avoid people who have recently received attenuated vaccines. Avoid crowded places, such as shopping malls.

A client received chemotherapy 24 hours ago. Which precautions are necessary when caring for this client?

Wearing personal protective equipment when handling blood, body fluids, or feces

Before a cancer client receiving total parenteral nutrition (TPN) resumes a normal diet, the nurse teaches him about dietary sources of minerals. Which foods are good sources of zinc?

Whole grains and meats

The nurse is teaching a group of women to perform breast self-examination. The nurse should explain that the purpose of performing the examination is to discover:

changes from previous self-examinations.

The nurse is caring for a client with a white blood cell (WBC) count of 4000 mm3. While preparing the client for discharge, the nurse should reinforce that the client should avoid contact with which person?

child recently exposed to varicella