PassPoint - Oncology

When reporting to the outpatient cancer center for their first chemotherapy treatment, a client appears anxious and apprehensive. Which statement by the nurse may help allay the client's anxiety?

"As a precaution, we wear gowns, goggles, and gloves to administer the medication."

When talking with the nurse, the sibling of a client with leukemia says, "We used to play pretty rough games together. Maybe some of the bruises they got when I tackled them caused this." Which statement is the nurse's best response?

"I can see you're worried. Let's talk about how people get leukemia."

An oncology clinic nurse is reinforcing prevention measures for oropharyngeal infections to a client receiving chemotherapy. Which statement by the client indicates that teaching was successful?

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

The nurse is teaching a client with abdominal cancer about taking medication to control the pain? What statement from the client indicates the need for additional teaching?

"I should skip doses periodically so I don't get hooked on my drugs."

A nurse is performing discharge teaching with a client who had a total gastrectomy. Which statement indicates the need for further teaching?

"I will have to take vitamin B12 shots up to 1 year after surgery."

A client receiving chemotherapy has a nursing diagnosis of Deficient diversional activity related to decreased energy. Which client statement indicates an accurate understanding of appropriate ways to deal with this deficit?

"I'll play card games with my friends."

The nurse is instructing a client on how to care for skin that has become dry after radiation therapy. Which statement by the client indicates that they understand the teaching?

"It's safe to apply a nonperfumed lotion to my skin."

The family of an older adult with terminal cancer asks about having hospice services. What should the nurse tell the family?

focuses on supportive care for the client and family.

Blood administration is ordered for a client receiving chemotherapy. The nurse is obtaining all supplies needed for infusion. Which intravenous solution is obtained?

0.9% Sodium Chloride Injection USP

A nurse is developing a care plan for bone marrow suppression, the major dose-limiting adverse reaction to floxuridine (FUDR). How long after drug administration does bone marrow suppression become noticeable?

7 to 14 days

A registered nurse(RN) on the oncology floor is busy with another client, so the RN delegates care of a client to a coworker, a licensed practical nurse (LPN). The client that the LPN begins caring for requires a three-hour chemotherapy infusion. Which statement is in accordance with the Nurse Practice Act?

A chemotherapy certified RN must begin the chemotherapy, then the LPN may monitor the client.

Following a modified radical mastectomy, a client has an incisional drainage tube attached to Hemovac suction. The nurse determines that the suction is effective when what occurs?

Accumulated serum and blood in the operative area are removed.

The nurse is planning care for a client scheduled for treatment with cytotoxic medications. What is important for the nurse to include in the plan of care to combat the most common side effects of cytotoxic medications?

Administer an antiemetic.

After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/µl. What term should the nurse use to describe this low platelet count?

After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/µl. What term should the nurse use to describe this low platelet count?

A client with a history of pancreatic cancer is revived following cardiac arrest but is determined to have suffered brain death. The family tells the nurse they want to donate any usable body organs so their loved one can live on in others. Which action by the nurse is appropriate?

Call the local organ procurement representative to meet with them.

A nurse is caring for a client with a long-term central venous catheter. Which steps should the nurse include in teaching how to care for the catheter at home?

Clean the port with an alcohol pad before administering I.V. fluid through the catheter.

A nurse is caring for a client with terminal liver cancer. The client states, "I want to control when and how I die. I want you to help me." Based on this information, the nurse determines that the client has requested

voluntary euthanasia.

Following a simple mastectomy, the nurse is totaling the amount of drainage in 24 hours from a suction drain in the incision. The nurse notes there is 200 mL of serosanguineous drainage for the first 24 hours. What should the nurse do?

Document the findings.

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.

A client receiving chemotherapy is nauseated and has lost 15 pounds (6.8 kg) in one month. Which nutritional instruction would the nurse include in the plan of care?

Eat frequent but small meals.

The nurse is administering atropine sulfate to a client undergoing a modified radical mastectomy. What is the expected outcome of this drug?

Inhibit oral and respiratory secretions.

A client with a suspected diagnosis of lung cancer has a bronchoscopy with biopsy. Following the procedure, what should the nurse do?

Monitor the client for signs of pneumothorax.

A nurse is caring for a 15-year-old client recently diagnosed with osteosarcoma of the right femur with lung metastasis. The client and a visiting parent are discussing their uncertainty about the need for surgery or other therapies. How can the nurse best demonstrate the advocacy role?

Notify the physician to meet with the family.

A nurse is caring for a client with a prescription for morphine delivered by continuous intravenous infusion. Which intervention is most important to include in the plan of care?

Obtain baseline vital signs before initiating the infusion.

The nurse is teaching a client about prostate cancer. Which point(s) should be included in the instruction? Select all that apply.

Prostate cancer is usually multifocal and slow growing. Most prostate cancers are adenocarcinoma. The incidence of prostate cancer is higher in men of African descent, and the onset is earlier. A prostate-specific antigen (PSA) lab test result higher than 4 ng/mg will require another test and further monitoring.

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

Related to impaired balance

The nurse is reviewing the lab report for a client in hospice care with breast cancer and brain metastasis. According to the information in the chart, what should the nurse do next?

Report the elevated calcium level immediately.

A client diagnosed with seminomatous testicular cancer expresses fear and questions the nurse about their prognosis. Which information should the nurse give the client about the prognosis for testicular cancer?

Testicular cancer has a cure rate of 90% when diagnosed early.

A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?

Testicular cancer is a highly curable type of cancer.

The nurse notes that a placebo has been prescribed when a client requests pain medication. Which statement is most accurate about the use of placebos in the client's plan of care?

The use of placebos violates the client's right to ethical care.

A nurse is palpating a female client's breast while assessing for breast disease. In which area of the breast are tumors most commonly found?

Upper outer

A client who is receiving chemotherapy develops stomatitis. What should the nurse instruct the client to do?

Use a soft-bristled toothbrush after each meal.

A client with cancer has thrombocytopenia. Which information should the nurse include in the teaching plan? Select all that apply.

Use an electric razor. Use a soft-bristle toothbrush. Avoid frequent flossing for oral care. Report bleeding, such as nosebleed, petechiae, or melena, to the health care provider (HCP).

A client is to have radiation therapy after a modified radical mastectomy. What instruction should the nurse give the client about caring for the skin at the site of the radiation therapy?

Wash the area with water.

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

a hemolytic allergic reaction caused by an antigen reaction

Which nurse should be assigned to a client receiving brachytherapy for the treatment of cervical cancer?

female nurse with 3 years' experience working in oncology

An adult recently diagnosed with Hodgkin's disease is admitted for staging by undergoing a bone marrow aspiration and biopsy. To obtain more information about the client's nutritional status, the nurse should review the results of which test?

albumin level

A client has an abnormal result on a Papanicolaou test. The client asks the nurse what dysplasia means. Which definition should the nurse provide?

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

A 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 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?

bleeding disorder

A client is interested in making dietary changes to reduce the risk for colon cancer. What dietary selections should the nurse suggest?

bran muffin, skim milk, and stir-fried broccoli

A client with a nagging cough makes an appointment to see the healthcare provider. For what other signs or symptoms will the nurse assess as a priority?

change in voice and unexplained weight loss

The nurse is conducting an initial nursing history of a client who is experiencing pain related to bone cancer. What information is most important for the nurse to obtain?

client's self-reporting of the pain experience

A client who has had a total laryngectomy appears withdrawn and depressed. The client keeps the curtain drawn, refuses visitors, and indicates a desire to be left alone. Which nursing intervention would be most therapeutic for the client?

encouraging expression of feelings nonverbally and in writing

A nurse is administering daunorubicin through a peripheral I.V. line when the client complains of burning at the insertion site. The nurse notes no blood return from the catheter and redness at the I.V. site. The client is most likely experiencing which complication?

extravasation

A client with cancer is receiving radiation therapy and develops thrombocytopenia. What is the priority nursing goal to prevent which effect of thrombocytopenia for this client?

injury related to the decreased platelet count

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

inspecting the skin for petechiae once every shift

A nurse is assessing a client with bone cancer pain. Which part of a thorough pain assessment is most significant for this client?

intensity

The client asks the nurse to explain what it means that Hodgkin disease is diagnosed at stage 1A. What should the nurse explain about the involvement of the disease?

involvement of a single lymph node

The client is advised by the health care provider to have mammography screening annually. Which measure improves adherence to mammography screening?

making sure that the individual barriers to screening are minimized

At a public health fair, a nurse teaches a group of women about breast cancer awareness. What is most important for the nurse to include in teaching about the warning signs of breast cancer?

nipple discharge and a breast nodule

A client tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous?

nonmobile mass with irregular edges

The nurse is conducting a focused assessment for the client with suspected bladder cancer. What information should the nurse obtain when assessing this client?

painless hematuria

A client with terminal cancer tells the nurse that they are not afraid to die and they are thinking about how to plan their funeral. The nurse should refer the client to which health care professional?

pastoral care department

A 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.

The nurse on the oncology unit is caring for a client with a total white blood cell (WBC) count equal to 2000/µL (2.0 ×109/L). Which intervention is most important to include in the plan of care?

perform proper hand hygiene

A right orchiectomy is performed on a client with a testicular malignancy. The client expresses concerns regarding their sexuality. What information should the nurse give the client to address their concerns?

should retain normal sexual drive and function.

A client suspected of having colorectal cancer requires which diagnostic study to confirm the diagnosis?

sigmoidoscopy

A client has had a radical neck dissection for laryngeal cancer. Which action is the priority for nursing care immediately following this surgery?

suctioning the laryngectomy tube as often as needed

On discharge, a client who underwent left modified radical mastectomy expresses relief that "the cancer" has been treated. What is most important for the nurse to include in discharge teaching?

the need for continued breast self-examination on the right breast

A client with a diagnosis of cancer is frequently disruptive and challenges the nurse. This behavior may be caused by which factor?

uncertainty and an underlying fear of recurrence

The nurse is preparing a community presentation on oral cancer. Which is a primary risk factor for oral cancer that the nurse should emphasize in the presentation?

use of alcohol

A nurse is caring for a client who is undergoing chemotherapy. Current laboratory values are noted on the medical record. Which action would be most appropriate for the nurse to implement?

washing hands before and after entering the room

The nurse is assessing a client diagnosed with liver cancer. What findings are consistent with this diagnosis? Select all that apply.

weight gain decrease in appetite palpable enlarged liver ascites fluid wave

The nurse is assessing a client who is suspected of being in the early symptomatic stages of human immunodeficiency virus (HIV) infection. Which indication of infection should the nurse detect during this stage?

whitish-yellow patches in the mouth

The nurse is explaining the long-term toxic effects of cancer treatments on the immune system to a client who is receiving chemotherapy and radiation therapy for colon cancer. What should the nurse tell the client?

The use of radiation and combination chemotherapy can result in more frequent and more severe immune system impairment.

The nurse is teaching a group of unlicensed assistive personnel (UAP) to interact with a dying client and family. Which information will be most helpful to the UAPs?

When health care personnel do not understand their own feelings about death and dying, they often avoid the client.

A nurse is teaching an older adult who has had a left modified radical mastectomy with axillary node dissection about lymphedema. What should the nurse tell the client about when lymphedema occurs?

at any time after surgery

The nurse is teaching a wellness class to a group of adults. The nurse should tell the group that which factor places a person at the greatest risk for skin cancer?

fair skin and history of chronic sun exposure

A client has been receiving radiation therapy for 3 weeks to treat cancer and has fatigue. The nurse should consider which factor when planning to help the client cope with the fatigue?

A balance of activity and rest will help manage the fatigue.