Cancer

443. The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder? 1. Increased calcium level 2. Increased white blood cells 3. Decreased blood urea nitrogen level 4. Decreased number of plasma cells in the bone marrow

1

444. The nurse is creating a plan of care for the client with multiple myeloma and includes which priority intervention in the plan? 1. Encouraging fluids 2. Providing frequent oral care 3. Coughing and deep breathing 4. Monitoring the red blood cell count

1

448. The home health care nurse is caring for a client with cancer who is complaining of acute pain. The most appropriate determination of the client's pain should include which assessment? 1. The client's pain rating 2. Nonverbal cues from the client 3. The nurse's impression of the client's pain 4. Pain relief after appropriate nursing intervention

1

449. The nurse is caring for a client who is postoperative following a pelvic exenteration, and the surgeon changes the client's diet from NPO (nothing by mouth) status to clear liquids. The nurse should check which priority item before administering the diet? 1. Bowel sound 2. Ability to ambulate 3. Incision appearance 4. Urine specific gravity

1

457. The nurse is teaching a client about the risk factors associated with colorectal cancer. The nurse determines that further teaching is necessary related to colorectal cancer if the client identifies which item as an associated risk factor? 1. Age younger than 50 years 2. History of colorectal polyps 3. Family history of colorectal cancer 4. Chronic inflammatory bowel disease

1

459. The nurse is assessing the colostomy of a client who has had an abdominal perineal resection for a bowel tumor. Which assessment finding indicates that the colostomy is beginning to function? 1. The passage of flatus 2. Absent bowel sounds 3. The client's ability to tolerate food 4. Bloody drainage from the colostomy

1

469. The nurse is providing dietary teaching for a client who underwent a partial gastrectomy to treat gastric cancer about foods high in vitamin B12. The nurse would instruct the client to include which food items in the diet that are high in this vitamin? Select all that apply. 1. Milk 2. Fish 3. Beef 4. Apples 5. Turkey 6. Bananas

1 2 3 5

455. The nurse is conducting a history and monitoring laboratory values on a client with multiple myeloma. What assessment findings should the nurse expect to note? Select all that apply. 1. Pathological fracture 2. Urinalysis positive for Bence Jones protein 3. Hemoglobin level of 15.5 g/dL (155 mmol/L) 4. Calcium level of 8.6 mg/dL (2.15 mmol/L) 5. Serum creatinine level of 2.0 mg/dL (176.6 mcmol/L)

1 2 5

462. A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that the primary health care provider will request which prescriptions? Select all that apply. 1. Radiation 2. Chemotherapy 3. Increased fluid intake 4. Decreased oral sodium intake 5. Serum sodium level determination 6. Medication that is antagonistic to antidiuretic hormone

1 2 5 6

452. The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms would the nurse recognize as indications of a possible oncological emergency? Select all that apply. 1. Facial edema in the morning 2. Weight loss of 20 lb (9 kg) in 1 month 3. Serum calcium level of 12 mg/dL (3.0 mmol/L) 4. Serum sodium level of 136 mg/dL (136 mmol/L) 5. Serum potassium level of 3.4 mg/dL (3.4 mmol/L) 6. Numbness and tingling of the lower extremities

1 3 6

453. A 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 which condition? 1. Rupture of the bladder 2. The development of a vesicovaginal fistula 3. Extreme stress caused by the diagnosis of cancer 4. Altered perineal sensation as a side effect of radiation therapy

2

454. The nurse is instructing a client to perform a testicular self-examination (TSE). The nurse should provide the client with which information about the procedure? 1. To examine the testicles while lying down 2. That the best time for the examination is after a shower 3. To gently feel the testicle with one finger to feel for a growth 4. That TSEs should be done at least every 6 months

2

458. The nurse is assessing the perineal wound in a client who has returned from the operating room following an abdominal perineal resection and notes serosanguineous drainage from the wound. Which nursing intervention is most appropriate? 1. Clamp the surgical drain. 2. Change the dressing as prescribed. 3. Notify the surgeon. 4. Remove and replace the perineal packin

2

460. The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common sign or symptom of this type of cancer? 1. Dysuria 2. Hematuria 3. Urgency on urination 4. Frequency of urination

2

468. The nurse is caring for a client following a mastectomy. Which nursing intervention would assist in preventing lymphedema of the affected arm? 1. Placing cool compresses on the affected arm 2. Elevating the affected arm on a pillow above heart level 3. Avoiding arm exercises in the immediate postoperative period 4. Maintaining an intravenous site below the antecubital area on the affected side

2

445. When caring for a client with an internal radiation implant, the nurse should observe which principles? Select all that apply. 1. Limiting the time with the client to 1 hour per shift. 2. Keeping pregnant women out of the client's room. 3. Placing the client in a private room with a private bath. 4. Wearing a lead shield when providing direct client care. 5. Removing the dosimeter film badge when entering the client's room. 6. Allowing individuals younger than 16 years old in the room as long as they are 6 feet away from the client.

2 3 4

467. A client is diagnosed as having a intestinal tumor. The nurse should monitor the client for which complications of this type of tumor? Select all that apply. 1. Flatulence 2. Peritonitis 3. Hemorrhage 4. Fistula formation 5. Bowel perforation 6 Lactose intolerance

2 3 4 5

447. The nurse should plan to implement which intervention in the care of a client experiencing neutropenia as a result of chemotherapy? 1. Restrict all visitors. 2. Restrict fluid intake. 3. Teach the client and family about the need for hand hygiene. 4. Insert an indwelling urinary catheter to prevent skin breakdown.

3

456. A gastrectomy is performed on a client with gastric cancer. In the immediate postoperative period, the nurse notes bloody drainage from the nasogastric tube. The nurse should take which most appropriate action? 1. Measure abdominal girth. 2. Irrigate the nasogastric tube. 3. Continue to monitor the drainage. 4. Notify the primary health care provider (PHCP).

3

461. The nurse is assessing a client who has a new ureterostomy. Which statement by the client indicates the need for more education about urinary stoma care? 1. "I change my pouch every week." 2. "I change the appliance in the morning." 3. "I empty the urinary collection bag when it is two-thirds full." 4. "When I'm in the shower I direct the flow of water away from my stoma.

3

463. The nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which is an early sign of this oncological emergency? 1. Cyanosis 2. Arm edema 3. Periorbital edema 4. Mental status changes

3

465. As part of chemotherapy education, the nurse teaches a female client about the risk for bleeding and self-care during the period of greatest bone marrow suppression (the nadir). The nurse understands that further teaching is needed if the client makes which statement? 1. "I should avoid blowing my nose." 2. "I may need a platelet transfusion if my platelet count is too low." 3. "I'm going to take aspirin for my headache as soon as I get home." 4. "I will count the number of pads and tampons I use when menstruating."

3

446. While giving care to a client with an internal cervical radiation implant, the nurse finds the implant in the bed. The nurse should take which initial action? 1. Call the primary health care provider (PHCP). 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 it in a lead container.

4

450. A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding would the nurse expect to note specifically in the client? 1. Fatigue 2. Weakness 3. Weight 4. Enlarged lymph nodes

4

451. During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which manifestation as typical of the disease? 1. Diarrhea 2. Hypermenorrhea 3. Abnormal bleeding 4. Abdominal distention

4

464. The nurse manager is teaching the nursing staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which is a late sign or symptom of this oncological emergency? 1. Headache 2. Dysphagia 3. Constipation 4. Electrocardiographic changes

4

466. The community health nurse is instructing a group of young female clients about breast self-examination. The nurse should instruct the clients to perform the examination at which time? 1. At the onset of menstruation 2. Every month during ovulation 3. Weekly at the same time of day 4. One week after menstruation begins

4

10 which cancer type does the nurse interpret from a clients pathology report that indicates stage III osteogenic sarcoma? A bone B brain C breast D muscle

A

The nurse is caring for a client with a sealed radiation implant for the treatment of cancer. Which nursing intervention is appropriate? Select all that apply. A. Place a caution sign on the door of the client's room. B. Wear a dosimeter badge for protection when providing care. C. Allow the client's spouse to stay with the client at least 6 feet away for 4 hours. D. Do not allow children to visit the client for any length of time. E. Keep the door to the client's room closed.

A D E

8. The TNM staging system has been used to stage your patient's cancer. The report says: T1N0M0 What is the meaning of N0?(Required) A. Cancer in regional lymph node can't be measured B. No cancer present in regional lymph node C. Cancer in distant lymph node can't be measured D. No cancer found in other body parts

B

9. The category "T" in the TNM system stands for:(Required) A. Time B. Tumor (primary) C. Tissue (primary) D. Tumor (secondary)

B

The nurse is teaching a client who has been prescribed an oral chemotherapy agent. What teaching will the nurse include? A. "Oral chemotherapy drugs are not as toxic as IV chemotherapy." B. "Do not crush, split, break, or chew the oral chemotherapy drug." C. "You may dispose of unused oral chemotherapy drugs in the trash." D. "Oral chemotherapy drugs are not absorbed through the skin.

B

10. The category "N" in the TNM system stands for: A. Number B. Necrosis C. Nodes D. Normal

C

9 What is the nurses best response when a client asks how does a chemical carinogen cause cancer? A by allowing cells to produce more than two cells when undergoing normal call division B by limiting the immune system from recognizing cancer cells C by preventing normal calls from obtaining essential nutrients D by damaging genes that control how and when cells divide

D

4 which characteristics of a tumor indicates that its benign rather than malignant? A it does not cause pain B it is less than 2 cm in size C it is surrounded by a capsule D it causes the sensation of itching

c

7 Which characteristic of benign tumors prevents them from invading other tissues and organs? A have a small neuclear to cytoplasmic ratio B perform specific differentiated functions C retain to a specific morphology D are tightly adherent

d

9 for which type of cancer is chemo most beneficial? A brain tumors B superficial cancers on the outside of the body C cancers that are localized to one tissue or body area D cancers that are large with evidence of distant metastasis

d

1 Which statements about development of neoplasms are corrects? Select all that apply A. All cancer cells are considered neoplasms B all neoplasms are considered abnormal C Neoplasms are derived from normal cells D benign tumors are considered neoplasms

a b c d

11 Which condition does the nurse teach a client that are some of the seven warning signs of cancer?SATA A bleeding between periods B increasing in the size of the mole C hoarsness that lasts longer than 6 weeks D difficulty swallowing when eating dry foods e change in bowel habits that persists for several months F Bleeding from the gums when brushing and flossing

a b c e

What stage is carcinoma in situ?

Stage 0

19 Which information will the nurse tell a client who has been diagnosed with cancer that can be learned by surgery for staging even though the type of cancer is established? sata A assessment of tumor size B number of tumors C sites of the tumors D types of tumors E pattern of spread of tumors F sensitivity to cancer therapies

a b c e

21 Which factors interact to increase the risk of cancer? SATA A advancing age B exposure to carcinogens C genetic predisposition D presence of allergies E reduced immunity F vaccination status for childhood illnesses and tetanus

a b c e

2 Which body cells continue to undergo regular mitosis to maintain normal body function throughout the life span? SATA A bronchial lining B skeletal muscle C skin D bone marrow E neurons F intestinal lining

a b c f

26 Which cancer types are most important for a nurse to include when creating a cancer reduction pamphlet for the client who comes to a clinic that serves a large african american population sata A breast b bone C lung D prostate E esophageal F Skin

a c d

27 which assessment findings n a client who has neutropenia from cancer chemotherapy indicates to the nurse that DIC is present, sata? A client is bleeding from the nose, IV site and rectum B the clients temp is 99f C the clients pulse is 130 D the clients respiratory rate is 24 E the clients wbc count is 3200 f the clients hrly urine output is 100

a c d

12 How will the nurse interpret the finding on a clients pathology report that a cancerous tumor has a mitotic index of 80%? A the tumor is fast growing B metastasis has already occured C the tumor has not yet undergone carcinogenesis D the tumor has an abnormal number of chromosomes

a

19 which is the nurses best action when a client spouse reports that the last time the client received lorazapam before receiving chemo, the client didnt remember the drive home? A explain that this is a normal response to the drug and that the client shouldnt drive home B perform a mental status exam and assess pupillary responses before giving the lorazepam C hold the dose of lorazepam for this round of chemo until the client has seen the oncologist D document the response in a prominent place in the clients EMR as the only action

a

24 What is the nurses priority action for a client whos platelet count is 18000 A apply pressure after blood draws to prevent bleeding B placing the client in protective isolation C applying o2 to reduce dyspnea D Restricting fluid to prevent edema

a

26 which normal tissue or organ will the nurse assess for side effects in a client who is receiving cancer therapy with an epidermal growth factor inhibitor? A skin B joints C liver D kidney

a

30 which lab test is a priority for a nurse to monitor when a client has advanced breast cancer with bone mets a serum calcium b glucose c K D na

a

4 the client receiving brachytherapy with an implanted radioactive "seeds" for prostate cancer asks the nurse when these seeds will be removed. What is the best response? A the half life of radiation in these seeds is so short that it is not necessary to remove them B they will only be removed if their presence is painful or leads to an enlarged prostate gland. C when we know for certain that all cancerous cells have been killed, the seeds will be removed. D The seeds are small enough to be absorbed by you body and excreted in the urine or stool

a

7 Which precautions are a priority for the nurse to teach a client undergoing 6 weeks of daily external beam radiation for breast cancer? sata A do not remove the markings B use lotions liberally to keep skin soft and moist C avoid direct skin exposure to sunlight for up to a year D wash the area with your hand using only mild soap and water E apply a heating pad to treated areas to stimulate circulation F avoid wearing a tight fitting bra during treatment and when the area is irritated

a c d f

23 Which actions does the nurse teach a client who has mucositis to reduce the discomfort sata A apply a water based moisturizer to the lips as often as you like B brush the teeth and tongue rigorously with a tooth brush every 8 hrs C swish and spit room temp water every 1-2 hrs D use commercial mouth wash and glycerin swabs to refresh your mouth E avoid smoking while open sores are present F limit your fluid intake to 1 liter or less daily

a c e

20 Which types of cancers would a nurse expect the client to have a T N M report? sata A breast cancer B colorectal cancer C leukemia D lung cancer E lymphoma F melanoma

a d

20 which interventions are the most important for the nurse to teach a client who is receiving chemo with an agent that causes thrombocytopenia to prevent harm? SATA A use an electric shaver, not a safety razor B avoid eating raw meat, fish, and poutltry C take your temp daily D use a soft bristled tooth brush and do not floss E do not use enemas or rectal suppositories F be sure to get an annual flu vaccine

a d e

5 Which statements regarding care of the client receiving radio-therapy in the form of unsealed radioactive isotopes guides the nurses care? sata A the client may have restrictions on who can visit and for how long B the client must be in total isolation while the isotopes are in place C when seeds are used for prostate cancer therapy the client must have them removed before leaving the hospital D the clients urine and stool must be handled as radioactive material E the nurse must ensure that all personnel entering the clients room use appropriate precautions F only those female nurses who are past menopause cane be assigned to care for this client

a d e

5 Which characteristics are most associated with malignant tumors rather than benign tumors? SATA A have more or fewer than normal chromosomes B arise from normal parental tissues C has growth that is orderly and with normal growth patterns D perform their differentiated function E invades other tissue F do not respond to signals for contact inhibition

a e f

3 For which side effects will the nurse prepare the client who is to recieve 6 week of external beam radiation therapy for uterine cancer? sata A dry mouth B taste changes C scalp alopecia D bowel changes E increased Fatigue F skin rash and redness G difficulty swallowing H numbness and tingling of the fingers and toes

b d e f

. A client with chemotherapy-induced neutropenia is prescribed filgrastim. The client states, "The bones in my legs are aching so bad." What is the appropriate nursing response? A. "The pain in your legs is likely from the cancer." B. "Bone pain is a side effect of filgrastim that improves with time." C. "Increasing activity will help with the bone pain." D. "Have you had any fever or nausea?"

b

11 The client who is receiving combination chemo 7 days ago for breast cancer calls the oncology clinic to report a temp of 100.5 and has no other symptoms of infection, what is the nurses best response? A this is a normal immune related response to chemo B please go to the nearest emergency room for a full workup for infection C you are most likely dehydrated, come to the clinic for IV fluids D There is no concern at this time but call if your temp reaches 101.5

b

14 which client report does the nurse interpret as a possible warning sign of cancer? A joint soreness and stiffness on arising after sleep B soreness under the tongue present for 4 months C wheezing and coughing with seasonal asthma D redness to the skin with pain after sun exposure

b

15 Which statement made by a client who was treated for breast cancer 2 years ago indicates to the nurse that the clients cancer may have metastasized? A I seem to be hungry all the time B my ribs hurt but i havent had an injuries C my skin is dry and it feels itchy and irritated D I feel like I need to urinate all of the time

b

16 Which instruction will the nurse emphasize to the AP about the hygiene needs of a client who is neutropenic? A do not enter the room unless absolutely necessary and then minimize the time spent in the room B mouth care and washing of the axillary and perianal regions must be done during every shift C in the client seems very tired, assist with toileting but defer all other aspects of hygiene care d be sure to soak the clients feet in warm sudsy water for at least 30 minutes daily

b

17 which client report prompts the nurse to create a three generation pedigree to assess for the possibility of an increased risk for cancer A has one first degree relative and two second degree relatives with lung cancer B has a father and a paternal grand father with colorectal cancer C has a hx of cervical cancer treatment 5 years ago D has worked as a chemical engineer for 20 years

b

2 For which problem would the nurse expect to prep a client for palliative cancer surgery? A extensive scarring after treatment for head and neck surgery B an intestinal obstruction and continuous vomiting C irritated mole continuously rubbed by a bra strap D a rapidly growing lesion with irregular boarders

b

21 Which action is most important for the nurse to take to prevent extravasation in a client receiving IV chemo A identify the specific antidote and make sure it is readily available B frequently assess the side for a blood return and ease of the infusion C Use an IV pump or controller to deliver the chemo infusion D avoiding administering any drugs or fluids that are tissue irritants or vesicants

b

6 What is the nurse's best response to a client who says that she has heard that the origin of most cancers are genetic? A the development of most cancers is predetermined and not affected by environmental factors B Cancers arise in cells that have alterations in the genes C cancer is more common among males than females D the majority of cancers are inherited

b

6 What is the nurses first action to prevent harm when finding the sealed radiation implant for cervical cancer in the 74 year olds bed? A assess the clients mental status B use tongs to place the implant in the radiation container C notify the radiologist and move the client to a different room D don gloves and attempt to reposition the implant and positioning device

b

8 Which tumor grade will the nurse interpret from the pathology report of a client's biopsy of a lymph node with the features of "moderately differentiated: lung epithelial tissue, euploid" A grade 1 B grade 2 C grade 3 d grade 4

b

How does a mutation in a suppressor gene, such as BRCA1, increase the risk for cancer development? A. Converting a proto-oncogene into an oncogene B. Removing the control over proto-oncogene expression C. Reducing the amount of cyclins produced by the oncogenes D. Inhibiting the recognition of abnormal cells through immunosurveillance

b

13 which PPE is the nurse required to use when administering IV chemo? A head cover B eye protection C mask D gown E chemo designed gloves F Shoe coverings

b c d e

22 Which cancer types are associated with Human Papilloma virus infections? sata A breast cancer B cervical cancer C head and neck cancer D leukemia E penile cancer D primary brain cancer

b c e

1 which signs and symptoms does a nurse expect in a client whos cancer has invaded the bone marrow. SATA A diarrhea and vomiting B fatigue and weakness C low cbc D confusion and memory loss E bruising and other bleeding signs F tachycardia and sob

b c e f

15 which actions will the nurse teach a client receiving chemo who has myelosuppression and neutropenia to prevent harm and development of an opportunistic infection: A avoid drinking cold or cool liquids B bathe daily with antimicrobial soap C wear gloves when digging in the garden D be sure to wear sufficient clothing in cold weather e Wash dishes in hot sudsy water or in a dish washer F clean your tooth brush daily in the dish washer or with bleach G wear a medical alert bracelet to indicate immunosuppression H get your yearly flu vaccine and pneumonia vaccine

b c e f

8 Which side effects in a client receiving traditional chemo will the nurse report to the oncologist for a reduction of the chemotherapy dose? sata A alopecia B bone marrow suppression C chemo brain D mucositis E nausea and vomiting F peripheral neuropathy

b d

14 Which precautions are a priority for the nurse to teach a client who has chemo induced neuropathy to prevent harm? A avoid taking aspirin B use a bath thermometer to check bath water temps C do not use mouth wash that contains alcohol or glycerin D bathe daily using an antimicrobial soap or gel E use hand rails when going up or down stairs F wear shoes with firm soles

b e f

3 What factors or conditions make normal cells euploid? A they are unable to migrate B retain contact inhibition C have a normal number of chromosome pairs D only undergo mitosis when new cells are needed

c

10 The client receiving high dose chem who has neutropenia asks the nurse whether he and his wife may have sex while receiving chemo, what is the nurses best response? A no this activity will increase the side effects of the chemo B no the danger of impregnating your wife is too great c yes as long as you feel like it and use a condom D yes if you do not have an infection

c

13 What effect does a driver mutation in a gene have on cancer development? A driver mutations are another term for suppressor gene mutations B these mutations protect against cancer development by reversing the effects of initiation. C these mutations occur later in cancer progressions and enhance cancer cell survival D The driver mutation increases an initiated cells latency period, amplifying the effects of the carinogen

c

18 how will the nurse respond to a client with cancer of the right breast who when told she has a tumor in the left lung, says " How can I have lung cancer when I have never smoked in my life? A not all lung cancers are caused by smoking cigarettes B many of the same carcinogens that cause breast cancer also cause lung cancer C This tumor may be breast caner that has moved to your lungs and not a new cancer D this is probably the result of the radiation treatment you received

c

18 which assessment is a priority for the nurse to perform for a client who is taking an antiemetic from the 5-HT3 receptor blocker class of drugs A urine output B serum calcium levels c heart rate and rhythm D wbc count

c

24 Which possible problem does the nurse suspect whena client has been treated for prostate cancer reports that he is having lots of pain in his lower back and legs A arthritis B urinary retention C metastasis to the bone D muscle atrophy from inactivity

c

25 What possible role could estrogen plan in cancer development? A estrogen, a female hormone, can cause cancer in males B estrogen is a normal hormone that has no role in cancer development C cancers that are estrogen dependent undergo mitosis more often in the presence of estrogen D it can be given to men with prostate cancer to help reduce the growth of prostate cancer cells

c

28 which change in health status indicates to the nurse that the clients superior vena cava syndrome is worsening a the clients systolic bp is rising and the diastolic bp is decreasing B the clients severe nausea and vomiting no longer responds to antiemetics C the client experienced 4 nose bleeds in the past 2 days D pedal edema is now present

c

29 which client report indicates to the nurse that spial cord compression may be present a the client reports having a headaches for the past 7 hrs B the client reports reduced breath sounds in the left lung c the client has worsening mid thoracic back pain d pedal edema is now present bilaterally

c

Which statements made by a 62-year-old client alert the nurse to the possibility that he may be at increased genetic risk for cancer development? Select all that apply. A. An older aunt died from a brain tumor while she had breast cancer. B. He had two benign colon polyps removed during his most recent routine colonoscopy. C. His sister died from cancer of the appendix. D. His brother is being treated for breast cancer. E. His 32-year-old daughter has been recently diagnosed with cervical cancer. F. One person in each of the previous three generations of his family died from lung cancer.

c d

16 Which actions or behaviors represent to the nurse that the client is engaging in primary cancer prevention practices? sata A reducing cigarette smoking B getting a mammogram annually C having a mole removed from the neck D obtaining a colonoscopy every 5 years E having a health checkup, including chest xray annually F electing to have bilateral mastectomies when the person has the Braca1 mutation

c d f

12 How will the nurse instruct a client who is prescribed oral chemotherapy for colorectal cancer to dispose of unused or expired drug to prevent harm? A place in a puncture proof container and throw out in the regular trash B crush the drugs and mix them in kitty liter before placing in a zippered bag in the trash C flush down the toilet taking care to wear gloves while wiping up splash areas on the toilet or walls D take them back to the oncology unit in the container which they were dispensed for disposal

d

2. A client's cancer is staged as T1, N2, M1 according to the TNM classification system. How does the nurse interpret this report? A. The client has two tumors that are nonresponsive to treatment. B. The client has leukemia confined to the bone marrow. C. The client has a 2-cm tumor with one regional lymph node involved and no distant metastasis. D. The client has a small primary tumor extension into two lymph nodes and one site of distant metastasis.

d

22 which statements by a client taking an oral cancer agent indicates to the nurse that more education is needed. A this drug is more convenient than my old IV drugs B i understand that not skipping doses is very important in controlling cancer C my husband wants to help me but I told him only I should touch this drug D i have been crushing the drug and putting it in my tea because its hard to swallow

d

23 Which comments made by a client with breast cancer indicates to the nurse a need for clarification regarding cancer causes and prevention? A I will eat a low fat diet from now on B i know that nothing i did or didnt do caused this cancer C i hope my daughter doesnt have this problem when she grows up D i will have regular mammograms on my other breast to prevent cancer

d

25 which client will the nurse assess most frequently for sepsis? A 34 yo who has received high dose radiation to the left chest area B 53 yo with hypercalcemia and dehydration C 66 yo client with small cell lung cancer and hyponatremia D 72 yo patient with neutropenia and low grade fever

d

17 What is the nurses priority actions to prevent harm for a client receiving IV chemo to a peripheral line with an agent that is an irritant that says it burns in and around the site. A check for blood return B slow the rate of infusion C apply ice to the site D discontinue the infusion E call the pharmacist F raise the arm above the level of the heart

d e

What does the L in TLM staging mean?

lymph nodes

What does the m in TLM staging mean?

metastasis

What stage is local tumor growth?

stage 1

What stage is cancer when there is limited spreading?

stage II

What stage is cancer deemed when there is regional spreading?

stage III

What stage is a cancer that has mets to other organs?

stage IV

What does the t in TLM staging mean?

tumor size