Cancer questions

A client receiving chemotherapy has a white blood cell count of 1000/mm^3. What actions by the nurse are most appropriate? Select all that apply.

Assess all mucous membranes every 4-8 hours Listen to lung sounds and monitor for cough Monitor venous access device appearance with vital signs Take and record vital signs every 4 to 8 hours

A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

Bottled water is an appropriate choice to increase fluid intake

A nurse is caring for a client who is two days postoperative following creation of an ileal conduit. Which of the following is an unexpected finding associated with this procedure?

Feces in the draining appliance

A nurse is teaching for a client who is to begin taking Tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?

Hot flashes

A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure?

A chest tube

A nurse is teaching a patient about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? Select all that apply.

A nonhealing sore Change in bowel pattern Change in moles Nagging cough

A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse effects should the nurse include in the teaching?

Tinnitus

A patient with a large stomach tumor that is attached to the liver is scheduled to have a debulking procedure. The nurse explains that the expected outcome of this surgery is

decrease in tumor size to improve the effects of other therapy

A nurse is preparing to administer IV chemotherapy. What supplies does this nurse need? Select all that apply.

"chemo" gloves facemask isolation gown

CAUTION

Change in b/b A sore that doesn't heal Unusual bleeding/discharge Thickening/lumps in breast/elsewhere Indigestion/difficulty swallowing Obvious change in wart/mole Nagging cough/hoarseness

A nurse is caring for a client who is receiving cisplatic to treat bladder cancer, After several treatments, the client reports fatigue. Which of the following actions should the nurse take?

Check the results of the client's most recent CBC

A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Check the value of the client's current platelet count

A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?

Poor

A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?

Do not apply heat to the area of irradiation

A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?

Prostatic cancer

A nurse if caring for an older adult client who has a WBC of 2,000/mm^3 after three rounds of chemotherapy. Which of the following actions should the nurse take?

Serve cooked fruits with meals

A charge nurse is teaching a group of health care workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include"

Use chlorhexidine to wash hands if the client is immunosuppressed.

A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effect?

Bleeding from the gums

A nurse is caring for a client who is 1 day postoperative following a mastectomy. Which of the following exercises should the nurse assist the client to perform on the affected side? Select all that apply.

Squeezing a rolled wash cloth Flexing and extending her hand Flexing and extending her elbow

When reviewing the chart for a patient with cervical cancer, the nurse notes that the cancer is staged Tis, N0, M0. The nurse will teach the patient that

the cancer is localized to the cervix

After receiving change-of-shift report, which of these patients should the nurse assess first?

24-year-old who is receiving neck radiation and has blood oozing from the neck

After radiation treatment, a client reports dryness, redness, and scaling of his skin occurring within the designated treatment markings. The nurse should instruct the client to take which of the following actions?

apply hydrating lotions

A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?

brushing her hair

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

"I'll call my doctor if I notice any unusual menstrual bleeding."

While being prepared for a biopsy of a lump in the right breast, the patient asks the nurse about the difference between a benign tumor and a malignant tumor. Which answer by the nurse is correct?

"Malignant cells reproduce more rapidly than normal cells"

A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary?

An excess amount of doxorubicin can lead to cardiomyopathy

A client on interferon therapy is reporting severe skin itching and irritation. What actions does the nurse delegate to the assistive personnel? Select all that apply.

Apply moisturizers to dry skin Bathe the client using mild soap

A client's family members are concerned that telling the client about a new finding of cancer will cause extreme emotional distress. They approach the nurse and ask if this can be kept from the client. What actions by the nurse are most appropriate? Select all that apply.

Ask the family to describe their concerns more fully Consult with a social worker, chaplain, or ethics committee Explain the client's right to know and ask for their assistance

A client has mucositis. What actions by the nurse will improve the client's nutrition? Select all that apply.

Assist with rinsing the mouth with saline frequently Encourage the client to eat room-temperature foods Provide local anesthetic medications to swish and spit Remind the client to brush teeth gently after each meal

A nurse is caring for a client who is scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the clients the most likely side effect would be

Dysphagia

A nurse is caring for a patient with prostate cancer. The nurse should expect the provider to prescribe which of the following medications?

Leoprolide

A nurse is planning care for a client who has an absolute neutrophil count (ANC) less than 1,000/mm^3. Which of the following interventions should the nurse include in the plan?

Limit visitors to healthy adults

A nurse is teaching about adverse effects of anastrozole with a client who has advanced breast cancer and is postmenopausal. Which of the following adverse effects should the nurse recommend the client report to her provider?

Musculoskeletal pain

A nurse is teaching a client who is receiving treatments for metastatic colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

Nose bleeds

A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?

WBC 2,300?mm^3