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A young female client has received chemotherapeutic medications and asks about any effects the treatments will have related to her sexual health. The most appropriate statement by the nurse is

"You will need to practice birth control measures"

The clinic nurse is caring for a client who has just been diagnosed with a tumor. The client says to the nurse "The doctor says my tumor is benign. What does that mean?" What is the nurse's best response?

"Benign tumors don't usually cause death"

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

"I'm worried I'll expose my family members to radiation"

The nurse is caring for a client who is scheduled for chemotherapy. What is the best statement the nurse can make about the client experiencing chemotherapy-induced alopecia?

"The hair loss is usually temporary"

After cancer chemotherapy, a client experiences nausea and vomiting. The nurse should assign highest priority to which intervention?

Administering metoclopramide and defame that's one as ordered

A client is receiving chemotherapy to treat breast cancer. What assessment finding indicates a chemotherapy-induced complication?

Serum potassium level of 2.6 mEq/L

The client is receiving a vesicant antineoplastic for treatment of cancer. What assessment finding would require the nurse to take immediate action?

Extravasation

What is a growth-based classification of tumors?

Malignancy

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

Antiemetic (anti nausea)

A client has cancer of the neck and is receiving external beam radiation therapy to the site. The client is experiencing trauma to the irradiated skin. The nurse does all of the following. (2 examples)

Assesses the client for any sun expose Avoids shaving the irradiated skin

What does a nurse thoroughly evaluate before a hematopoietic stem cell transplant (HSCT) procedure?

Blood studies

What should a nurse thoroughly evaluate before a bone marrow transplant (BMT) procedure?

Blood studies

A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion according to the TNM staging system as follows: Tis, N0, M0. What does this classification mean?

Carcinoma in situ, no abnormal regional lymph nodes, no evidence of distant metastasis

A nurse is performing a home visit for a client who received chemotherapy within the past 24 hours. The nurse observes a small child playing in the bathroom, where the toilet lid has been left up. Based on these observations, the nurse modifies the client's teaching plan to include:

Chemotherapy exposure and risk factors

A nurse is planning caring for a client who has developed erythema following radiation therapy for a lesion on the left lower leg. Which intervention would the nurse include in the client's plan of care to best support skin recovery at the affected site?

Cleanse with lukewarm water and pat dry

What primary cancer treatment goal is prolonged survival and containment of cancer cell growth?

Control

The root cause of cancer is damage to cellular deoxyribonucleic acid (DNA) which can be caused by many factors, or carcinogens. What factors can be carcinogenic? (3 factors)

Dietary substances Viruses Environmental factors

While administering an intravenous chemotherapeutic medication to a client, the nurse assesses swelling at the insertion site. What is the nurse's first action?

Discontinue the intravenous medication

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 what complication?

Extravasating

What foods should the nurse suggest that the patient consume less of in order to reduce nitrate intake because of the possibility of carcinogenic action?

Ham and bacon

A client diagnosed with cancer has the tumor staged and graded based on what?

How the tumor tends to grow and the cell type

When caring for an older client who is receiving external beam radiation, whatis the key point for the nurse to incorporate into the plan of care?

Inspect the skin frequently

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

Inspecting the skin for petechiae once every shift

The nurse is caring for a client undergoing an incisional biopsy. What statement does the nurse understand to be true about an incisional biopsy?

It removes a wedge of tissue for diagnosis

What disadvantages of chemotherapy should the patient be informed about prior to starting the regimen?

It targets normal body cells as well as cancer cells

The nurse working on a bone marrow unit knows that it is a priority to monitor which of the following in a client who has just undergone a bone marrow transplant?

Monitor the client closely to prevent infection

What type of surgery is used in an attempt to relieve complications of cancer?

Palliative

During which step of cellular carcinogenesis do cellular changes exhibit increased malignant behavior?

Progression

A nurse assesses an oncology client with stomatitis during a chemotherapy session. What nursing intervention would most likely decrease the pain associated with stomatitis?

Provide a solution of viscous lidocaine for use as a mouth rinse

What does a nurse have to assess during the bone marrow transplant (BMT) procedure?

Psychological status

A client has been receiving chemotherapy to treat cancer. What assessment finding suggests that the client has developed stomatitis?

Red, open sores on the oral mucosa

After being seen in the oncology clinic, a client with severe bone marrow suppression is admitted to the hospital. The client's cancer therapy consisted of radiation and chemotherapy. When developing the care plan for this client, what nursing diagnosis takes priority?

Risk for infection

A nurse is caring for a client receiving chemotherapy. What assessment finding places the client at the greatest risk for an infection?

Stage 3 pressure ulcer on the left heel

What primary prevention intervention(s) would the nurse include in a client's nursing plan of care? (Two answers)

Teaching about the importance of applying sunscreen Discussing smoking cessation strategies

What should the nurse tell a client who is about to begin chemotherapy and is anxious about hair loss?

The client should consider getting a wig or cap prior to beginning treatment

A 36-year-old man is receiving three different chemotherapeutic agents for Hodgkin's disease. The nurse explains to the client that the three drugs are given over an extended period because:

The three drugs have a synergistic effect and act on the cancer cells with different mechanisms

The nurse is providing client teaching for a client undergoing chemotherapy. What dietary modifications should the nurse advise?

To avoid spice and fatty foods

A client with metastatic pancreatic cancer underwent surgery to remove a malignant tumor in the pancreas. Despite the tumor being removed, the physician informs the client that chemotherapy must be started. Why might the physician opt for chemotherapy?

To prevent metastasis

The physician is attending to a client with a malignant brain tumor. The physician recommends immediate radiation therapy. What is a reason for the physician's recommendation?

To prevent the formation of new cancer cells

A client is receiving radiation therapy and asks the nurse about oral hygiene. What teaching specific to the client's situation should the nurse include?

To use a soft toothbrush and allow it to air dry before storing

(T/F) malignant tumors gain access to the blood and lymphatic channels

True

The client is diagnosed with a benign brain tumor. What feature of a benign tumor is of most concern to the nurse?

Tumor pressure against normal tissue

A nurse is caring for a client receiving chemotherapy. What nursing action is most appropriate for handling chemotherapeutic agents?

Wear disposable gloves and protective clothing

What would be inconsistent as a common side effect of chemotherapy?

Weight gain

The nurse is teaching a client about carcinogens. What carcinogens does the nurse include in the teaching? (6 answers)

dietary substances Environmental factors Viruses Chemical agents Defective genes Hormone replacement therapy

A patient will be having an endoscopic procedure with a diagnostic biopsy. What type of biopsy does the nurse explain will remove an entire piece of suspicious tissue?

excisional biopsy

A client with a brain tumor is undergoing radiation and chemotherapy for treatment of cancer. The client has recently reported swelling in the gums, tongue, and lips. What is the most likely cause of these symptoms?

stomatitis