Chapter 18

A client complains of unusual vaginal discharge and heavier, more painful periods than usual. This client's symptoms may be possible warning signs of which type of cancer? A. cervical B. kidney C. colon D. bladder

A

A client with a recent history of GI disturbance has been schedulded for a barium study. The physician ordered this particular test for this client because it will: A. show movement of the GI tract B. show tumor "hot spots" in the GI tract C. remove a tissue sample from the GI tract D. provide a three-dimensional cross-sectional view

A

Carcinogens are factors related to the formation of various malignancies. Which factor has the greatest impact on the development of all cancers? A. chemical agents B. environmental factors C. viruses D. defective genes

A

Which term is a growth-based classification of tumors? A. malignant B. sarcoma C. carcinoma D. leukemia

A

A client has just received stem cell transplantation as treatment for leukemia. What are the post procedural nursing interventions for clients receiving any form of stem cell transplantation? A. closely monitor the client for at least 4 weeks B. closely monitor the client for at least 3 weeks C. closely monitor the client for at least 3 days D. closely monitor the client for at least 5 months

B

Cancer is the second leading cause of death in the United States, second only to heart disease. Half of all men and one third of all women will develop cancer during their lifetimes. Which types of cancer have the highest prevalence among both men and women? A. skin and brain B. lung and colon C. colon and skin D. lung and skin

B

What should the nurse tell a client who is about to benign chemotherapy and is anxious about hair loss? A. the hair will grow back the same as it was before treatment B. the client should consider getting a wig or cap prior to beginning treatment C. alopecia related to chemotherapy is relatively uncommon D. the hair will grow back within 2 months post therapy

B

Which patient instructions are necessary for a client receiving systemic internal radiation therapy who is being discharged? Select all that apply. A. use separate hand towels B. wash hands carefully following toileting C. avoid all physical contact with family members D. drink only clear fluids and water E. was laundry separately

B

A client returns for the results of diagnostic testing for metastasized brain cancer. The client has been battling this disease for more than 30 years and has become symptomatic. The latest diagnostic study, a CT scan, reveals the extent of the malignancy. What information can be gleaned from a CT scan? Select all that apply. A. cancer staging B. tumor density, shape, and size C. blood vessels feeding the tumor

B, C

A client has been diagnosed with a neoplasm and is seeking further information and possible treatment. The primary care physician described the neoplasm as "insidious." What does the word "insidious" mean? A. aggressive B. terminal C. slow-growing D. life-threatening

C

A client is receiving IV administration of the vesicant doxorubicin when the nurse detects signs of extravasation. After stopping administration, what nursing action would be taken to treat this complication? A. apply warm compress B. administer thiosulfate as ordered C. elevate and rest the extremity D. apply ice to the site

C

A young client has been diagnosed with cancer that has metastasized to the lungs. During client education, the client's mother asks about tumor staging and its relation to her child's condition. What stage would the nurse expect this client's tumor to be assigned? A. stage 0 B. stage III C. stage IV D. stage I

C

A client receives a diagnosis of chondrosarcoma. This means that the client has a : A. tumor that originated in the smooth muscle B. benign tumor of the cartilage C. tumor that originated in the bone D. malignant tumor

D

A client returns to the surgeon's office for a report on a diagnostic procedure to determine the cell composition of the client's abdominal neoplasm. Which term is significant to indicate the likelihood of the tumor spreading? A. neoplasm B. lesion C. primary site D. benign

D

A client is struggling emotionally with a recent diagnosis of lung cancer. Which nursing interventions would be most effective in helping the client deal with these emotions? Select all that apply. A. assess the client's immediate support systems B. encourage the client to make better choices C. encourage the client to set goals for the future D. teach the client to use relaxation techniques

A, C, D

The root cause of cancer is damage to cellular deoxyribonucleic acid (DNA) which can be caused my many factors, or carcinogens. What factors can be carcinogenic? Select all that apply. A. environmental factors B. gender C. viruses D. dietary substances E. age

A, C, D

A client who is receiving chemotherapy for esophageal cancer complains of "feeling sick to my stomach all the time." What is the best suggestion the nurse can make to help alleviate this client's nausea? A. drink more soft drinks B. consume more salty foods C. consume warm or hot foods D. eat low-fat foods

D

The oncologist advises a client with an extensive family history of breast cancer to consider a mastectomy. This procedure would be considered which type of surgery? A. prophylactic B. cryosurgery C. palliative D. local excision

A

During a client's examination and consultation, the physician keeps telling the client, "You have an abdominal neoplasm." Which statements accurately paraphrase the physician's statement? Select all that apply. A. "You have abdominal cancer." B. "You have an abdominal tumor." C. "You have a new growth of abnormal tissue in your abdomen." D. "You have an abdominal malignancy."

B, C

A client without symptoms or complaints receives a diagnosis of prostate cancer after a routine physical. What factors contributed to this diagnosis? Select all that apply. A. environmental factors B. client history C. tumor markers D. risk factors

B, C, D

During a routine physical examination, a client confides that he is terrified of developing prostate cancer like his father. What are the warning signs of prostate cancer? Select all that apply. A. easy bruising B. weak and interrupted urine flow C. continuous pain in the lower back D. pain in the upper thighs E. blood in the urine

B, C, D