Concepts 2; Cellular regulation
A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process?
"The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication."
A nurse is reinforcing teaching with a client about cancer prevention and plans to address the importance of foods high in antioxidants. Which of the following foods should the nurse include in the teaching?
Fresh berries
A nurse at a community health clinic is assisting with creating a brochure about testicular cancer. Which of the following information should the nurse include?
Gently roll the testicles to feel for abnormalities
A nurse is reinforcing teaching with 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?
Increase fluid intake by drinking bottled water
A nurse is caring for a client who has advanced stage prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?
Leuprolide
A nurse is assisting in planning an educational session regarding risk factors for skin cancer to a group of clients. Which of the following information should the nurse plan to include in the session?
Overexposure to ultraviolet light Chronic skin lesions Genetic predisposition
A nurse is caring for an older adult client who has cancer and is receiving opiods for pain relief. The client has a new prescription for docusate PO daily. When collecting data from the client, which of the following therapeutic effects of docusate should the nurse expect?
Relief from constipation
A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the following risk factors should the nurse identify as the leading cause of non-melanoma skin cancer?
Sun exposure
A nurse is reinforcing teaching to a client about skin cancer. Which of the following statements by the client indicates a need for further teaching?
"Eating a high fiber diet will reduce my risk for developing skin cancer."
A nurse is reinforcing teaching to a client who is at high risk for breast cancer and is prescribed tamoxifen citrate for prophylaxis. Which if the following statements should the nurse make regarding adverse effects of the medication?
"Hot flashes are a common side effect of this drug."
A nurse is providing teaching for a client who has an ileal conduit following bladder cancer. Which of the following statements by the client indicates a need for the nurse to provide additional teaching?
"I need to catheterize the stoma several times a day."
A nurse is reinforcing teaching with a client about the risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?
"I need to use sunscreen even in winter."
A nurse is assisting with the care of a client who has lung cancer and is scheduled for a lobectomy. The nurse should instruct the client to expect the use of which of the following equipment postoperatively?
A chest tube
A nurse is reinforcing teaching with a group of clients about common findings that can indicate cancer. The nurse should instruct the clients to monitor for and report which of the following findings?
A nonhealing sore Change in bowel pattern Nagging cough
A nurse in a provider's officer is collecting data from a client who has ovarian cancer. Which of the following manifestations should the nurse expect?
Abdominal bloating
A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?
Abnormal vaginal bleeding
A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in the teaching?
Close male relatives are at increased risk for the disease It typically occurs between ages 15 to 40
A nurse is reinforcing teaching with a client who has cancer about foods that prevent protein-energy malnutrition. Which of the following foods should the nurse include in the teaching?
Cottage cheese Milkshake Tuna fish Egg and ham omelet
A nurse is caring for a client newly diagnosed with ovarian cancer. Which of the following reactions from the client should the nurse initially expect?
Denial
A client who has metastatic bone cancer tells the nurse, "I want to go home to die." The client's family is concerned about meeting the client's care needs at home. Which of the following actions should the nurse take?
Discuss a referral to home health and hospice care with the client and family
A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancer and experiencing nausea. Which of the following actions should the nurse take?
Encourage the client to drink a carbonated beverage 1 hour before meals
A nurse is assisting with teaching a community group about the early detection of colorectal cancer. Which of the following screening recommendations should the nurse include for adults 50 years of age and older?
Flexible sigmoidoscopy every 5 years
A nurse is caring for an older adult client who has colon cancer. The client asks the nurse several questions about his treatment plan. Which of the following actions should the nurse take?
Help the client write down questions to ask his provider
A nurse is assisting with teaching a client who has a history of smoking about recognizing early manifestations of laryngeal cancer. The nurse should instruct the client to monitor and report which of the following manifestations of laryngeal cancer?
Hoarseness
A nurse is caring for a client who is to start taking tamoxifen as a treatment for 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 reinforcing teaching with a client who has breast cancer and a new prescription for tamoxifen. The nurse should instruct the client that which of the following adverse effects is common when taking tamoxifen?
Hot flashes
A nurse is collecting data from client who has received chemotherapy to treat lung cancer. Which of the following adverse effects should the nurse report to the provider?
Manifestations of infection
A nurse is caring for a client who has metastatic cancer and has been taking morphine for several months to relieve severe pain. Which of the following prescriptions should the nurse expect when the client reports constipation unrelieved by laxative therapy?
Methylnaltrexone
A nurse is reinforcing teaching with a client who asks which diagnostic test is the preferred method for detecting cervical cancer. Which is an appropriate response by the nurse?
Papanicolaou test
A nurse in a health clinic is assisting in the planning of an educational program on skin cancer. Which of the following statements should be included in the presentation?
Sun exposure as a child is a significant risk factor for skin cancer
A nurse is reinforcing teaching with a group of parents about malignant renal and intra-abdominal cancers of childhood. The nurse should include that which of the following cancers is the most common malignant renal and intra-abdominal tumor of childhood?
Wilms' tumor
A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?
"I am hoping this will help relieve my discomfort."
A nurse is reinforcing teaching to a client about how to perform fecal occult blood testing for screening of colorectal cancer. Which of the following statements by the client indicates a need for further teaching?
"I will continue my low-dose aspirin therapy regimen."
A nurse is assisting with the admission of a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, "I don't know what I will do if they discover I have cancer." Which of the following responses should the nurse make?
"I'm hearing that you are concerned that you could have cancer."
A nurse in an outpatient clinic is caring for a client who reports bilateral knee pain after a hike in the mountains this past weekend. He tells the nurse that he is worried because his cousin died from bone cancer recently. Which of the following responses should the nurse make?
"You seem worried. Let's talk about how you are feeling."
A nurse is assisting with the development of an education program about skin cancer. Which of the following information should the nurse include in the presentation?
"Individuals who have light skin are at greater risk for developing skin cancer."
A nurse is collecting data from a client who is admitted to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?
"It's okay to feel afraid. Let's talk about what you are afraid of."
A nurse is reinforcing teaching about TNM staging with a client who has cancer. Which of the following information should the nurse include in the teaching?
"M1 indicates tumor metastasis to a single site."
A nurse in a provider's office is reinforcing teaching to a client who is at high risk for ovarian cancer. Which of the following statements by the client indicates an understanding of the teaching?
"My doctor will perform pelvic exams to detect for ovarian cancer."
A nurse is caring for a client who has cancer. The client states that she wants to try nontraditional treatments instead of the chemotherapy recommended by her provider. Which of the following responses should the nurse make?
"Tell me more about your concerns about chemotherapy"
A nurse is contributing to the development of a pamphlet about breast cancer awareness for a local health fair. Which of the following information provided by the nurse needs to be corrected?
"Use the palm of your hand to feel for lumps using a patting motion."
A nurse is assisting with a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?
"What do you mean when you say you cannot ever return to work?"
A nurse is caring for a client who has invasive breast cancer and is starting chemotherapy. She tells the nurse that she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?
"What is it about the adverse effects that concerns you?
