Exam 4 Review Q's

A malignant tumor is characterized by a. Encapsulation b. Invasion into adjacent tissues c. Well differentiated d. Avascular

B

T/F? A patient receiving external radiation is radioactive.

false

The clinical manifestations of colon cancer includes a. Elevated CA - 125 Used for ovarian cancer b. Abdominal cramping c.Elevated PSA (prostate) d. Vitamin B-12 deficiency (iron deficiency anemia)

B

A client has passed a renal calculus. The nurse sends the specimen to the laboratory so it can be analyzed for which factor? a. Antibodies b. Type of infection c. Composition of calculus d. Size and number of calculi

C

An adult experiences severe vomiting from cancer chemotherapy drugs. Which acid-base imbalances should the nurse anticipate? a. Ketoacidosis b. Metabolic acidosis c. Metabolic alkalosis d. Respiratory alkalosis

C

Most patients receive cancer care in which setting a. Acute care hospital b. Rehabilitation setting c. Ambulatory care or outpatient setting d. Skilled nursing facility

C

Small cell lung cancer is characterized by a. A good prognosis if diagnosed early b. A resectable tumor c. Early metastasis d. An elevated CEA

C

Which intervention should be done for a client with urinary calculus? a. Save any calculus larger than 0.25 cm b. Strain the urine, limit oral fluids, and give pain medications c. Encourage fluid intake, strain the urine, and give pain medication d. Insert an indwelling urinary catheter, check intake and output, and give pain medication

C

Which of the following describes the promotion stage of cancer a. Increased metastasis occurs b. Mutation of DNA occurs c. Reversible proliferation of the altered cell d. None of the above

C a-progression b-initation

A client with cancer has a calcium level of 12.5 mg/dl. What intervention would you expect? a. Strict bedrest b. Fluid restriction c. Administration of bisphosphonate d. Administration of calcium chloride

C Getting calcium to stay in bone not blood

A client presents with a possible urinary tract infection. Which urine characteristic should the nurse assess first? a. Urine clarity b. Urine specific gravity c. Urine acetone d. Urine protein

A

The nurse is assessing a client who reports painful urination during and after voiding. The nurse suspects the client may have a problem with which area of the client's urinary system? a. Bladder b. Kidneys c. Ureters d. Urethra

A

The nurse teaches the patient receiving Interleukin about the drug based on the knowledge that this agent is administered primarily for the purpose of a. stimulating the immune system b. inhibiting DNA and protein synthesis in tumor cells c. decreasing the antigenic expression of antigens of tumor cells surfaces d. preventing bone marrow suppression associated with chemotherapy administration

A

Which of the following components of a thorough pain assessment is the most significant? A - Intensity B - Cause C - Aggravating factors D - Location

A

Circle all examples of Viral carcinogens: a. Epstein Barr Virus (EBV) b. Human papillomavirus c. Influenza type A virus d. MRSA e. VRE f. Hepatitis B

ABF a-lymphoma b-cervical

Which statement tells the nurse that the client needs further teaching about the care she requires because of her external radiation therapy? a. "I will check my mouth frequently for signs of irritation." b. "I know that if I get tired easily, it may be from radiation and doesn't necessarily mean my cancer is getting worse." c. "I will use a good quality lotion on my skin to keep the radiation from burning." d. "I may lose some of my hair during radiation and foods may not taste right."

C good quality lotion could have metal in it, need evaluated by doctor

The nurse caring for a client who is receiving external beam radiation for treatment for lung cancer should anticipate that the client will have which of the following? A - Diarrhea B - Improved energy level C - Dysphagia D - Normal white blood cell count

C location!!!!

During the induction (high dose chemo) stage for treatment of leukemia, the nurse should remove which items that the family has brought into the room? a. A Bible b. A picture c. A sachet of lavender d. A hairbrush

C(old dried flowers)

A man says to the nurse, "I don't understand how my wife could have come down with cancer. She doesn't smoke or drink. How do people get cancer?" Which of the following should be included in the nurse's response?" Select the one or all that apply Viruses Genetic Factors Dietary Factors Environmental Factors

all

An adult is receiving internal radiation therapy for cancer of the cervix. Her radiation source, a rod, becomes dislodged. The nurse's best first reaction is to a. notify the radiation safety personnel at once and wait further information. b. use long-handled forceps to remove the rod and place in a lead container. c. apply two sets of rubber gloves and pick up the rod; place it in a white plastic "biohazard" bucket and call Radiation Safety personnel for a special pick up. d. use long-handled forceps to pick up rod; clean with normal saline, and reinsert into client's vagina, stopping when the rod meets resistance. This indicates that it is against the cervix.

B

Obesity is an example of a. A Chemical Carcinogen b. A Cancer Promoter c. Tumor Initiator d. An Oncofetal Antigen

B

An adult client is receiving radiation therapy. The nurse is teaching the client about signs of radiation-induced thrombocytopenia, which include: a. fatigue b. shortness of breath c. elevated temperature d. a tendency to bruise easily

D

In setting goals for a client with advanced liver cancer who has poor nutrition, the nurse determines that which of the following is a realistic desired outcome for the client? A - Normalize albumin levels B - Return to ideal body weight C - Gain 1 pound every 2 weeks D - Maintain current weight

D

Syndrome of inappropriate ADH (SIADH) that occurs in certain types of cancer is primarily due to a. autoimmune reaction b. gram-negative septicemia c. invasiveness of cancer cells d. ectopic hormonal production

D

The nurse identifies that the patient with the greatest risk for a urinary tract infection is a. A 37-year-old man with renal colic associated with kidney stones. b. A 26-year-old pregnant woman who has a history of urinary tract infections. c. A 69-year-old man who has urinary retention caused by benign prostatic hyperplasia. d. A 72-year-old woman hospitalized with a stroke who has a urinary catheter because of urinary incontinence

D

The patient has had a right hemicolectomy. What would be appropriate discharge instructions a. The patient can lift 25 pounds immediately post op. b. The patient can lift 30 pounds 2 weeks after surgery. c. The patient can lift 25 pounds 4 weeks after surgery. d. The patient can lift 30 pounds 6 weeks after surgery.

D

When providing discharge teaching for a client with uric acid calculi, the nurse should include an instruction to avoid which type of food? a. Cottage cheese b. Beets c. Spinach d. Organ meats

D

Which instruction is given to clients with chronic pyelonephritis? a. Stay on bed rest up to 2 weeks b. Use analgesia on a regular basis for up to 6 months c. Have a urine culture every 2 weeks for up to 6 months d. Antibiotic treatment may be needed for several weeks or months

D

Which intervention is the real hope for a cure for lung cancer? a. Chemotherapy b. Radiation c. Bone Marrow transplant d. Pneumonectomy

D

The following describes the characteristics of a malignant tumor a. Encapsulated and partially differentiated b. Slightly vascular and poor differentiated c. Expansive mode of growth without infiltration and cells more unlike the parent d. Cells more unlike the parent and marked vascularity

D a-benign b-both c-usually they infiltrate

A client is taking interferon. What is an expected side effect? a. Stomatitis b. Capillary leak syndrome c. Hyperuricemia d. Chills

D "flu like symptoms" Interleaking (cap leak syndrome)

You have a patient has been diagnosed with leukemia. The patient decides not to go to follow up doctor's appointments. Which behavior pattern may he be exhibiting?

Denial

Name two conditions in which the patient should avoid flossing?

Throbocytopenia Mouth Sore Thush

A client with cervical cancer is an inpatient in the hospital and has a sealed radiation implant in place. Which would be included in the nursing plan for this client? a. Admit to a semi-private room b. Visitors are limited to four hours per day c. No pregnant women or children younger than 16 can visit d. All patient excretions require special precautions.

c

Obesity is a risk factor that promotes cancer growth; if it is reversed, the risk of cancer can be decreased. T/F?

true