Medsurg Test 2
The client has a body surface area of 2.05 m². He is prescribed vincristine (Oncovin) 1.4 mg/m². Vincristine is available as 1 mg/1 mL. How many mL will the nurse administer? Round your answer to the nearest tenth.
2.9
After cancer chemotherapy, a client experiences nausea and vomiting. The nurse should assign highest priority to which intervention?
Administering metoclopramide and dexamethasone as ordered
The nurse is teaching the client who is receiving chemotherapy and the family how to manage possible nausea and vomiting at home. What information should the nurse include in the teaching plan? A.Include soft foods in the diet B.Eating frequent, small meals C.Drink a milkshake made with fruit every day D.Limit the amount of fluid intake
B.
A 75 year old patient with advanced metastatic brain cancer agrees to have surgery to help alleviate headaches, nausea, and visual disturbances. The goal of this surgery is which of the following? A.Control B.Prophylactic C.Palliation D.Cure
C.
The nurse caring for a client who is receiving external beam radiation therapy for the treatment of lung cancer. Which of the following may occur with radiation to the chest? A. diarrhea B. improved energy level C. dysphagia D. normal white blood cell count
C.
A nurse is conducting a cancer risk screening program. Which client is at greatest risk for skin cancer? A.a 45-year-old health care worker B.a 15-year-old high school student C.a 30-year-old butcher D.a 60-year-old mountain biker
D.
Which of the following are true statements about effective radiation therapy? Select all that apply.
Slower-growing tissues at rest (muscle) are more radioresistant. Tumors that are well oxygenated are more sensitive to radiation. Tumors that are small in size and dividing rapidly are more sensitive.
When malignant cells are killed (tumor lysis syndrome), intracellular contents are released into the bloodstream. This leads to which of the following? Select all that apply. Hypercalcemia Hyperphosphatemia Hyperuricemia Hyperkalemia
Hyperkalemia Hyperuricemia Hyperphosphatemia
A nurse is teaching a client about the rationale for administering allopurinol with chemotherapy. Which example would be the best teaching by the nurse?
It lowers serum and uric acid levels
During which step of cellular carcinogenesis do cellular changes exhibit increased malignant behavior? Progression Promotion Initiation Prolongation
Progression
Which oncologic emergency involves the failure in the negative feedback mechanism that normally regulates the release of antidiuretic hormone (ADH)?
Syndrome of inappropriate antidiuretic hormone release (SIADH)
The physician is attending to a 72-year-old 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 patient is receiving chemotherapy for metastatic prostate cancer. The nurses should assess the lab results associated with which of the following while the client is receiving chemotherapy? A.bone marrow cells B.liver tissues C.heart tissues D.pancreatic enzymes
A.
A client receiving radiation to the head and neck is experiencing stomatitis. What can the nurse recommend to relieve this symptom? A.Evaluation by a dentist B.Alcohol-based mouthwash rinses C.Soft, pureed foods D.Vigorous brushing of teeth after each meal
A. C.
A 42 year old female highway construction worker is concerned about her cancer risks. She has been married for 18 years, has two children, smokes one pack of cigarettes per day, and occasionally drinks one to two beers. She is 30 lbs overweight, eats fried fast food often, and rarely eats fresh fruits and vegetables. Her mother was diagnosed with breast cancer 2 years ago. Her father and an aunt both died of lung cancer. She had a basal cell carcinoma removed from her cheek 3 years earlier. What behavioral changes should the nurse coach this client to make to decrease her risk of cancer? Select all that apply. A.Improve nutrition. B.Decrease alcohol consumption. C.Use sunscreen D.Stop smoking E.Lose weight F.Change jobs to work indoors
A. C. D. E.
A client is receiving monthly doses of chemotherapy for treatment of stage III colon cancer. Which laboratory results should the nurse report to the oncologist before the next dose of chemotherapy is administered? Select all that apply. A. hemoglobin of 14.5 g/dL B. platelet count of 40,000/mm3 (40 × 109/L) C. blood urea nitrogen (BUN) level of 12 mg/dL D. white blood cell count of 2,300/mm3 E. temperature of 101.2°F
B. D. E.
Which information should be included in the teaching plan for a client with cancer who is experiencing thrombocytopenia? Select all that apply. A.Use an electric razor B.Use a soft-bristle toothbrush C.Avoid frequent flossing for oral care D. Use NSAIDS daily for pain control E.Monitor temperature daily F.Report bleeding, such as nosebleed, petechiae, or melena, to a health care provider
A. B. E. F.
A client is beginning external beam radiation therapy to the right axilla after a lumpectomy for breast cancer. Which information should the nurse include in client teaching? A.Use a heating pad under the right arm B.Immobilize the right arm C. Place ice on the area after each treatment D.Apply deodorant only under the left arm
A. C.
Which primary cancer treatment goal is prolonged survival and containment of cancer cell growth?
Control
